> ## Documentation Index
> Fetch the complete documentation index at: https://docs.metriport.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Observation

> Measurements and simple assertions made about a patient, device or other subject.

## Properties

| Name                | Required | Type                                                                                                                                                                                                                                                                                                                                                                                                                       | Description                                                               |
| ------------------- | -------- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------------- |
| identifier          | No       | [Identifier](/medical-api/fhir/data-types/identifier)\[]                                                                                                                                                                                                                                                                                                                                                                   | Business Identifier for observation                                       |
| basedOn             | No       | Reference\<[CarePlan](/medical-api/fhir/resources/careplan) / [DeviceRequest](/medical-api/fhir/resources/devicerequest) / [ImmunizationRecommendation](/medical-api/fhir/resources/immunizationrecommendation) / [MedicationRequest](/medical-api/fhir/resources/medicationrequest) / [NutritionOrder](/medical-api/fhir/resources/nutritionorder) / [ServiceRequest](/medical-api/fhir/resources/servicerequest)>\[]     | Fulfills plan, proposal or order                                          |
| partOf              | No       | Reference\<[MedicationAdministration](/medical-api/fhir/resources/medicationadministration) / [MedicationDispense](/medical-api/fhir/resources/medicationdispense) / [MedicationStatement](/medical-api/fhir/resources/medicationstatement) / [Procedure](/medical-api/fhir/resources/procedure) / [Immunization](/medical-api/fhir/resources/immunization) / [ImagingStudy](/medical-api/fhir/resources/imagingstudy)>\[] | Part of referenced event                                                  |
| status              | Yes      | code                                                                                                                                                                                                                                                                                                                                                                                                                       | registered / preliminary / final / amended +                              |
| category            | No       | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[]                                                                                                                                                                                                                                                                                                                                                         | Classification of type of observation                                     |
| code                | Yes      | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)                                                                                                                                                                                                                                                                                                                                                            | Type of observation (code / type)                                         |
| subject             | No       | Reference\<[Patient](/medical-api/fhir/resources/patient) / [Group](/medical-api/fhir/resources/group) / [Device](/medical-api/fhir/resources/device) / [Location](/medical-api/fhir/resources/location)>                                                                                                                                                                                                                  | Who and/or what the observation is about                                  |
| focus               | No       | Reference\<Resource>\[]                                                                                                                                                                                                                                                                                                                                                                                                    | What the observation is about, when it is not about the subject of record |
| encounter           | No       | Reference\<[Encounter](/medical-api/fhir/resources/encounter)>                                                                                                                                                                                                                                                                                                                                                             | Healthcare event during which this observation is made                    |
| effective\[x]       | No       | dateTime, [Period](/medical-api/fhir/data-types/period), [Timing](/medical-api/fhir/data-types/timing), instant                                                                                                                                                                                                                                                                                                            | Clinically relevant time/time-period for observation                      |
| issued              | No       | instant                                                                                                                                                                                                                                                                                                                                                                                                                    | Date/Time this version was made available                                 |
| performer           | No       | Reference\<[Practitioner](/medical-api/fhir/resources/practitioner) / [PractitionerRole](/medical-api/fhir/resources/practitionerrole) / [Organization](/medical-api/fhir/resources/organization) / [CareTeam](/medical-api/fhir/resources/careteam) / [Patient](/medical-api/fhir/resources/patient) / [RelatedPerson](/medical-api/fhir/resources/relatedperson)>\[]                                                     | Who is responsible for the observation                                    |
| value\[x]           | No       | [Quantity](/medical-api/fhir/data-types/quantity), [CodeableConcept](/medical-api/fhir/data-types/codeableconcept), string, boolean, integer, [Range](/medical-api/fhir/data-types/range), [Ratio](/medical-api/fhir/data-types/ratio), [SampledData](/medical-api/fhir/data-types/sampleddata), time, dateTime, [Period](/medical-api/fhir/data-types/period)                                                             | Actual result                                                             |
| dataAbsentReason    | No       | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)                                                                                                                                                                                                                                                                                                                                                            | Why the result is missing                                                 |
| interpretation      | No       | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[]                                                                                                                                                                                                                                                                                                                                                         | High, low, normal, etc.                                                   |
| note                | No       | [Annotation](/medical-api/fhir/data-types/annotation)\[]                                                                                                                                                                                                                                                                                                                                                                   | Comments about the observation                                            |
| bodySite            | No       | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)                                                                                                                                                                                                                                                                                                                                                            | Observed body part                                                        |
| method              | No       | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)                                                                                                                                                                                                                                                                                                                                                            | How it was done                                                           |
| specimen            | No       | Reference\<[Specimen](/medical-api/fhir/resources/specimen)>                                                                                                                                                                                                                                                                                                                                                               | Specimen used for this observation                                        |
| device              | No       | Reference\<[Device](/medical-api/fhir/resources/device) / [DeviceMetric](/medical-api/fhir/resources/devicemetric)>                                                                                                                                                                                                                                                                                                        | (Measurement) Device                                                      |
| referenceRange      | No       | ObservationReferenceRange                                                                                                                                                                                                                                                                                                                                                                                                  | Provides guide for interpretation                                         |
| - id                | No       | string                                                                                                                                                                                                                                                                                                                                                                                                                     | Unique id for inter-element referencing                                   |
| - extension         | No       | [Extension](/medical-api/fhir/data-types/extension)\[]                                                                                                                                                                                                                                                                                                                                                                     | Additional content defined by implementations                             |
| - modifierExtension | No       | [Extension](/medical-api/fhir/data-types/extension)\[]                                                                                                                                                                                                                                                                                                                                                                     | Extensions that cannot be ignored even if unrecognized                    |
| - low               | No       | [Quantity](/medical-api/fhir/data-types/quantity)                                                                                                                                                                                                                                                                                                                                                                          | Low Range, if relevant                                                    |
| - high              | No       | [Quantity](/medical-api/fhir/data-types/quantity)                                                                                                                                                                                                                                                                                                                                                                          | High Range, if relevant                                                   |
| - type              | No       | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)                                                                                                                                                                                                                                                                                                                                                            | Reference range qualifier                                                 |
| - appliesTo         | No       | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[]                                                                                                                                                                                                                                                                                                                                                         | Reference range population                                                |
| - age               | No       | [Range](/medical-api/fhir/data-types/range)                                                                                                                                                                                                                                                                                                                                                                                | Applicable age range, if relevant                                         |
| - text              | No       | string                                                                                                                                                                                                                                                                                                                                                                                                                     | Text based reference range in an observation                              |
| hasMember           | No       | Reference\<[Observation](/medical-api/fhir/resources/observation) / [QuestionnaireResponse](/medical-api/fhir/resources/questionnaireresponse) / [MolecularSequence](/medical-api/fhir/resources/molecularsequence)>\[]                                                                                                                                                                                                    | Related resource that belongs to the Observation group                    |
| derivedFrom         | No       | Reference\<[DocumentReference](/medical-api/fhir/resources/documentreference) / [ImagingStudy](/medical-api/fhir/resources/imagingstudy) / [Media](/medical-api/fhir/resources/media) / [QuestionnaireResponse](/medical-api/fhir/resources/questionnaireresponse) / [Observation](/medical-api/fhir/resources/observation) / [MolecularSequence](/medical-api/fhir/resources/molecularsequence)>\[]                       | Related measurements the observation is made from                         |
| component           | No       | ObservationComponent                                                                                                                                                                                                                                                                                                                                                                                                       | Component results                                                         |
| - id                | No       | string                                                                                                                                                                                                                                                                                                                                                                                                                     | Unique id for inter-element referencing                                   |
| - extension         | No       | [Extension](/medical-api/fhir/data-types/extension)\[]                                                                                                                                                                                                                                                                                                                                                                     | Additional content defined by implementations                             |
| - modifierExtension | No       | [Extension](/medical-api/fhir/data-types/extension)\[]                                                                                                                                                                                                                                                                                                                                                                     | Extensions that cannot be ignored even if unrecognized                    |
| - code              | Yes      | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)                                                                                                                                                                                                                                                                                                                                                            | Type of component observation (code / type)                               |
| - value\[x]         | No       | [Quantity](/medical-api/fhir/data-types/quantity), [CodeableConcept](/medical-api/fhir/data-types/codeableconcept), string, boolean, integer, [Range](/medical-api/fhir/data-types/range), [Ratio](/medical-api/fhir/data-types/ratio), [SampledData](/medical-api/fhir/data-types/sampleddata), time, dateTime, [Period](/medical-api/fhir/data-types/period)                                                             | Actual component result                                                   |
| - dataAbsentReason  | No       | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)                                                                                                                                                                                                                                                                                                                                                            | Why the component result is missing                                       |
| - interpretation    | No       | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[]                                                                                                                                                                                                                                                                                                                                                         | High, low, normal, etc.                                                   |
| - referenceRange    | No       | \[]                                                                                                                                                                                                                                                                                                                                                                                                                        | Provides guide for interpretation of component result                     |

## Search Parameters

| Name                          | Type      | Description                                                                                                                                             | Expression                             |
| ----------------------------- | --------- | ------------------------------------------------------------------------------------------------------------------------------------------------------- | -------------------------------------- |
| code                          | token     | The code of the observation type                                                                                                                        | Observation.code                       |
| date                          | date      | Obtained date/time. If the obtained element is a period, a date that falls in the period                                                                | Observation.effective                  |
| identifier                    | token     | The unique id for a particular observation                                                                                                              | Observation.identifier                 |
| patient                       | reference | The subject that the observation is about (if patient)                                                                                                  | Observation.subject                    |
| encounter                     | reference | Encounter related to the observation                                                                                                                    | Observation.encounter                  |
| based-on                      | reference | Reference to the service request.                                                                                                                       | Observation.basedOn                    |
| category                      | token     | The classification of the type of observation                                                                                                           | Observation.category                   |
| combo-code                    | token     | The code of the observation type or component type                                                                                                      | Observation.code                       |
| combo-data-absent-reason      | token     | The reason why the expected value in the element Observation.value\[x] or Observation.component.value\[x] is missing.                                   | Observation.dataAbsentReason           |
| combo-value-concept           | token     | The value or component value of the observation, if the value is a CodeableConcept                                                                      | Observation.value                      |
| combo-value-quantity          | quantity  | The value or component value of the observation, if the value is a Quantity, or a SampledData (just search on the bounds of the values in sampled data) | Observation.value                      |
| component-code                | token     | The component code of the observation type                                                                                                              | Observation.component.code             |
| component-data-absent-reason  | token     | The reason why the expected value in the element Observation.component.value\[x] is missing.                                                            | Observation.component.dataAbsentReason |
| component-value-concept       | token     | The value of the component observation, if the value is a CodeableConcept                                                                               | Observation.component.value            |
| component-value-quantity      | quantity  | The value of the component observation, if the value is a Quantity, or a SampledData (just search on the bounds of the values in sampled data)          | Observation.component.value            |
| data-absent-reason            | token     | The reason why the expected value in the element Observation.value\[x] is missing.                                                                      | Observation.dataAbsentReason           |
| derived-from                  | reference | Related measurements the observation is made from                                                                                                       | Observation.derivedFrom                |
| device                        | reference | The Device that generated the observation data.                                                                                                         | Observation.device                     |
| focus                         | reference | The focus of an observation when the focus is not the patient of record.                                                                                | Observation.focus                      |
| has-member                    | reference | Related resource that belongs to the Observation group                                                                                                  | Observation.hasMember                  |
| method                        | token     | The method used for the observation                                                                                                                     | Observation.method                     |
| part-of                       | reference | Part of referenced event                                                                                                                                | Observation.partOf                     |
| performer                     | reference | Who performed the observation                                                                                                                           | Observation.performer                  |
| specimen                      | reference | Specimen used for this observation                                                                                                                      | Observation.specimen                   |
| status                        | token     | The status of the observation                                                                                                                           | Observation.status                     |
| subject                       | reference | The subject that the observation is about                                                                                                               | Observation.subject                    |
| value-concept                 | token     | The value of the observation, if the value is a CodeableConcept                                                                                         | Observation.value                      |
| value-date                    | date      | The value of the observation, if the value is a date or period of time                                                                                  | Observation.value                      |
| value-quantity                | quantity  | The value of the observation, if the value is a Quantity, or a SampledData (just search on the bounds of the values in sampled data)                    | Observation.value                      |
| value-string                  | string    | The value of the observation, if the value is a string, and also searches in CodeableConcept.text                                                       | Observation.value                      |
| code-value-concept            | composite | Code and coded value parameter pair                                                                                                                     |                                        |
| code-value-date               | composite | Code and date/time value parameter pair                                                                                                                 |                                        |
| code-value-quantity           | composite | Code and quantity value parameter pair                                                                                                                  |                                        |
| code-value-string             | composite | Code and string value parameter pair                                                                                                                    |                                        |
| combo-code-value-concept      | composite | Code and coded value parameter pair, including in components                                                                                            | Observation.component                  |
| combo-code-value-quantity     | composite | Code and quantity value parameter pair, including in components                                                                                         | Observation.component                  |
| component-code-value-concept  | composite | Component code and component coded value parameter pair                                                                                                 | Observation.component                  |
| component-code-value-quantity | composite | Component code and component quantity value parameter pair                                                                                              | Observation.component                  |

## Inherited Properties

| Name              | Required | Type                                                   | Description                                            |
| ----------------- | -------- | ------------------------------------------------------ | ------------------------------------------------------ |
| id                | No       | string                                                 | Logical id of this artifact                            |
| meta              | No       | [Meta](/medical-api/fhir/data-types/meta)              | Metadata about the resource                            |
| implicitRules     | No       | uri                                                    | A set of rules under which this content was created    |
| language          | No       | code                                                   | Language of the resource content                       |
| text              | No       | [Narrative](/medical-api/fhir/data-types/narrative)    | Text summary of the resource, for human interpretation |
| contained         | No       | Resource\[]                                            | Contained, inline Resources                            |
| extension         | No       | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations          |
| modifierExtension | No       | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored                      |

To view the FHIR specification for this resource, see [Observation](https://www.hl7.org/fhir/StructureDefinition/Observation).
