KR Core Implementation Guide
1.0.2 - STU1

KR Core Implementation Guide - Local Development build (v1.0.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: KR Core Observation Profile for Vital Signs: Pulse Oximetry

Official URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-pulseoximetry | Version: 1.0.2
Active as of 2024-09-12 | Computable Name: KRCore_Observation_VitalSigns_PulseOximetry

KR Core의 활력징후 및 신체 계측 중, 산소포화도 측정 정보에 적용되는 Observation 구조.

Usage:

- Examples for this Resource Profile: Observation/krcore-pulseoximetry-example-01

### Formal Views of Profile Content

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

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from KRCore_Observation_VitalSigns

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | KRCore_Observation_VitalSigns | KR Core Observation Profile for Vital Signs: Pulse Oximetry krcore-obs-01: value 또는 dataAbsentReason 중 하나는 제공할 것.
code |  |  |  |
coding:Loinc |  | 0..* | Coding | 산소포화도 측정
code |  | 1..1 | code | Loinc 코드 Fixed Value: 2708-6
display |  | 0..1 | string | Representation defined by the system Example Value: Oxygen saturation in Arterial blood
value[x] |  | 0..1 | Quantity | 산소포화도 측정 결과
value |  | 1..1 | decimal | 측정값
unit |  | 0..1 | string | Unit representation Example Value: %
system |  | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code |  | 1..1 | code | Coded form of the unit Fixed Value: %
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
krcore-obs-01 | warning | Observation | value 또는 dataAbsentReason 중 하나는 제공할 것. : value.exists() or dataAbsentReason.exists() | KR Core 권장사항

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | KRCore_Observation_VitalSigns | KR Core Observation Profile for Vital Signs: Pulse Oximetry krcore-obs-01: value 또는 dataAbsentReason 중 하나는 제공할 것.
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | 활력징후 및 신체 계측 상태: registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category |  | 1..* | CodeableConcept | 관찰 및 계측 범주 Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (required): Codes for high level observation categories.
category:VitalSigns |  | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs
code | S Σ | 1..1 | CodeableConcept | 활력징후 및 신체 계측 항목명 Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:Loinc | S Σ | 0..* | Coding | 산소포화도 측정 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
system | S Σ | 1..1 | uri | Loinc 코드체계 Fixed Value: http://loinc.org
code | S Σ | 1..1 | code | Loinc 코드 Fixed Value: 2708-6
display | Σ | 0..1 | string | Representation defined by the system Example Value: Oxygen saturation in Arterial blood
value[x] | Σ C | 0..1 | Quantity | 산소포화도 측정 결과
value | Σ | 1..1 | decimal | 측정값
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation Example Value: %
system | Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | Σ | 1..1 | code | Coded form of the unit Fixed Value: %
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Observation.status | required | ObservationStatus
Observation.category | required | ObservationCategoryCodes
Observation.category:VitalSigns | preferred | Pattern: vital-signs
Observation.code | example | LOINCCodes (a valid code from LOINC)
Observation.code.coding:Loinc | required | Fixed Value: LOINC code 2708-6
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
Observation.value[x].comparator | required | QuantityComparator

#### Constraints

Id | Grade | Path(s) | Details | Requirements
krcore-obs-01 | warning | Observation | value 또는 dataAbsentReason 중 하나는 제공할 것. : value.exists() or dataAbsentReason.exists() | KR Core 권장사항

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | KRCore_Observation_VitalSigns | KR Core Observation Profile for Vital Signs: Pulse Oximetry krcore-obs-01: value 또는 dataAbsentReason 중 하나는 제공할 것.
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 | Text summary of the resource, for human interpretation
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 | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!Σ | 1..1 | code | 활력징후 및 신체 계측 상태: registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category |  | 1..* | CodeableConcept | 관찰 및 계측 범주 Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (required): Codes for high level observation categories.
category:VitalSigns |  | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
code | S Σ | 1..1 | CodeableConcept | 활력징후 및 신체 계측 항목명 Binding: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:Loinc | S Σ | 0..* | Coding | 산소포화도 측정 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Loinc 코드체계 Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Loinc 코드 Fixed Value: 2708-6
display | Σ | 0..1 | string | Representation defined by the system Example Value: Oxygen saturation in Arterial blood
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ | 0..1 | Reference(KR Core Patient Profile) | 활력징후 및 신체 계측 대상
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] | Σ | 0..1 |  | 활력징후 및 신체 계측 일시
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | KR Core Patient Profile | KR Core Practitioner Profile for Medical Doctor | KR Core PractitionerRole Profile for Medical Doctor | KR Core Healthcare Organization Profile) | 활력징후 및 신체 계측 책임자
value[x] | Σ C | 0..1 | Quantity | 산소포화도 측정 결과
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | Σ | 1..1 | decimal | 측정값
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation Example Value: %
system | Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | Σ | 1..1 | code | Coded form of the unit Fixed Value: %
dataAbsentReason | C | 0..1 | CodeableConcept | 활력징후 및 신체 계측 결과 부재 사유 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.
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 |  | 0..1 | Reference(Device | DeviceMetric) | 계측 장비 정보
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(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
component | Σ | 0..* | BackboneElement | Component results
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 | Σ | 1..1 | CodeableConcept | 세부 활력징후 및 신체 계측 정보 Binding: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:Loinc | Σ | 0..* | Coding | Loinc 코드 정보 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Loinc 코드체계 Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Loinc 코드
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
value[x] | Σ | 0..1 |  | 세부 활력징후 및 신체 계측 결과
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 | 세부 활력징후 및 신체 계측 결과 부재 사유 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 | ObservationCategoryCodes
Observation.category:VitalSigns | preferred | Pattern: vital-signs
Observation.code | example | LOINCCodes (a valid code from LOINC)
Observation.code.coding:Loinc | required | Fixed Value: LOINC code 2708-6
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
Observation.value[x].comparator | required | QuantityComparator
Observation.dataAbsentReason | extensible | DataAbsentReason
Observation.interpretation | extensible | ObservationInterpretationCodes
Observation.bodySite | example | SNOMEDCTBodyStructures
Observation.method | example | ObservationMethods
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes
Observation.component.code | example | LOINCCodes (a valid code from LOINC)
Observation.component.code.coding:Loinc | required | LOINCCodes (a valid code from LOINC)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
Observation.component.dataAbsentReason | extensible | DataAbsentReason
Observation.component.interpretation | extensible | ObservationInterpretationCodes

#### Constraints

Id | Grade | Path(s) | Details | Requirements
krcore-obs-01 | warning | Observation | value 또는 dataAbsentReason 중 하나는 제공할 것. : value.exists() or dataAbsentReason.exists() | KR Core 권장사항

This structure is derived from KRCore_Observation_VitalSigns

Summary

Mandatory: 0 element (3 nested mandatory elements)
Fixed Value: 3 elements

Differential View

This structure is derived from KRCore_Observation_VitalSigns

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | KRCore_Observation_VitalSigns | KR Core Observation Profile for Vital Signs: Pulse Oximetry krcore-obs-01: value 또는 dataAbsentReason 중 하나는 제공할 것.
code |  |  |  |
coding:Loinc |  | 0..* | Coding | 산소포화도 측정
code |  | 1..1 | code | Loinc 코드 Fixed Value: 2708-6
display |  | 0..1 | string | Representation defined by the system Example Value: Oxygen saturation in Arterial blood
value[x] |  | 0..1 | Quantity | 산소포화도 측정 결과
value |  | 1..1 | decimal | 측정값
unit |  | 0..1 | string | Unit representation Example Value: %
system |  | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code |  | 1..1 | code | Coded form of the unit Fixed Value: %
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
krcore-obs-01 | warning | Observation | value 또는 dataAbsentReason 중 하나는 제공할 것. : value.exists() or dataAbsentReason.exists() | KR Core 권장사항

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | KRCore_Observation_VitalSigns | KR Core Observation Profile for Vital Signs: Pulse Oximetry krcore-obs-01: value 또는 dataAbsentReason 중 하나는 제공할 것.
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | 활력징후 및 신체 계측 상태: registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category |  | 1..* | CodeableConcept | 관찰 및 계측 범주 Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (required): Codes for high level observation categories.
category:VitalSigns |  | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs
code | S Σ | 1..1 | CodeableConcept | 활력징후 및 신체 계측 항목명 Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:Loinc | S Σ | 0..* | Coding | 산소포화도 측정 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
system | S Σ | 1..1 | uri | Loinc 코드체계 Fixed Value: http://loinc.org
code | S Σ | 1..1 | code | Loinc 코드 Fixed Value: 2708-6
display | Σ | 0..1 | string | Representation defined by the system Example Value: Oxygen saturation in Arterial blood
value[x] | Σ C | 0..1 | Quantity | 산소포화도 측정 결과
value | Σ | 1..1 | decimal | 측정값
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation Example Value: %
system | Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | Σ | 1..1 | code | Coded form of the unit Fixed Value: %
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Observation.status | required | ObservationStatus
Observation.category | required | ObservationCategoryCodes
Observation.category:VitalSigns | preferred | Pattern: vital-signs
Observation.code | example | LOINCCodes (a valid code from LOINC)
Observation.code.coding:Loinc | required | Fixed Value: LOINC code 2708-6
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
Observation.value[x].comparator | required | QuantityComparator

#### Constraints

Id | Grade | Path(s) | Details | Requirements
krcore-obs-01 | warning | Observation | value 또는 dataAbsentReason 중 하나는 제공할 것. : value.exists() or dataAbsentReason.exists() | KR Core 권장사항

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | KRCore_Observation_VitalSigns | KR Core Observation Profile for Vital Signs: Pulse Oximetry krcore-obs-01: value 또는 dataAbsentReason 중 하나는 제공할 것.
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 | Text summary of the resource, for human interpretation
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 | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!Σ | 1..1 | code | 활력징후 및 신체 계측 상태: registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category |  | 1..* | CodeableConcept | 관찰 및 계측 범주 Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (required): Codes for high level observation categories.
category:VitalSigns |  | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
code | S Σ | 1..1 | CodeableConcept | 활력징후 및 신체 계측 항목명 Binding: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:Loinc | S Σ | 0..* | Coding | 산소포화도 측정 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Loinc 코드체계 Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Loinc 코드 Fixed Value: 2708-6
display | Σ | 0..1 | string | Representation defined by the system Example Value: Oxygen saturation in Arterial blood
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ | 0..1 | Reference(KR Core Patient Profile) | 활력징후 및 신체 계측 대상
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] | Σ | 0..1 |  | 활력징후 및 신체 계측 일시
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | KR Core Patient Profile | KR Core Practitioner Profile for Medical Doctor | KR Core PractitionerRole Profile for Medical Doctor | KR Core Healthcare Organization Profile) | 활력징후 및 신체 계측 책임자
value[x] | Σ C | 0..1 | Quantity | 산소포화도 측정 결과
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | Σ | 1..1 | decimal | 측정값
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation Example Value: %
system | Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | Σ | 1..1 | code | Coded form of the unit Fixed Value: %
dataAbsentReason | C | 0..1 | CodeableConcept | 활력징후 및 신체 계측 결과 부재 사유 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.
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 |  | 0..1 | Reference(Device | DeviceMetric) | 계측 장비 정보
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(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
component | Σ | 0..* | BackboneElement | Component results
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 | Σ | 1..1 | CodeableConcept | 세부 활력징후 및 신체 계측 정보 Binding: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:Loinc | Σ | 0..* | Coding | Loinc 코드 정보 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Loinc 코드체계 Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Loinc 코드
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
value[x] | Σ | 0..1 |  | 세부 활력징후 및 신체 계측 결과
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 | 세부 활력징후 및 신체 계측 결과 부재 사유 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 | ObservationCategoryCodes
Observation.category:VitalSigns | preferred | Pattern: vital-signs
Observation.code | example | LOINCCodes (a valid code from LOINC)
Observation.code.coding:Loinc | required | Fixed Value: LOINC code 2708-6
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
Observation.value[x].comparator | required | QuantityComparator
Observation.dataAbsentReason | extensible | DataAbsentReason
Observation.interpretation | extensible | ObservationInterpretationCodes
Observation.bodySite | example | SNOMEDCTBodyStructures
Observation.method | example | ObservationMethods
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes
Observation.component.code | example | LOINCCodes (a valid code from LOINC)
Observation.component.code.coding:Loinc | required | LOINCCodes (a valid code from LOINC)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
Observation.component.dataAbsentReason | extensible | DataAbsentReason
Observation.component.interpretation | extensible | ObservationInterpretationCodes

#### Constraints

Id | Grade | Path(s) | Details | Requirements
krcore-obs-01 | warning | Observation | value 또는 dataAbsentReason 중 하나는 제공할 것. : value.exists() or dataAbsentReason.exists() | KR Core 권장사항

This structure is derived from KRCore_Observation_VitalSigns

Summary

Mandatory: 0 element (3 nested mandatory elements)
Fixed Value: 3 elements

Other representations of profile: CSV, Excel, Schematron

### Notes:

KR Core IG를 따르는 Server는 반드시(SHALL) `Observation Resource`를 지원하고, KR Core Observation Profile for Vital Signs: Pulse Oximetry를 반드시(SHALL) 지원해야 한다.
KR Core IG를 따르는 Client는 가능한 한(SHOULD) `Observation Resource`를 지원하고, `Observation Resource`를 지원하는 경우, KR Core Observation Profile for Vital Signs: Pulse Oximetry를 반드시(SHALL) 지원해야 한다.

### KR CDI 관련항목

KR Core Observation Profile for Vital Signs: Pulse Oximetry는 KR CDI의 활력징후 및 신체 계측 정보 클래스 중 일부에 대응됨.

KR CDI 활력징후 및 신체 계측 정보 클래스 항목 | KR Core Observation Profile for Vital Signs: Pulse Oximetry 관련 항목
--- | ---
수축기 혈압 | KR Core Observation Profile for Vital Signs: Blood Pressure 참고
이완기 혈압 | KR Core Observation Profile for Vital Signs: Blood Pressure 참고
맥박수 | KR Core Observation Profile for Vital Signs: Heart Rate 참고
호흡수 | KR Core Observation Profile for Vital Signs: Respiratory Rate 참고
체온 | KR Core Observation Profile for Vital Signs: Body Temperature 참고
산소포화도 | Observation.value
키 | KR Core Observation Profile for Vital Signs: Body Height 참고
몸무게 | KR Core Observation Profile for Vital Signs: Body Weight 참고

### KR Core Search Parameters (defined)

Observation Resource를 검색하기 위해 Kr Core에서 추가로 정의한 검색 파라미터.

Name | Type | Description | Expression | Expectations
--- | --- | --- | --- | ---
issued | date | 관찰 및 측정 보고 일시 | Observation.issued | SHOULD

### KR Core Search Parameters (derived)

Observation Resource를 검색하기 위해 기본 FHIR 사양을 기반으로 정의한 검색 파라미터.

Name | Type | Description | Expression | Expectations
--- | --- | --- | --- | ---
category | token | 관찰 및 측정 범주 | Observation.category | SHOULD
code | token | 관찰 및 측정의 유형 | Observation.code | SHALL
code-value-concept | composite | 관찰 및 측정의 유형과 CodeableConcept 데이터유형으로 표현된 측정값 쌍 | On Observation: code: code value-concept: value.ofType(CodeableConcept) | MAY
code-value-date | composite | 관찰 및 측정의 유형과 date/time 데이터유형으로 표현된 측정값 쌍 | On Observation: code: code value-date: value.ofType(DateTime) | value.ofType(Period) | MAY
code-value-quantity | composite | 관찰 및 측정의 유형과 quantity 데이터유형으로 표현된 측정값 쌍 | On Observation: code: code value-quantity: value.ofType(Quantity) | MAY
code-value-string | composite | 관찰 및 측정의 유형과 string 데이터유형으로 표현된 측정값 쌍 | On Observation: code: code value-string: value.ofType(string) | MAY
component-code | token | 세부 관찰 및 측정의 유형 | Observation.component.code | SHALL
component-code-value-concept | composite | 세부 관찰 및 측정의 유형과 CodeableConcept 데이터유형으로 표현된 세부 관찰 및 측정값 쌍 | On Observation.component: componenet-code: code component-value-concept: value.ofType(CodeableConcept) | MAY
component-code-value-quantity | composite | 세부 관찰 및 측정의 유형과 Quantity 데이터유형으로 표현된 세부 관찰 및 측정값 쌍 | On Observation.component: componenet-code: code component-value-quantity: value.ofType(Quantity) | MAY
component-data-absent-reason | token | 세부 관찰 및 측정 결과(Observation.component.value[x]) 부재 사유 | Observation.component.dataAbsentReason | MAY
component-value-concept | token | CodeableConcept 데이터유형으로 표현된 세부 관찰 및 측정값 | Observation.component.value.ofType(CodeableConcept) | MAY
component-value-quantity | quantity | Quantity 또는 SampledData 데이터유형으로 표현된 세부 관찰 및 측정값 | Observation.component.value.ofType(Quantity) | Observation.component.value.ofType(SampledData) | MAY
data-absent-reason | token | 관찰 및 측정 결과(Observation.value[x]) 부재 사유 | Observation.dataAbsentReason | MAY
date | date | 관찰 및 측정 일시 | Observation.effective | MAY
patient | reference | 관찰 및 측정 대상 환자 | Observation.subject.where(resolve() is Patient) | SHALL
performer | reference | 관찰 및 측정 책임자 | Observation.performer | SHOULD
status | token | 관찰 및 측정 진행 상태 | Observation.status | MAY
value-concept | token | CodeableConcept 데이터유형으로 표현된 측정값 | Observation.value.ofType(CodeableConcept) | MAY
value-date | date | dateTime 또는 Period 데이터유형으로 표현된 측정값 | Observation.value.ofType(dateTime) | Observation.value.ofType(Period) | MAY
value-quantity | quantity | Quantity 또는 SampledData 데이터유형으로 표현된 측정값 | Observation.value.ofType(Quantity) | Observation.value.ofType(SampledData) | MAY
value-string | string | string 데이터유형 또는 CodeableConcept 데이터유형 내 text로 표현된 측정값 | Observation.value.ofType(string) | Observation.value.ofType(CodeableConcept).text | MAY

NOTE: 위 Search Parameter 목록은 아래 요소에 대한 구현 기대치를 정의함:

- multipleAnd
- multipleOr
- comparator
- modifier
- chain

NOTE: 이 외 기본 FHIR 사양에서 정의하고 있는 Search Parameter들은 KR Core IG를 구현한 서버의 선택 사항에 따라 추가로 제공 가능.