HL7中国症状数据交换实施指南
2026.02.23 - release

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

## Resource Profile: 患者症状结构定义

官方URL: http://hl7.org.cn/fhir-ig/symptoms/StructureDefinition/Symptoms | 版本: 2026.02.23
Draft as of 2026-02-23 | 机读名称: SymptomObservation

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 | ?!S Σ | 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 | S Σ C | 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 | S Σ | 1..1 | Reference(Patient) | 指向患者的引用 ele-1: All FHIR elements must have a @value or children
encounter | S Σ | 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] | S Σ | 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 | S Σ | 1..1 | instant | 该症状的记录时间 ele-1: All FHIR elements must have a @value or children
performer | S Σ | 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] | S Σ C | 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 | S C | 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 | S Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | ?!S Σ | 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 | S Σ C | 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 | S Σ | 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 | S Σ | 0..1 | Reference(Encounter) | 指向诊疗或健康活动资源
effective[x] | S Σ | 0..1 |  | 该症状发生的时间或时间段
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
issued | S Σ | 1..1 | instant | 该症状的记录时间
performer | S Σ | 1..1 | Reference(Patient | RelatedPerson) | 报告症状信息的人
value[x] | S Σ C | 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 | S C | 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 | S Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | ?!S Σ | 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 | S Σ C | 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 | S Σ | 1..1 | Reference(Patient) | 指向患者的引用 ele-1: All FHIR elements must have a @value or children
encounter | S Σ | 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] | S Σ | 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 | S Σ | 1..1 | instant | 该症状的记录时间 ele-1: All FHIR elements must have a @value or children
performer | S Σ | 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] | S Σ C | 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 | S C | 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 | S Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | ?!S Σ | 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 | S Σ C | 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 | S Σ | 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 | S Σ | 0..1 | Reference(Encounter) | 指向诊疗或健康活动资源
effective[x] | S Σ | 0..1 |  | 该症状发生的时间或时间段
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
issued | S Σ | 1..1 | instant | 该症状的记录时间
performer | S Σ | 1..1 | Reference(Patient | RelatedPerson) | 报告症状信息的人
value[x] | S Σ C | 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 | S C | 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 | S Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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

本 Profile 的其它表示法: CSV, Excel, Schematron