Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
text		0..1	Narrative	A human-readable summary describing the reason the rule outcome was captured.
basedOn	S	0..*	Reference(ResMed Rule Instance ServiceRequest)	Fulfills plan, proposal or order. For ResMed rule outcomes, this should reference the ServiceRequest connecting the patient with the rule.
status	S	1..1	code	registered | preliminary | final | amended +
Slices for category		2..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ResMed Observation Categories Value Set (required)
category:outcome		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://terminology.resmed.com/CodeSystem/resmed-observation-category-code-system
code		1..1	code	Symbol in syntax defined by the system Fixed Value: rule-outcome
category:therapy		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://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: therapy
code	S	1..1	CodeableConcept	A code identifying the clinical or compliance outcome type, e.g. patient-compliance-progress Binding: ResMed All Rule Outcome Types Value Set (extensible)
subject	S	1..1	Reference(ResMed Patient)	The patient who is the subject of the outcome
effective[x]	S	1..1	dateTime	DateTime of analysed sleep
issued	S	1..1	instant	DateTime outcome scored
value[x]		0..0
interpretation	S	0..*	CodeableConcept	Whether this outcome is normal, compliant, low, etc. Binding: ResMed Rule Outcome Interpretation Value Set (required)
device	S	1..1	Reference(ResMed Rules Engine Software Profile)	(Measurement) Device
derivedFrom		0..*	Reference(Observation)	The Observations used in determining this outcome
component		0..*	BackboneElement	Each component represents a key-value pair in the originating outcome. Keys are expressed as codes.
code	S	1..1	CodeableConcept	Type of component observation (code / type) Binding: ResMed Rule Outcome Components Value Set (extensible)
value[x]	S	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.category	required	ValueSetResMedObservationCategoryCodes
Observation.code	extensible	ValueSetResMedAllRuleOutcomeTypeCodes
Observation.interpretation	required	ValueSetResMedRuleOutcomeInterpretationCodes
Observation.component.code	extensible	ValueSetResMedRuleOutcomeComponentCodes (a valid code from ResMed Rule Outcome Components Code System)

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text		0..1	Narrative	A human-readable summary describing the reason the rule outcome was captured.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	SΣ	0..*	Reference(ResMed Rule Instance ServiceRequest)	Fulfills plan, proposal or order. For ResMed rule outcomes, this should reference the ServiceRequest connecting the patient with the rule.
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		2..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ResMed Observation Categories Value Set (required)
category:outcome		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. 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://terminology.resmed.com/CodeSystem/resmed-observation-category-code-system
code		1..1	code	Symbol in syntax defined by the system Fixed Value: rule-outcome
category:therapy		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. 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://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: therapy
code	SΣ	1..1	CodeableConcept	A code identifying the clinical or compliance outcome type, e.g. patient-compliance-progress Binding: ResMed All Rule Outcome Types Value Set (extensible)
subject	SΣ	1..1	Reference(ResMed Patient)	The patient who is the subject of the outcome
effective[x]	SΣ	1..1	dateTime	DateTime of analysed sleep
issued	SΣ	1..1	instant	DateTime outcome scored
interpretation	S	0..*	CodeableConcept	Whether this outcome is normal, compliant, low, etc. Binding: ResMed Rule Outcome Interpretation Value Set (required)
device	S	1..1	Reference(ResMed Rules Engine Software Profile)	(Measurement) Device
derivedFrom	Σ	0..*	Reference(Observation)	The Observations used in determining this outcome
component	Σ	0..*	BackboneElement	Each component represents a key-value pair in the originating outcome. Keys are expressed as codes.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: ResMed Rule Outcome Components Value Set (extensible)
value[x]	SΣ	0..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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.status	required	ObservationStatus
Observation.category	required	ValueSetResMedObservationCategoryCodes
Observation.category:outcome	preferred	Pattern: rule-outcome
Observation.category:therapy	preferred	Pattern: therapy
Observation.code	extensible	ValueSetResMedAllRuleOutcomeTypeCodes
Observation.interpretation	required	ValueSetResMedRuleOutcomeInterpretationCodes
Observation.component.code	extensible	ValueSetResMedRuleOutcomeComponentCodes (a valid code from ResMed Rule Outcome Components Code System)

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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	A human-readable summary describing the reason the rule outcome was captured.
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	SΣ	0..*	Reference(ResMed Rule Instance ServiceRequest)	Fulfills plan, proposal or order. For ResMed rule outcomes, this should reference the ServiceRequest connecting the patient with the rule.
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		2..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ResMed Observation Categories Value Set (required)
category:outcome		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://terminology.resmed.com/CodeSystem/resmed-observation-category-code-system
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: rule-outcome
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
category:therapy		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://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: therapy
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	SΣ	1..1	CodeableConcept	A code identifying the clinical or compliance outcome type, e.g. patient-compliance-progress Binding: ResMed All Rule Outcome Types Value Set (extensible)
subject	SΣ	1..1	Reference(ResMed Patient)	The patient who is the subject of the outcome
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣ	1..1	dateTime	DateTime of analysed sleep
issued	SΣ	1..1	instant	DateTime outcome scored
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Whether this outcome is normal, compliant, low, etc. Binding: ResMed Rule Outcome Interpretation Value Set (required)
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device	S	1..1	Reference(ResMed Rules Engine Software Profile)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation
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
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(Observation)	The Observations used in determining this outcome
component	Σ	0..*	BackboneElement	Each component represents a key-value pair in the originating outcome. Keys are expressed as codes.
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
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: ResMed Rule Outcome Components Value Set (extensible)
value[x]	SΣ	0..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
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus
Observation.category	required	ValueSetResMedObservationCategoryCodes
Observation.category:outcome	preferred	Pattern: rule-outcome
Observation.category:therapy	preferred	Pattern: therapy
Observation.code	extensible	ValueSetResMedAllRuleOutcomeTypeCodes
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	required	ValueSetResMedRuleOutcomeInterpretationCodes
Observation.bodySite	example	SNOMEDCTBodyStructures
Observation.method	example	ObservationMethods
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes
Observation.component.code	extensible	ValueSetResMedRuleOutcomeComponentCodes (a valid code from ResMed Rule Outcome Components Code System)
Observation.component.dataAbsentReason	extensible	DataAbsentReason
Observation.component.interpretation	extensible	ObservationInterpretationCodes

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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.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.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Summary

Mandatory: 6 elements
Must-Support: 10 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• ResMed Rule Instance ServiceRequest (http://resmed.com/fhir/core/StructureDefinition/resmed-rules-service-request)
• ResMed Patient (http://resmed.com/fhir/core/StructureDefinition/resmed-patient)
• ResMed Rules Engine Software Profile (http://resmed.com/fhir/core/StructureDefinition/device-rmd-rulesEngine)

Slices

This structure defines the following Slices:

• The element Observation.category is sliced based on the value of pattern:$this

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
text		0..1	Narrative	A human-readable summary describing the reason the rule outcome was captured.
basedOn	S	0..*	Reference(ResMed Rule Instance ServiceRequest)	Fulfills plan, proposal or order. For ResMed rule outcomes, this should reference the ServiceRequest connecting the patient with the rule.
status	S	1..1	code	registered | preliminary | final | amended +
Slices for category		2..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ResMed Observation Categories Value Set (required)
category:outcome		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://terminology.resmed.com/CodeSystem/resmed-observation-category-code-system
code		1..1	code	Symbol in syntax defined by the system Fixed Value: rule-outcome
category:therapy		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://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: therapy
code	S	1..1	CodeableConcept	A code identifying the clinical or compliance outcome type, e.g. patient-compliance-progress Binding: ResMed All Rule Outcome Types Value Set (extensible)
subject	S	1..1	Reference(ResMed Patient)	The patient who is the subject of the outcome
effective[x]	S	1..1	dateTime	DateTime of analysed sleep
issued	S	1..1	instant	DateTime outcome scored
value[x]		0..0
interpretation	S	0..*	CodeableConcept	Whether this outcome is normal, compliant, low, etc. Binding: ResMed Rule Outcome Interpretation Value Set (required)
device	S	1..1	Reference(ResMed Rules Engine Software Profile)	(Measurement) Device
derivedFrom		0..*	Reference(Observation)	The Observations used in determining this outcome
component		0..*	BackboneElement	Each component represents a key-value pair in the originating outcome. Keys are expressed as codes.
code	S	1..1	CodeableConcept	Type of component observation (code / type) Binding: ResMed Rule Outcome Components Value Set (extensible)
value[x]	S	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.category	required	ValueSetResMedObservationCategoryCodes
Observation.code	extensible	ValueSetResMedAllRuleOutcomeTypeCodes
Observation.interpretation	required	ValueSetResMedRuleOutcomeInterpretationCodes
Observation.component.code	extensible	ValueSetResMedRuleOutcomeComponentCodes (a valid code from ResMed Rule Outcome Components Code System)

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text		0..1	Narrative	A human-readable summary describing the reason the rule outcome was captured.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	SΣ	0..*	Reference(ResMed Rule Instance ServiceRequest)	Fulfills plan, proposal or order. For ResMed rule outcomes, this should reference the ServiceRequest connecting the patient with the rule.
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		2..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ResMed Observation Categories Value Set (required)
category:outcome		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. 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://terminology.resmed.com/CodeSystem/resmed-observation-category-code-system
code		1..1	code	Symbol in syntax defined by the system Fixed Value: rule-outcome
category:therapy		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. 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://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: therapy
code	SΣ	1..1	CodeableConcept	A code identifying the clinical or compliance outcome type, e.g. patient-compliance-progress Binding: ResMed All Rule Outcome Types Value Set (extensible)
subject	SΣ	1..1	Reference(ResMed Patient)	The patient who is the subject of the outcome
effective[x]	SΣ	1..1	dateTime	DateTime of analysed sleep
issued	SΣ	1..1	instant	DateTime outcome scored
interpretation	S	0..*	CodeableConcept	Whether this outcome is normal, compliant, low, etc. Binding: ResMed Rule Outcome Interpretation Value Set (required)
device	S	1..1	Reference(ResMed Rules Engine Software Profile)	(Measurement) Device
derivedFrom	Σ	0..*	Reference(Observation)	The Observations used in determining this outcome
component	Σ	0..*	BackboneElement	Each component represents a key-value pair in the originating outcome. Keys are expressed as codes.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: ResMed Rule Outcome Components Value Set (extensible)
value[x]	SΣ	0..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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.status	required	ObservationStatus
Observation.category	required	ValueSetResMedObservationCategoryCodes
Observation.category:outcome	preferred	Pattern: rule-outcome
Observation.category:therapy	preferred	Pattern: therapy
Observation.code	extensible	ValueSetResMedAllRuleOutcomeTypeCodes
Observation.interpretation	required	ValueSetResMedRuleOutcomeInterpretationCodes
Observation.component.code	extensible	ValueSetResMedRuleOutcomeComponentCodes (a valid code from ResMed Rule Outcome Components Code System)

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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	A human-readable summary describing the reason the rule outcome was captured.
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	SΣ	0..*	Reference(ResMed Rule Instance ServiceRequest)	Fulfills plan, proposal or order. For ResMed rule outcomes, this should reference the ServiceRequest connecting the patient with the rule.
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		2..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ResMed Observation Categories Value Set (required)
category:outcome		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://terminology.resmed.com/CodeSystem/resmed-observation-category-code-system
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: rule-outcome
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
category:therapy		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://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: therapy
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	SΣ	1..1	CodeableConcept	A code identifying the clinical or compliance outcome type, e.g. patient-compliance-progress Binding: ResMed All Rule Outcome Types Value Set (extensible)
subject	SΣ	1..1	Reference(ResMed Patient)	The patient who is the subject of the outcome
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣ	1..1	dateTime	DateTime of analysed sleep
issued	SΣ	1..1	instant	DateTime outcome scored
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Whether this outcome is normal, compliant, low, etc. Binding: ResMed Rule Outcome Interpretation Value Set (required)
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device	S	1..1	Reference(ResMed Rules Engine Software Profile)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation
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
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(Observation)	The Observations used in determining this outcome
component	Σ	0..*	BackboneElement	Each component represents a key-value pair in the originating outcome. Keys are expressed as codes.
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
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: ResMed Rule Outcome Components Value Set (extensible)
value[x]	SΣ	0..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
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus
Observation.category	required	ValueSetResMedObservationCategoryCodes
Observation.category:outcome	preferred	Pattern: rule-outcome
Observation.category:therapy	preferred	Pattern: therapy
Observation.code	extensible	ValueSetResMedAllRuleOutcomeTypeCodes
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	required	ValueSetResMedRuleOutcomeInterpretationCodes
Observation.bodySite	example	SNOMEDCTBodyStructures
Observation.method	example	ObservationMethods
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes
Observation.component.code	extensible	ValueSetResMedRuleOutcomeComponentCodes (a valid code from ResMed Rule Outcome Components Code System)
Observation.component.dataAbsentReason	extensible	DataAbsentReason
Observation.component.interpretation	extensible	ObservationInterpretationCodes

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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.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.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Summary

Mandatory: 6 elements
Must-Support: 10 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• ResMed Rule Instance ServiceRequest (http://resmed.com/fhir/core/StructureDefinition/resmed-rules-service-request)
• ResMed Patient (http://resmed.com/fhir/core/StructureDefinition/resmed-patient)
• ResMed Rules Engine Software Profile (http://resmed.com/fhir/core/StructureDefinition/device-rmd-rulesEngine)

Slices

This structure defines the following Slices:

• The element Observation.category is sliced based on the value of pattern:$this