ShEx statement for observation
PREFIX fhir: <http://hl7.org/fhir/>
PREFIX fhirvs: <http://hl7.org/fhir/ValueSet/>
PREFIX xsd: <http://www.w3.org/2001/XMLSchema#>
BASE <http://hl7.org/fhir/shape/>
start=@<Observation> AND {fhir:nodeRole [fhir:treeRoot]}
# Measurements and simple assertions
<Observation> CLOSED {
a [fhir:Observation];
fhir:nodeRole [fhir:treeRoot]?;
fhir:Resource.id @<id>?; # Logical id of this artifact
fhir:Resource.meta @<Meta>?; # Metadata about the resource
fhir:Resource.implicitRules @<uri>?; # A set of rules under which this
# content was created
fhir:Resource.language @<code>?; # Language of the resource content
fhir:DomainResource.text @<Narrative>?; # Text summary of the resource, for
# human interpretation
fhir:DomainResource.contained @<Resource>*; # Contained, inline Resources
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:modifierExtension @<Extension>*; # Extensions that cannot be ignored
fhir:Observation.identifier @<Identifier>*; # Unique Id for this particular
# observation
fhir:Observation.status @<code> AND
{fhir:value @fhirvs:observation-status}; # registered | preliminary | final |
# amended +
fhir:Observation.category @<CodeableConcept>*; # Classification of type of
# observation
fhir:Observation.code @<CodeableConcept>; # Type of observation (code / type)
fhir:Observation.subject # Who and/or what this is about
( @<PatientReference> OR
@<GroupReference> OR
@<DeviceReference> OR
@<LocationReference>
)?;
fhir:Observation.encounter @<Reference>?; # Healthcare event during which this
# observation is made
( # Clinically relevant
# time/time-period for observation
fhir:Observation.effectiveDateTime @<dateTime> |
fhir:Observation.effectivePeriod @<Period>
)?;
fhir:Observation.issued @<instant>?; # Date/Time this was made available
fhir:Observation.performer # Who is responsible for the
# observation
( @<PractitionerReference> OR
@<OrganizationReference> OR
@<PatientReference> OR
@<RelatedPersonReference>
)*;
( # Actual result
fhir:Observation.valueQuantity @<Quantity> |
fhir:Observation.valueCodeableConcept @<CodeableConcept> |
fhir:Observation.valueString @<string> |
fhir:Observation.valueRange @<Range> |
fhir:Observation.valueRatio @<Ratio> |
fhir:Observation.valueSampledData @<SampledData> |
fhir:Observation.valueAttachment @<Attachment> |
fhir:Observation.valueTime @<time> |
fhir:Observation.valueDateTime @<dateTime> |
fhir:Observation.valuePeriod @<Period>
)?;
fhir:Observation.dataAbsentReason @<CodeableConcept>?; # Why the result is missing
fhir:Observation.interpretation @<CodeableConcept>?; # High, low, normal, etc.
fhir:Observation.comment @<string>?; # Comments about result
fhir:Observation.bodySite @<CodeableConcept>?; # Observed body part
fhir:Observation.method @<CodeableConcept>?; # How it was done
fhir:Observation.specimen @<Reference>?; # Specimen used for this observation
fhir:Observation.device # (Measurement) Device
( @<DeviceReference> OR
@<DeviceMetricReference>
)?;
fhir:Observation.referenceRange @<Observation.referenceRange>*; # Provides guide for interpretation
fhir:Observation.related @<Observation.related>*; # Resource related to this
# observation
fhir:Observation.component @<Observation.component>*; # Component results
fhir:index xsd:integer? # Relative position in a list
}
# Provides guide for interpretation
<Observation.referenceRange> CLOSED {
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:modifierExtension @<Extension>*; # Extensions that cannot be ignored
fhir:Observation.referenceRange.low @<SimpleQuantity>?; # Low Range, if relevant
fhir:Observation.referenceRange.high @<SimpleQuantity>?; # High Range, if relevant
fhir:Observation.referenceRange.meaning @<CodeableConcept>*; # Reference range qualifier
fhir:Observation.referenceRange.age @<Range>?; # Applicable age range, if relevant
fhir:Observation.referenceRange.text @<string>?; # Text based reference range in an
# observation
fhir:index xsd:integer? # Relative position in a list
}
# Resource related to this observation
<Observation.related> CLOSED {
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:modifierExtension @<Extension>*; # Extensions that cannot be ignored
fhir:Observation.related.type @<code> AND
{fhir:value @fhirvs:observation-relationshiptypes}?; # has-member | derived-from |
# sequel-to | replaces |
# qualified-by | interfered-by
fhir:Observation.related.target # Resource that is related to this
# one
( @<ObservationReference> OR
@<QuestionnaireResponseReference> OR
@<SequenceReference>
);
fhir:index xsd:integer? # Relative position in a list
}
# Component results
<Observation.component> CLOSED {
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:modifierExtension @<Extension>*; # Extensions that cannot be ignored
fhir:Observation.component.code @<CodeableConcept>; # Type of component observation
# (code / type)
( # Actual component result
fhir:Observation.component.valueQuantity @<Quantity> |
fhir:Observation.component.valueCodeableConcept @<CodeableConcept> |
fhir:Observation.component.valueString @<string> |
fhir:Observation.component.valueRange @<Range> |
fhir:Observation.component.valueRatio @<Ratio> |
fhir:Observation.component.valueSampledData @<SampledData> |
fhir:Observation.component.valueAttachment @<Attachment> |
fhir:Observation.component.valueTime @<time> |
fhir:Observation.component.valueDateTime @<dateTime> |
fhir:Observation.component.valuePeriod @<Period>
)?;
fhir:Observation.component.dataAbsentReason @<CodeableConcept>?; # Why the component result is missing
fhir:Observation.component.interpretation @<CodeableConcept>?; # High, low, normal, etc.
fhir:Observation.component.referenceRange @<Observation.referenceRange>*; # Provides guide for interpretation
# of component result
fhir:index xsd:integer? # Relative position in a list
}
#---------------------- Data Types -------------------
# Primitive Type dateTime
<dateTime> CLOSED {
fhir:Element.id @<id>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:value xsd:gYear OR xsd:gYearMonth OR xsd:date OR xsd:dateTime?; # Primitive value for dateTime
fhir:index xsd:integer? # Relative position in a list
}
# Metadata about a resource
<Meta> CLOSED {
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:Meta.versionId @<id>?; # Version specific identifier
fhir:Meta.lastUpdated @<instant>?; # When the resource version last
# changed
fhir:Meta.profile @<uri>*; # Profiles this resource claims to
# conform to
fhir:Meta.security @<Coding>*; # Security Labels applied to this
# resource
fhir:Meta.tag @<Coding>*; # Tags applied to this resource
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type code
<code> CLOSED {
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:value xsd:string?; # Primitive value for code
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type string
<string> CLOSED {
fhir:Element.id @<id>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:value xsd:string MAXLENGTH 1048576?; # Primitive value for string
fhir:index xsd:integer? # Relative position in a list
}
# A reference from one resource to another
<Reference> CLOSED {
fhir:link IRI?;
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:Reference.reference @<string>?; # Literal reference, Relative,
# internal or absolute URL
fhir:Reference.identifier @<Identifier>?; # Logical reference, when literal
# reference is not known
fhir:Reference.display @<string>?; # Text alternative for the resource
fhir:index xsd:integer? # Relative position in a list
}
# Base Resource
<Resource> {a .+;
fhir:Resource.id @<id>?; # Logical id of this artifact
fhir:Resource.meta @<Meta>?; # Metadata about the resource
fhir:Resource.implicitRules @<uri>?; # A set of rules under which this
# content was created
fhir:Resource.language @<code>?; # Language of the resource content
fhir:index xsd:integer?
}
# A fixed quantity (no comparator)
<SimpleQuantity> CLOSED {
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:Quantity.value @<decimal>?; # Numerical value (with implicit
# precision)
fhir:Quantity.unit @<string>?; # Unit representation
fhir:Quantity.system @<uri>?; # System that defines coded unit form
fhir:Quantity.code @<code>?; # Coded form of the unit
fhir:index xsd:integer? # Relative position in a list
}
# Time range defined by start and end date/time
<Period> CLOSED {
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:Period.start @<dateTime>?; # Starting time with inclusive
# boundary
fhir:Period.end @<dateTime>?; # End time with inclusive boundary,
# if not ongoing
fhir:index xsd:integer? # Relative position in a list
}
# A measured or measurable amount
<Quantity> CLOSED {
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:Quantity.value @<decimal>?; # Numerical value (with implicit
# precision)
fhir:Quantity.comparator @<code> AND
{fhir:value @fhirvs:quantity-comparator}?; # < | <= | >= | > - how to
# understand the value
fhir:Quantity.unit @<string>?; # Unit representation
fhir:Quantity.system @<uri>?; # System that defines coded unit form
fhir:Quantity.code @<code>?; # Coded form of the unit
fhir:index xsd:integer? # Relative position in a list
}
# Content in a format defined elsewhere
<Attachment> CLOSED {
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:Attachment.contentType @<code>?; # Mime type of the content, with
# charset etc.
fhir:Attachment.language @<code>?; # Human language of the content
# (BCP-47)
fhir:Attachment.data @<base64Binary>?; # Data inline, base64ed
fhir:Attachment.url @<uri>?; # Uri where the data can be found
fhir:Attachment.size @<unsignedInt>?; # Number of bytes of content (if url
# provided)
fhir:Attachment.hash @<base64Binary>?; # Hash of the data (sha-1, base64ed)
fhir:Attachment.title @<string>?; # Label to display in place of the
# data
fhir:Attachment.creation @<dateTime>?; # Date attachment was first created
fhir:index xsd:integer? # Relative position in a list
}
# Set of values bounded by low and high
<Range> CLOSED {
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:Range.low @<SimpleQuantity>?; # Low limit
fhir:Range.high @<SimpleQuantity>?; # High limit
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type uri
<uri> CLOSED {
fhir:Element.id @<id>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:value xsd:string?; # Primitive value for uri
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type instant
<instant> CLOSED {
fhir:Element.id @<id>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:value xsd:dateTime?; # Primitive value for instant
fhir:index xsd:integer? # Relative position in a list
}
<Extension> {fhir:extension @<Extension>*;
fhir:index xsd:integer?
}
# An identifier intended for computation
<Identifier> CLOSED {
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:Identifier.use @<code> AND
{fhir:value @fhirvs:identifier-use}?; # usual | official | temp |
# secondary (If known)
fhir:Identifier.type @<CodeableConcept>?; # Description of identifier
fhir:Identifier.system @<uri>?; # The namespace for the identifier
fhir:Identifier.value @<string>?; # The value that is unique
fhir:Identifier.period @<Period>?; # Time period when id is/was valid
# for use
fhir:Identifier.assigner @<Reference>?; # Organization that issued id (may
# be just text)
fhir:index xsd:integer? # Relative position in a list
}
# A human-readable formatted text, including images
<Narrative> CLOSED {
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:Narrative.status @<code> AND
{fhir:value @fhirvs:narrative-status}; # generated | extensions |
# additional | empty
fhir:Narrative.div xsd:string; # Limited xhtml content
fhir:index xsd:integer? # Relative position in a list
}
# A series of measurements taken by a device
<SampledData> CLOSED {
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:SampledData.origin @<SimpleQuantity>; # Zero value and units
fhir:SampledData.period @<decimal>; # Number of milliseconds between
# samples
fhir:SampledData.factor @<decimal>?; # Multiply data by this before
# adding to origin
fhir:SampledData.lowerLimit @<decimal>?; # Lower limit of detection
fhir:SampledData.upperLimit @<decimal>?; # Upper limit of detection
fhir:SampledData.dimensions @<positiveInt>; # Number of sample points at each
# time point
fhir:SampledData.data @<string>; # Decimal values with spaces, or "E"
# | "U" | "L"
fhir:index xsd:integer? # Relative position in a list
}
# A ratio of two Quantity values - a numerator and a denominator
<Ratio> CLOSED {
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:Ratio.numerator @<Quantity>?; # Numerator value
fhir:Ratio.denominator @<Quantity>?; # Denominator value
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type id
<id> CLOSED {
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:value xsd:string?; # Primitive value for id
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type time
<time> CLOSED {
fhir:Element.id @<id>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:value xsd:time?; # Primitive value for time
fhir:index xsd:integer? # Relative position in a list
}
# Concept - reference to a terminology or just text
<CodeableConcept> CLOSED {
fhir:concept IRI*;
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:CodeableConcept.coding @<Coding>*; # Code defined by a terminology
# system
fhir:CodeableConcept.text @<string>?; # Plain text representation of the
# concept
fhir:index xsd:integer? # Relative position in a list
}
# A reference to a code defined by a terminology system
<Coding> CLOSED {
fhir:concept IRI?;
fhir:Element.id @<string>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:Coding.system @<uri>?; # Identity of the terminology system
fhir:Coding.version @<string>?; # Version of the system - if relevant
fhir:Coding.code @<code>?; # Symbol in syntax defined by the
# system
fhir:Coding.display @<string>?; # Representation defined by the
# system
fhir:Coding.userSelected @<boolean>?; # If this coding was chosen directly
# by the user
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type positiveInt
<positiveInt> CLOSED {
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:value xsd:positiveInteger?; # Primitive value for positiveInt
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type base64Binary
<base64Binary> CLOSED {
fhir:Element.id @<id>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:value xsd:base64Binary?; # Primitive value for base64Binary
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type unsignedInt
<unsignedInt> CLOSED {
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:value xsd:nonNegativeInteger?; # Primitive value for unsignedInt
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type decimal
<decimal> CLOSED {
fhir:Element.id @<id>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:value xsd:decimal?; # Primitive value for decimal
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type boolean
<boolean> CLOSED {
fhir:Element.id @<id>?; # xml:id (or equivalent in JSON)
fhir:extension @<Extension>*; # Additional Content defined by
# implementations
fhir:value xsd:boolean?; # Primitive value for boolean
fhir:index xsd:integer? # Relative position in a list
}
#---------------------- Reference Types -------------------
<PractitionerReference> CLOSED {
fhir:Element.id @<id>?;
fhir:extension @<Extension>*;
fhir:link @<Practitioner> OR CLOSED {a fhir:Practitioner}?;
fhir:Reference.reference @<string>?;
fhir:Reference.display @<string>?;
fhir:index xsd:integer?
}
<Practitioner> {
a [fhir:Practitioner];
fhir:nodeRole [fhir:treeRoot]?
}
<GroupReference> CLOSED {
fhir:Element.id @<id>?;
fhir:extension @<Extension>*;
fhir:link @<Group> OR CLOSED {a fhir:Group}?;
fhir:Reference.reference @<string>?;
fhir:Reference.display @<string>?;
fhir:index xsd:integer?
}
<Group> {
a [fhir:Group];
fhir:nodeRole [fhir:treeRoot]?
}
<OrganizationReference> CLOSED {
fhir:Element.id @<id>?;
fhir:extension @<Extension>*;
fhir:link @<Organization> OR CLOSED {a fhir:Organization}?;
fhir:Reference.reference @<string>?;
fhir:Reference.display @<string>?;
fhir:index xsd:integer?
}
<Organization> {
a [fhir:Organization];
fhir:nodeRole [fhir:treeRoot]?
}
<DeviceReference> CLOSED {
fhir:Element.id @<id>?;
fhir:extension @<Extension>*;
fhir:link @<Device> OR CLOSED {a fhir:Device}?;
fhir:Reference.reference @<string>?;
fhir:Reference.display @<string>?;
fhir:index xsd:integer?
}
<Device> {
a [fhir:Device];
fhir:nodeRole [fhir:treeRoot]?
}
<ObservationReference> CLOSED {
fhir:Element.id @<id>?;
fhir:extension @<Extension>*;
fhir:link @<Observation> OR CLOSED {a fhir:Observation}?;
fhir:Reference.reference @<string>?;
fhir:Reference.display @<string>?;
fhir:index xsd:integer?
}
<Observation> {
a [fhir:Observation];
fhir:nodeRole [fhir:treeRoot]?
}
<PatientReference> CLOSED {
fhir:Element.id @<id>?;
fhir:extension @<Extension>*;
fhir:link @<Patient> OR CLOSED {a fhir:Patient}?;
fhir:Reference.reference @<string>?;
fhir:Reference.display @<string>?;
fhir:index xsd:integer?
}
<Patient> {
a [fhir:Patient];
fhir:nodeRole [fhir:treeRoot]?
}
<SequenceReference> CLOSED {
fhir:Element.id @<id>?;
fhir:extension @<Extension>*;
fhir:link @<Sequence> OR CLOSED {a fhir:Sequence}?;
fhir:Reference.reference @<string>?;
fhir:Reference.display @<string>?;
fhir:index xsd:integer?
}
<Sequence> {
a [fhir:Sequence];
fhir:nodeRole [fhir:treeRoot]?
}
<DeviceMetricReference> CLOSED {
fhir:Element.id @<id>?;
fhir:extension @<Extension>*;
fhir:link @<DeviceMetric> OR CLOSED {a fhir:DeviceMetric}?;
fhir:Reference.reference @<string>?;
fhir:Reference.display @<string>?;
fhir:index xsd:integer?
}
<DeviceMetric> {
a [fhir:DeviceMetric];
fhir:nodeRole [fhir:treeRoot]?
}
<QuestionnaireResponseReference> CLOSED {
fhir:Element.id @<id>?;
fhir:extension @<Extension>*;
fhir:link @<QuestionnaireResponse> OR CLOSED {a fhir:QuestionnaireResponse}?;
fhir:Reference.reference @<string>?;
fhir:Reference.display @<string>?;
fhir:index xsd:integer?
}
<QuestionnaireResponse> {
a [fhir:QuestionnaireResponse];
fhir:nodeRole [fhir:treeRoot]?
}
<RelatedPersonReference> CLOSED {
fhir:Element.id @<id>?;
fhir:extension @<Extension>*;
fhir:link @<RelatedPerson> OR CLOSED {a fhir:RelatedPerson}?;
fhir:Reference.reference @<string>?;
fhir:Reference.display @<string>?;
fhir:index xsd:integer?
}
<RelatedPerson> {
a [fhir:RelatedPerson];
fhir:nodeRole [fhir:treeRoot]?
}
<LocationReference> CLOSED {
fhir:Element.id @<id>?;
fhir:extension @<Extension>*;
fhir:link @<Location> OR CLOSED {a fhir:Location}?;
fhir:Reference.reference @<string>?;
fhir:Reference.display @<string>?;
fhir:index xsd:integer?
}
<Location> {
a [fhir:Location];
fhir:nodeRole [fhir:treeRoot]?
}
#---------------------- Value Sets ------------------------
# Identifies the purpose for this identifier, if known .
fhirvs:identifier-use ["usual" "official" "temp" "secondary"]
# Codes providing the status of an observation.
fhirvs:observation-status ["registered" "preliminary" "final" "amended" "cancelled" "entered-in-error" "unknown"]
# Codes specifying how two observations are related.
fhirvs:observation-relationshiptypes ["has-member" "derived-from" "sequel-to" "replaces" "qualified-by" "interfered-by"]
# The status of a resource narrative
fhirvs:narrative-status ["generated" "extensions" "additional" "empty"]
# How the Quantity should be understood and represented.
fhirvs:quantity-comparator ["<" "<=" ">=" ">"]
Usage note: every effort has been made to ensure that the ShEx files are correct and useful, but they are not a normative part of the specification.