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HRM Accompanying SubClass Extension

Canonical../StructureDefinition/hrm-accompanying-subclass
Statusdraft · 1.26.0
BaseExtension (constraint)
ContextObservation (element)
SourceFSH · JSON

The accompanying subclass of an observation within a report ingested from Health Report Manager, preserved exactly as the source message carried it.

Overview

Present only when the source field was populated, and copied without normalisation, trimming or validation. Treat it as opaque.

The same string is normally also the observation's code. Where it is present it becomes Observation.code.coding.code under CodeSystem/hrm-subclass. It is preserved here because which source field a given code was built from is not recoverable from code alone.

It is not split, unlike the report-level subclass. The subclass on DiagnosticReport.code is split on the first ^; this one never is. Values from the two are not guaranteed to be spelled alike even under the same code system.

Nexus EMR writes this today at http://services.well.com/fhir/observation/hrm-accompanying-subclass (FHIR-372): it is live in stored Observation.extension entries and in code, and is under migration to the canonical declared here. Write the canonical; expect both until the migration completes.