HL7中国症状数据交换实施指南 - Local Development build (v2026.02.23) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: 患者症状结构定义

患者就诊时症状信息的本地化结构定义。

Usage:

• Refer to this Resource Profile: 患者无症状结构定义, 患者症状面板结构定义 and 患者症状结构定义
• Examples for this Resource Profile: Observation/ChestPainSymptom, Observation/CoughSymptom, Observation/DizzinessSymptom, Observation/FatigueSymptom... Show 3 more, Observation/FeverSymptom, Observation/HearingLossSymptom and Observation/ShortnessOfBreathSymptom

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• 关键元素表
• 差异表
• 快照表
• 统计/引用
• 所有

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). obs-8: bodyStructure SHALL only be present if Observation.bodySite is not present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:associatedSymptomOrCondition		0..*	(Complex)	应支持与此症状相关的其他症状或状况 URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"
value[x]		1..1	Reference(患者症状结构定义 | 患者无症状结构定义 | Condition)	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	患者症状的状态 Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children
category:symptomCode	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: symptom
code	SΣC	1..1	CodeableConcept	表示本资源记录的是患者存在的症状 Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 75325-1
display		1..1	string	Representation defined by the system Fixed Value: Symptom
subject	SΣ	1..1	Reference(Patient)	指向患者的引用 ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(Encounter)	指向诊疗或健康活动资源 ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	0..1		该症状发生的时间或时间段 ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	1..1	instant	该症状的记录时间 ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..1	Reference(Patient | RelatedPerson)	报告症状信息的人 ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	1..1	CodeableConcept	症状的编码表示 Binding: 患者症状代码表 (preferred) ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	患者或护理人员对症状的描述 ele-1: All FHIR elements must have a @value or children
bodySite	SC	0..1	CodeableConcept	用于指示症状的身体部位 Binding: SNOMEDCTBodyStructures (preferred) ele-1: All FHIR elements must have a @value or children
Slices for component	SΣC	0..*	BackboneElement	记录当前症状的各种附加信息 Slice: Unordered, Open by value:code ele-1: All FHIR elements must have a @value or children
component:All Slices				Content/Rules for all slices
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children
value[x]	Σ	1..1		Actual component result ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
component:severity	ΣC	0..1	BackboneElement	该症状的严重程度 ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 64750-3
display		1..1	string	Representation defined by the system Fixed Value: 严重程度
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状严重程度代码表 (preferred) ele-1: All FHIR elements must have a @value or children
component:frequency	ΣC	0..1	BackboneElement	该症状的发生频率 ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 104156-5
display		1..1	string	Representation defined by the system Fixed Value: 发作频率
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状发作频率代码表 (preferred) ele-1: All FHIR elements must have a @value or children
component:quality	ΣC	0..1	BackboneElement	患者对症状的内在感知 ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56823-8
display		1..1	string	Representation defined by the system Fixed Value: 感知度量
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状感知度量代码表 (preferred) ele-1: All FHIR elements must have a @value or children
component:speedonset	ΣC	0..1	BackboneElement	描述患者症状出现的速度 ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 99495-4
display		1..1	string	Representation defined by the system Fixed Value: 发作速度
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状发作速度代码表 (preferred) ele-1: All FHIR elements must have a @value or children
component:trend	ΣC	0..1	BackboneElement	该症状的趋势, 是改善、恶化、稳定还是解决。 ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 89253-9
display		1..1	string	Representation defined by the system Fixed Value: 症状趋势
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状趋势代码表 (preferred) ele-1: All FHIR elements must have a @value or children
component:otherEvents	ΣC	0..*	BackboneElement	Component results ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children
value[x]	Σ	1..1		Actual component result ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:symptomCode	preferred	Pattern: symptom http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	Pattern: LOINC Code 75325-1("Symptom") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]	preferred	CNSymptomCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-symptom-codes from this IG
Observation.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:severity.code	example	Pattern: LOINC Code 64750-3("严重程度") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:severity.value[x]	preferred	CNSeverityCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-severity-codes from this IG
Observation.component:frequency.code	example	Pattern: LOINC Code 104156-5("发作频率") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:frequency.value[x]	preferred	CNFrequencyCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-frequency-codes from this IG
Observation.component:quality.code	example	Pattern: LOINC Code 56823-8("感知度量") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:quality.value[x]	preferred	CNQualityCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-quality-codes from this IG
Observation.component:speedonset.code	example	Pattern: LOINC Code 99495-4("发作速度") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:speedonset.value[x]	preferred	CNSpeedOfOnsetCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-speed-of-onset-codes from this IG
Observation.component:trend.code	example	Pattern: LOINC Code 89253-9("症状趋势") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:trend.value[x]	preferred	CNTrendCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-trend-codes from this IG
Observation.component:otherEvents.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8	error	Observation	bodyStructure SHALL only be present if Observation.bodySite is not present : bodySite.exists() implies bodyStructure.empty()

该结构继承自 Observation 。

Name	Flags	Card.	Type	Description & Constraints
Observation			Observation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:associatedSymptomOrCondition		0..*	(Complex)	应支持与此症状相关的其他症状或状况 URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
value[x]		1..1	Reference(患者症状结构定义 | 患者无症状结构定义 | Condition)	Value of extension
status	S	1..1	code	患者症状的状态
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:$this
category:symptomCode	S	1..1	CodeableConcept	Classification of type of observation Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: symptom
code	S	1..1	CodeableConcept	表示本资源记录的是患者存在的症状 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 75325-1
display		1..1	string	Representation defined by the system Fixed Value: Symptom
subject	S	1..1	Reference(Patient)	指向患者的引用
encounter	S	0..1	Reference(Encounter)	指向诊疗或健康活动资源
effective[x]	S	0..1		该症状发生的时间或时间段
effectiveDateTime			dateTime
effectivePeriod			Period
issued	S	1..1	instant	该症状的记录时间
performer	S	1..1	Reference(Patient | RelatedPerson)	报告症状信息的人
value[x]	S	1..1	CodeableConcept	症状的编码表示 Binding: 患者症状代码表 (preferred)
dataAbsentReason		0..0
interpretation		0..0
note		0..*	Annotation	患者或护理人员对症状的描述
bodySite	S	0..1	CodeableConcept	用于指示症状的身体部位 Binding: SNOMEDCTBodyStructures (preferred)
specimen		0..0
device		0..0
referenceRange		0..0
Slices for component	S	0..*	BackboneElement	记录当前症状的各种附加信息 Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
value[x]		1..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence)	Actual component result
dataAbsentReason		0..0
interpretation		0..0
referenceRange		0..0
component:severity		0..1	BackboneElement	该症状的严重程度
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 64750-3
display		1..1	string	Representation defined by the system Fixed Value: 严重程度
value[x]		1..1	CodeableConcept	Actual component result Binding: 症状严重程度代码表 (preferred)
component:frequency		0..1	BackboneElement	该症状的发生频率
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 104156-5
display		1..1	string	Representation defined by the system Fixed Value: 发作频率
value[x]		1..1	CodeableConcept	Actual component result Binding: 症状发作频率代码表 (preferred)
component:quality		0..1	BackboneElement	患者对症状的内在感知
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56823-8
display		1..1	string	Representation defined by the system Fixed Value: 感知度量
value[x]		1..1	CodeableConcept	Actual component result Binding: 症状感知度量代码表 (preferred)
component:speedonset		0..1	BackboneElement	描述患者症状出现的速度
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 99495-4
display		1..1	string	Representation defined by the system Fixed Value: 发作速度
value[x]		1..1	CodeableConcept	Actual component result Binding: 症状发作速度代码表 (preferred)
component:trend		0..1	BackboneElement	该症状的趋势, 是改善、恶化、稳定还是解决。
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 89253-9
display		1..1	string	Representation defined by the system Fixed Value: 症状趋势
value[x]		1..1	CodeableConcept	Actual component result Binding: 症状趋势代码表 (preferred)
component:otherEvents		0..*	BackboneElement	Component results
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.value[x]	preferred	CNSymptomCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-symptom-codes from this IG
Observation.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.component:severity.value[x]	preferred	CNSeverityCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-severity-codes from this IG
Observation.component:frequency.value[x]	preferred	CNFrequencyCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-frequency-codes from this IG
Observation.component:quality.value[x]	preferred	CNQualityCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-quality-codes from this IG
Observation.component:speedonset.value[x]	preferred	CNSpeedOfOnsetCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-speed-of-onset-codes from this IG
Observation.component:trend.value[x]	preferred	CNTrendCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-trend-codes from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). obs-8: bodyStructure SHALL only be present if Observation.bodySite is not present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:associatedSymptomOrCondition		0..*	(Complex)	应支持与此症状相关的其他症状或状况 URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"
value[x]		1..1	Reference(患者症状结构定义 | 患者无症状结构定义 | Condition)	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
instantiates[x]	Σ	0..1	canonical(ObservationDefinition), Reference(ObservationDefinition)	Instantiates FHIR ObservationDefinition
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
triggeredBy		0..*	BackboneElement	Triggering observation(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
observation	Σ	1..1	Reference(Observation)	Triggering observation
type	Σ	1..1	code	reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
reason		0..1	string	Reason that the observation was triggered
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy)	Part of referenced event
status	?!SΣ	1..1	code	患者症状的状态 Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:symptomCode	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: symptom
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣC	1..1	CodeableConcept	表示本资源记录的是患者存在的症状 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 75325-1
display		1..1	string	Representation defined by the system Fixed Value: Symptom
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient)	指向患者的引用
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter)	指向诊疗或健康活动资源
effective[x]	SΣ	0..1		该症状发生的时间或时间段
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	1..1	instant	该症状的记录时间
performer	SΣ	1..1	Reference(Patient | RelatedPerson)	报告症状信息的人
value[x]	SΣC	1..1	CodeableConcept	症状的编码表示 Binding: 患者症状代码表 (preferred)
note		0..*	Annotation	患者或护理人员对症状的描述
bodySite	SC	0..1	CodeableConcept	用于指示症状的身体部位 Binding: SNOMEDCTBodyStructures (preferred)
bodyStructure	C	0..1	Reference(BodyStructure)	Observed body structure
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy)	Related resource from which the observation is made
Slices for component	SΣC	0..*	BackboneElement	记录当前症状的各种附加信息 Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	1..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
component:severity	ΣC	0..1	BackboneElement	该症状的严重程度
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 64750-3
display		1..1	string	Representation defined by the system Fixed Value: 严重程度
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状严重程度代码表 (preferred)
component:frequency	ΣC	0..1	BackboneElement	该症状的发生频率
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 104156-5
display		1..1	string	Representation defined by the system Fixed Value: 发作频率
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状发作频率代码表 (preferred)
component:quality	ΣC	0..1	BackboneElement	患者对症状的内在感知
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56823-8
display		1..1	string	Representation defined by the system Fixed Value: 感知度量
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状感知度量代码表 (preferred)
component:speedonset	ΣC	0..1	BackboneElement	描述患者症状出现的速度
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 99495-4
display		1..1	string	Representation defined by the system Fixed Value: 发作速度
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状发作速度代码表 (preferred)
component:trend	ΣC	0..1	BackboneElement	该症状的趋势, 是改善、恶化、稳定还是解决。
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 89253-9
display		1..1	string	Representation defined by the system Fixed Value: 症状趋势
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状趋势代码表 (preferred)
component:otherEvents	ΣC	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	1..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	required	AllLanguages (a valid code from urn:ietf:bcp:47) http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Observation.triggeredBy.type	required	TriggeredBytype http://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0 from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:symptomCode	preferred	Pattern: symptom http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	Pattern: LOINC Code 75325-1("Symptom") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]	preferred	CNSymptomCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-symptom-codes from this IG
Observation.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.normalValue	extensible	ObservationReferenceRangeNormalValueCodes http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalue from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:severity.code	example	Pattern: LOINC Code 64750-3("严重程度") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:severity.value[x]	preferred	CNSeverityCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-severity-codes from this IG
Observation.component:frequency.code	example	Pattern: LOINC Code 104156-5("发作频率") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:frequency.value[x]	preferred	CNFrequencyCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-frequency-codes from this IG
Observation.component:quality.code	example	Pattern: LOINC Code 56823-8("感知度量") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:quality.value[x]	preferred	CNQualityCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-quality-codes from this IG
Observation.component:speedonset.code	example	Pattern: LOINC Code 99495-4("发作速度") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:speedonset.value[x]	preferred	CNSpeedOfOnsetCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-speed-of-onset-codes from this IG
Observation.component:trend.code	example	Pattern: LOINC Code 89253-9("症状趋势") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:trend.value[x]	preferred	CNTrendCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-trend-codes from this IG
Observation.component:otherEvents.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8	error	Observation	bodyStructure SHALL only be present if Observation.bodySite is not present : bodySite.exists() implies bodyStructure.empty()

该结构继承自 Observation 。

Summary

Mandatory: 6 elements(1 nested mandatory element)
Must-Support: 12 elements
Prohibited: 8 elements

Structures

This structure refers to these other structures:

• 患者症状结构定义 (http://hl7.org.cn/fhir-ig/symptoms/StructureDefinition/Symptoms)
• 患者无症状结构定义 (http://hl7.org.cn/fhir-ig/symptoms/StructureDefinition/Symptoms-Absent)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
• http://hl7.org/fhir/StructureDefinition/note

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.category
• The element 1 is sliced based on the value of Observation.component

关键元素视图

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). obs-8: bodyStructure SHALL only be present if Observation.bodySite is not present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:associatedSymptomOrCondition		0..*	(Complex)	应支持与此症状相关的其他症状或状况 URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"
value[x]		1..1	Reference(患者症状结构定义 | 患者无症状结构定义 | Condition)	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	患者症状的状态 Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children
category:symptomCode	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: symptom
code	SΣC	1..1	CodeableConcept	表示本资源记录的是患者存在的症状 Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 75325-1
display		1..1	string	Representation defined by the system Fixed Value: Symptom
subject	SΣ	1..1	Reference(Patient)	指向患者的引用 ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(Encounter)	指向诊疗或健康活动资源 ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	0..1		该症状发生的时间或时间段 ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	1..1	instant	该症状的记录时间 ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..1	Reference(Patient | RelatedPerson)	报告症状信息的人 ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	1..1	CodeableConcept	症状的编码表示 Binding: 患者症状代码表 (preferred) ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	患者或护理人员对症状的描述 ele-1: All FHIR elements must have a @value or children
bodySite	SC	0..1	CodeableConcept	用于指示症状的身体部位 Binding: SNOMEDCTBodyStructures (preferred) ele-1: All FHIR elements must have a @value or children
Slices for component	SΣC	0..*	BackboneElement	记录当前症状的各种附加信息 Slice: Unordered, Open by value:code ele-1: All FHIR elements must have a @value or children
component:All Slices				Content/Rules for all slices
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children
value[x]	Σ	1..1		Actual component result ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
component:severity	ΣC	0..1	BackboneElement	该症状的严重程度 ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 64750-3
display		1..1	string	Representation defined by the system Fixed Value: 严重程度
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状严重程度代码表 (preferred) ele-1: All FHIR elements must have a @value or children
component:frequency	ΣC	0..1	BackboneElement	该症状的发生频率 ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 104156-5
display		1..1	string	Representation defined by the system Fixed Value: 发作频率
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状发作频率代码表 (preferred) ele-1: All FHIR elements must have a @value or children
component:quality	ΣC	0..1	BackboneElement	患者对症状的内在感知 ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56823-8
display		1..1	string	Representation defined by the system Fixed Value: 感知度量
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状感知度量代码表 (preferred) ele-1: All FHIR elements must have a @value or children
component:speedonset	ΣC	0..1	BackboneElement	描述患者症状出现的速度 ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 99495-4
display		1..1	string	Representation defined by the system Fixed Value: 发作速度
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状发作速度代码表 (preferred) ele-1: All FHIR elements must have a @value or children
component:trend	ΣC	0..1	BackboneElement	该症状的趋势, 是改善、恶化、稳定还是解决。 ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 89253-9
display		1..1	string	Representation defined by the system Fixed Value: 症状趋势
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状趋势代码表 (preferred) ele-1: All FHIR elements must have a @value or children
component:otherEvents	ΣC	0..*	BackboneElement	Component results ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children
value[x]	Σ	1..1		Actual component result ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:symptomCode	preferred	Pattern: symptom http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	Pattern: LOINC Code 75325-1("Symptom") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]	preferred	CNSymptomCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-symptom-codes from this IG
Observation.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:severity.code	example	Pattern: LOINC Code 64750-3("严重程度") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:severity.value[x]	preferred	CNSeverityCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-severity-codes from this IG
Observation.component:frequency.code	example	Pattern: LOINC Code 104156-5("发作频率") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:frequency.value[x]	preferred	CNFrequencyCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-frequency-codes from this IG
Observation.component:quality.code	example	Pattern: LOINC Code 56823-8("感知度量") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:quality.value[x]	preferred	CNQualityCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-quality-codes from this IG
Observation.component:speedonset.code	example	Pattern: LOINC Code 99495-4("发作速度") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:speedonset.value[x]	preferred	CNSpeedOfOnsetCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-speed-of-onset-codes from this IG
Observation.component:trend.code	example	Pattern: LOINC Code 89253-9("症状趋势") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:trend.value[x]	preferred	CNTrendCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-trend-codes from this IG
Observation.component:otherEvents.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8	error	Observation	bodyStructure SHALL only be present if Observation.bodySite is not present : bodySite.exists() implies bodyStructure.empty()

差异视图

该结构继承自 Observation 。

Name	Flags	Card.	Type	Description & Constraints
Observation			Observation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:associatedSymptomOrCondition		0..*	(Complex)	应支持与此症状相关的其他症状或状况 URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
value[x]		1..1	Reference(患者症状结构定义 | 患者无症状结构定义 | Condition)	Value of extension
status	S	1..1	code	患者症状的状态
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:$this
category:symptomCode	S	1..1	CodeableConcept	Classification of type of observation Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: symptom
code	S	1..1	CodeableConcept	表示本资源记录的是患者存在的症状 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 75325-1
display		1..1	string	Representation defined by the system Fixed Value: Symptom
subject	S	1..1	Reference(Patient)	指向患者的引用
encounter	S	0..1	Reference(Encounter)	指向诊疗或健康活动资源
effective[x]	S	0..1		该症状发生的时间或时间段
effectiveDateTime			dateTime
effectivePeriod			Period
issued	S	1..1	instant	该症状的记录时间
performer	S	1..1	Reference(Patient | RelatedPerson)	报告症状信息的人
value[x]	S	1..1	CodeableConcept	症状的编码表示 Binding: 患者症状代码表 (preferred)
dataAbsentReason		0..0
interpretation		0..0
note		0..*	Annotation	患者或护理人员对症状的描述
bodySite	S	0..1	CodeableConcept	用于指示症状的身体部位 Binding: SNOMEDCTBodyStructures (preferred)
specimen		0..0
device		0..0
referenceRange		0..0
Slices for component	S	0..*	BackboneElement	记录当前症状的各种附加信息 Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
value[x]		1..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence)	Actual component result
dataAbsentReason		0..0
interpretation		0..0
referenceRange		0..0
component:severity		0..1	BackboneElement	该症状的严重程度
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 64750-3
display		1..1	string	Representation defined by the system Fixed Value: 严重程度
value[x]		1..1	CodeableConcept	Actual component result Binding: 症状严重程度代码表 (preferred)
component:frequency		0..1	BackboneElement	该症状的发生频率
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 104156-5
display		1..1	string	Representation defined by the system Fixed Value: 发作频率
value[x]		1..1	CodeableConcept	Actual component result Binding: 症状发作频率代码表 (preferred)
component:quality		0..1	BackboneElement	患者对症状的内在感知
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56823-8
display		1..1	string	Representation defined by the system Fixed Value: 感知度量
value[x]		1..1	CodeableConcept	Actual component result Binding: 症状感知度量代码表 (preferred)
component:speedonset		0..1	BackboneElement	描述患者症状出现的速度
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 99495-4
display		1..1	string	Representation defined by the system Fixed Value: 发作速度
value[x]		1..1	CodeableConcept	Actual component result Binding: 症状发作速度代码表 (preferred)
component:trend		0..1	BackboneElement	该症状的趋势, 是改善、恶化、稳定还是解决。
Slices for extension				Content/Rules for all slices
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 89253-9
display		1..1	string	Representation defined by the system Fixed Value: 症状趋势
value[x]		1..1	CodeableConcept	Actual component result Binding: 症状趋势代码表 (preferred)
component:otherEvents		0..*	BackboneElement	Component results
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.value[x]	preferred	CNSymptomCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-symptom-codes from this IG
Observation.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.component:severity.value[x]	preferred	CNSeverityCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-severity-codes from this IG
Observation.component:frequency.value[x]	preferred	CNFrequencyCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-frequency-codes from this IG
Observation.component:quality.value[x]	preferred	CNQualityCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-quality-codes from this IG
Observation.component:speedonset.value[x]	preferred	CNSpeedOfOnsetCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-speed-of-onset-codes from this IG
Observation.component:trend.value[x]	preferred	CNTrendCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-trend-codes from this IG

快照视图

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). obs-8: bodyStructure SHALL only be present if Observation.bodySite is not present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:associatedSymptomOrCondition		0..*	(Complex)	应支持与此症状相关的其他症状或状况 URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"
value[x]		1..1	Reference(患者症状结构定义 | 患者无症状结构定义 | Condition)	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
instantiates[x]	Σ	0..1	canonical(ObservationDefinition), Reference(ObservationDefinition)	Instantiates FHIR ObservationDefinition
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
triggeredBy		0..*	BackboneElement	Triggering observation(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
observation	Σ	1..1	Reference(Observation)	Triggering observation
type	Σ	1..1	code	reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
reason		0..1	string	Reason that the observation was triggered
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy)	Part of referenced event
status	?!SΣ	1..1	code	患者症状的状态 Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:symptomCode	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: symptom
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣC	1..1	CodeableConcept	表示本资源记录的是患者存在的症状 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 75325-1
display		1..1	string	Representation defined by the system Fixed Value: Symptom
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient)	指向患者的引用
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter)	指向诊疗或健康活动资源
effective[x]	SΣ	0..1		该症状发生的时间或时间段
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	1..1	instant	该症状的记录时间
performer	SΣ	1..1	Reference(Patient | RelatedPerson)	报告症状信息的人
value[x]	SΣC	1..1	CodeableConcept	症状的编码表示 Binding: 患者症状代码表 (preferred)
note		0..*	Annotation	患者或护理人员对症状的描述
bodySite	SC	0..1	CodeableConcept	用于指示症状的身体部位 Binding: SNOMEDCTBodyStructures (preferred)
bodyStructure	C	0..1	Reference(BodyStructure)	Observed body structure
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy)	Related resource from which the observation is made
Slices for component	SΣC	0..*	BackboneElement	记录当前症状的各种附加信息 Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	1..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
component:severity	ΣC	0..1	BackboneElement	该症状的严重程度
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 64750-3
display		1..1	string	Representation defined by the system Fixed Value: 严重程度
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状严重程度代码表 (preferred)
component:frequency	ΣC	0..1	BackboneElement	该症状的发生频率
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 104156-5
display		1..1	string	Representation defined by the system Fixed Value: 发作频率
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状发作频率代码表 (preferred)
component:quality	ΣC	0..1	BackboneElement	患者对症状的内在感知
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56823-8
display		1..1	string	Representation defined by the system Fixed Value: 感知度量
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状感知度量代码表 (preferred)
component:speedonset	ΣC	0..1	BackboneElement	描述患者症状出现的速度
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 99495-4
display		1..1	string	Representation defined by the system Fixed Value: 发作速度
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状发作速度代码表 (preferred)
component:trend	ΣC	0..1	BackboneElement	该症状的趋势, 是改善、恶化、稳定还是解决。
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 89253-9
display		1..1	string	Representation defined by the system Fixed Value: 症状趋势
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Actual component result Binding: 症状趋势代码表 (preferred)
component:otherEvents	ΣC	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..1	Annotation	当前症状附加信息的自然语言描述。 URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	1..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	required	AllLanguages (a valid code from urn:ietf:bcp:47) http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Observation.triggeredBy.type	required	TriggeredBytype http://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0 from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:symptomCode	preferred	Pattern: symptom http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	Pattern: LOINC Code 75325-1("Symptom") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]	preferred	CNSymptomCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-symptom-codes from this IG
Observation.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.normalValue	extensible	ObservationReferenceRangeNormalValueCodes http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalue from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:severity.code	example	Pattern: LOINC Code 64750-3("严重程度") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:severity.value[x]	preferred	CNSeverityCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-severity-codes from this IG
Observation.component:frequency.code	example	Pattern: LOINC Code 104156-5("发作频率") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:frequency.value[x]	preferred	CNFrequencyCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-frequency-codes from this IG
Observation.component:quality.code	example	Pattern: LOINC Code 56823-8("感知度量") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:quality.value[x]	preferred	CNQualityCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-quality-codes from this IG
Observation.component:speedonset.code	example	Pattern: LOINC Code 99495-4("发作速度") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:speedonset.value[x]	preferred	CNSpeedOfOnsetCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-speed-of-onset-codes from this IG
Observation.component:trend.code	example	Pattern: LOINC Code 89253-9("症状趋势") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:trend.value[x]	preferred	CNTrendCodes http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-trend-codes from this IG
Observation.component:otherEvents.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8	error	Observation	bodyStructure SHALL only be present if Observation.bodySite is not present : bodySite.exists() implies bodyStructure.empty()

该结构继承自 Observation 。

Summary

Mandatory: 6 elements(1 nested mandatory element)
Must-Support: 12 elements
Prohibited: 8 elements

Structures

This structure refers to these other structures:

• 患者症状结构定义 (http://hl7.org.cn/fhir-ig/symptoms/StructureDefinition/Symptoms)
• 患者无症状结构定义 (http://hl7.org.cn/fhir-ig/symptoms/StructureDefinition/Symptoms-Absent)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
• http://hl7.org/fhir/StructureDefinition/note

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.category
• The element 1 is sliced based on the value of Observation.component