Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions
| Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-path-1 | Version: 0.0.8 | |||
| Draft as of 2024-09-12 | Computable Name: ADHAObservationPathologyResult | |||
Copyright/Legal: Copyright © 2022 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. |
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The purpose of this profile is to represent a pathology test observation issued by the diagnostic service provider for the electronic exchange of pathology test observations between healthcare providers, and between healthcare providers and the My Health Record system infrastructure in Australia. This profile is intended to be capable of supporting reporting for all pathology disciplines (e.g. including microbiology, histopathology, cytology, blood transfusion) with the exception of genomics.
This profile identifies the additional constraints, extensions, and value sets that build on and extend Observation that are supported.
This profile is designed to set an Observation standard for:
This profile may be referred to by APIs, which will be listed here when available.
Observation.category provides an efficient way of supporting system interactions, e.g. restricting searches to “laboratory” observations. Implementers need to understand that data categorisation is somewhat subjective. The categorisation applied by the source may not align with a receiver’s expectations.Observation.value, or set of results using either Observation.component.value or Observation.hasMember.
Observation.identifier may contain the same identifier as in the order or report connecting the resources that are related to a single request fulfilment workflow.Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AUBasePathologyResult
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation |
C | 0..* | AUBasePathologyResult | A pathology test result in an Australian healthcare context inv-dh-obs-05: If there is no component or hasMember element then at least value or data absent reason shall be present |
  identifier |
S | 0..* | Identifier | Business Identifier for observation |
| status |
S | 1..1 | code | preliminary | final | amended + Binding: ObservationStatus Result Available  (required) |
| category |
S | 1..* | CodeableConcept | Classification of the service requested as laboratory + more specific discipline where available |
| code |
S | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible) |
 subject |
SC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the observation is about inv-dh-obs-01: At least reference or a valid identifier shall be present |
| effective[x] |
SC | 1..1 | dateTime, Period | Time of specimen collection inv-dh-obs-07: Date shall be at least to day |
| performer |
SC | 1..* | Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who is responsible for the observation inv-dh-obs-03: At least reference or display or a valid identifier shall be present |
| value[x] |
SC | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing |
| interpretation |
S | 0..* | CodeableConcept | High, low, normal, etc. |
| note |
S | 0..* | Annotation | Comments about the observation |
| method |
S | 0..1 | CodeableConcept | How it was done |
 specimen |
S | 0..1 | Reference(ADHA Core Specimen) | Specimen used for this observation |
  reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| referenceRange |
S | 0..* | BackboneElement | Provides guide for interpretation |
| low |
S | 0..1 | SimpleQuantity | Low Range, if relevant |
| high |
S | 0..1 | SimpleQuantity | High Range, if relevant |
| type |
S | 0..1 | CodeableConcept | Reference range qualifier |
| text |
S | 0..1 | string | Text based reference range in an observation |
| hasMember |
S | 0..* | Reference(ADHA Pathology Result Observation) | Individual observations in a group, study, or panel |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
 component |
SC | 0..* | BackboneElement | Individual tests in a group or panel inv-dh-obs-06: The component shall at least have a value or a data absent reason |
 code |
S | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible) |
| value[x] |
SC | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatusResultAvailable https://healthterminologies.gov.au/fhir/ValueSet/observationstatus-result-available-1 | |
| Observation.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | |
| Observation.component.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-obs-01 | error | Observation.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-obs-03 | error | Observation.performer | At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-obs-05 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| inv-dh-obs-06 | error | Observation.component | The component shall at least have a value or a data absent reason : value.exists() or dataAbsentReason.exists() | |
| inv-dh-obs-07 | error | Observation.effective[x] | Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10 |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | AUBasePathologyResult | A pathology test result in an Australian healthcare context obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason inv-dh-obs-05: If there is no component or hasMember element then at least value or data absent reason shall be present |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
SΣ | 0..* | Identifier | Business Identifier for observation |
| status |
?!SΣ | 1..1 | code | preliminary | final | amended + Binding: ObservationStatus Result Available (required) |
 Slices for category |
S | 1..* | CodeableConcept | Classification of the service requested as laboratory + more specific discipline where available Slice: Unordered, Open by value:coding.system, value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
  category:lab |
1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
  coding |
Σ | 1..* | Coding | Code defined by a terminology system |
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory |
 category:specificDiscipline |
0..* | CodeableConcept | Specific discipline of pathology Binding: Pathology Diagnostic Service Category (extensible) | |
| code |
SΣ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible) |
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the observation is about inv-dh-obs-01: At least reference or a valid identifier shall be present |
 effective[x] |
SΣC | 1..1 | Time of specimen collection inv-dh-obs-07: Date shall be at least to day | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| performer |
SΣC | 1..* | Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who is responsible for the observation inv-dh-obs-03: At least reference or display or a valid identifier shall be present |
| value[x] |
SΣC | 0..1 | Actual result | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
SC | 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 | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. |
| note |
S | 0..* | Annotation | Comments about the observation |
| method |
S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. |
| specimen |
S | 0..1 | Reference(ADHA Core Specimen) | Specimen used for this observation |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| referenceRange |
SC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| low |
SC | 0..1 | SimpleQuantity | Low Range, if relevant |
| high |
SC | 0..1 | SimpleQuantity | High Range, if relevant |
| type |
S | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. |
| text |
S | 0..1 | string | Text based reference range in an observation |
| hasMember |
SΣC | 0..* | Reference(ADHA Pathology Result Observation) | Individual observations in a group, study, or panel |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| component |
SΣC | 0..* | BackboneElement | Individual tests in a group or panel inv-dh-obs-06: The component shall at least have a value or a data absent reason |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible) |
| value[x] |
SΣC | 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 |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatusResultAvailable https://healthterminologies.gov.au/fhir/ValueSet/observationstatus-result-available-1 | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:lab | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:specificDiscipline | extensible | PathologyDiagnosticServiceCategory https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1 | |
| Observation.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | |
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | |
| Observation.component.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-obs-01 | error | Observation.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-obs-03 | error | Observation.performer | At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-obs-05 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| inv-dh-obs-06 | error | Observation.component | The component shall at least have a value or a data absent reason : value.exists() or dataAbsentReason.exists() | |
| inv-dh-obs-07 | error | Observation.effective[x] | Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10 |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | AUBasePathologyResult | A pathology test result in an Australian healthcare context obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason inv-dh-obs-05: If there is no component or hasMember element then at least value or data absent reason shall be present | ||||
| 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.
| |||||
| 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 |
SΣ | 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 |
?!SΣ | 1..1 | code | preliminary | final | amended + Binding: ObservationStatus Result Available (required) | ||||
| Slices for category |
S | 1..* | CodeableConcept | Classification of the service requested as laboratory + more specific discipline where available Slice: Unordered, Open by value:coding.system, value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| category:lab |
1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
 coding |
Σ | 1..* | Coding | Code defined by a terminology system | ||||
 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 | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | ||||
| 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 | ||||
 category:specificDiscipline |
0..* | CodeableConcept | Specific discipline of pathology Binding: Pathology Diagnostic Service Category (extensible) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| 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 | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| 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 | ||||
| code |
SΣ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible) | ||||
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the observation is about inv-dh-obs-01: At least reference or a valid identifier shall be present | ||||
| 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] |
SΣC | 1..1 | Time of specimen collection inv-dh-obs-07: Date shall be at least to day | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
SΣC | 1..* | Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who is responsible for the observation inv-dh-obs-03: At least reference or display or a valid identifier shall be present | ||||
| value[x] |
SΣC | 0..1 | Actual result | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
SC | 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 | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||
| note |
S | 0..* | Annotation | Comments about the observation | ||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method |
S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | ||||
| specimen |
S | 0..1 | Reference(ADHA Core Specimen) | Specimen used for this observation | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange |
SC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
| 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 |
SC | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high |
SC | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type |
S | 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 |
S | 0..1 | string | Text based reference range in an observation | ||||
| hasMember |
SΣC | 0..* | Reference(ADHA Pathology Result Observation) | Individual observations in a group, study, or panel | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| component |
SΣC | 0..* | BackboneElement | Individual tests in a group or panel inv-dh-obs-06: The component shall at least have a value or a data absent reason | ||||
| 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 | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible) | ||||
| value[x] |
SΣC | 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 |
SC | 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatusResultAvailable https://healthterminologies.gov.au/fhir/ValueSet/observationstatus-result-available-1 | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:lab | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:specificDiscipline | extensible | PathologyDiagnosticServiceCategory https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1 | ||||
| Observation.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.specimen.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.hasMember.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Observation.component.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-obs-01 | error | Observation.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-obs-03 | error | Observation.performer | At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-obs-05 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| inv-dh-obs-06 | error | Observation.component | The component shall at least have a value or a data absent reason : value.exists() or dataAbsentReason.exists() | |
| inv-dh-obs-07 | error | Observation.effective[x] | Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10 |
This structure is derived from AUBasePathologyResult
Summary
Mandatory: 1 element(2 nested mandatory elements)
Must-Support: 23 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from AUBasePathologyResult
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | AUBasePathologyResult | A pathology test result in an Australian healthcare context inv-dh-obs-05: If there is no component or hasMember element then at least value or data absent reason shall be present |
| identifier |
S | 0..* | Identifier | Business Identifier for observation |
| status |
S | 1..1 | code | preliminary | final | amended + Binding: ObservationStatus Result Available (required) |
| category |
S | 1..* | CodeableConcept | Classification of the service requested as laboratory + more specific discipline where available |
| code |
S | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible) |
| subject |
SC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the observation is about inv-dh-obs-01: At least reference or a valid identifier shall be present |
| effective[x] |
SC | 1..1 | dateTime, Period | Time of specimen collection inv-dh-obs-07: Date shall be at least to day |
| performer |
SC | 1..* | Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who is responsible for the observation inv-dh-obs-03: At least reference or display or a valid identifier shall be present |
| value[x] |
SC | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing |
| interpretation |
S | 0..* | CodeableConcept | High, low, normal, etc. |
| note |
S | 0..* | Annotation | Comments about the observation |
| method |
S | 0..1 | CodeableConcept | How it was done |
| specimen |
S | 0..1 | Reference(ADHA Core Specimen) | Specimen used for this observation |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| referenceRange |
S | 0..* | BackboneElement | Provides guide for interpretation |
| low |
S | 0..1 | SimpleQuantity | Low Range, if relevant |
| high |
S | 0..1 | SimpleQuantity | High Range, if relevant |
| type |
S | 0..1 | CodeableConcept | Reference range qualifier |
| text |
S | 0..1 | string | Text based reference range in an observation |
| hasMember |
S | 0..* | Reference(ADHA Pathology Result Observation) | Individual observations in a group, study, or panel |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| component |
SC | 0..* | BackboneElement | Individual tests in a group or panel inv-dh-obs-06: The component shall at least have a value or a data absent reason |
| code |
S | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible) |
| value[x] |
SC | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatusResultAvailable https://healthterminologies.gov.au/fhir/ValueSet/observationstatus-result-available-1 | |
| Observation.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | |
| Observation.component.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-obs-01 | error | Observation.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-obs-03 | error | Observation.performer | At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-obs-05 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| inv-dh-obs-06 | error | Observation.component | The component shall at least have a value or a data absent reason : value.exists() or dataAbsentReason.exists() | |
| inv-dh-obs-07 | error | Observation.effective[x] | Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10 |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | AUBasePathologyResult | A pathology test result in an Australian healthcare context obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason inv-dh-obs-05: If there is no component or hasMember element then at least value or data absent reason shall be present |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
SΣ | 0..* | Identifier | Business Identifier for observation |
| status |
?!SΣ | 1..1 | code | preliminary | final | amended + Binding: ObservationStatus Result Available (required) |
| Slices for category |
S | 1..* | CodeableConcept | Classification of the service requested as laboratory + more specific discipline where available Slice: Unordered, Open by value:coding.system, value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| category:lab |
1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
| coding |
Σ | 1..* | Coding | Code defined by a terminology system |
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory |
| category:specificDiscipline |
0..* | CodeableConcept | Specific discipline of pathology Binding: Pathology Diagnostic Service Category (extensible) | |
| code |
SΣ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible) |
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the observation is about inv-dh-obs-01: At least reference or a valid identifier shall be present |
| effective[x] |
SΣC | 1..1 | Time of specimen collection inv-dh-obs-07: Date shall be at least to day | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| performer |
SΣC | 1..* | Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who is responsible for the observation inv-dh-obs-03: At least reference or display or a valid identifier shall be present |
| value[x] |
SΣC | 0..1 | Actual result | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
SC | 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 | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. |
| note |
S | 0..* | Annotation | Comments about the observation |
| method |
S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. |
| specimen |
S | 0..1 | Reference(ADHA Core Specimen) | Specimen used for this observation |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| referenceRange |
SC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| low |
SC | 0..1 | SimpleQuantity | Low Range, if relevant |
| high |
SC | 0..1 | SimpleQuantity | High Range, if relevant |
| type |
S | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. |
| text |
S | 0..1 | string | Text based reference range in an observation |
| hasMember |
SΣC | 0..* | Reference(ADHA Pathology Result Observation) | Individual observations in a group, study, or panel |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| component |
SΣC | 0..* | BackboneElement | Individual tests in a group or panel inv-dh-obs-06: The component shall at least have a value or a data absent reason |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible) |
| value[x] |
SΣC | 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 |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatusResultAvailable https://healthterminologies.gov.au/fhir/ValueSet/observationstatus-result-available-1 | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:lab | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:specificDiscipline | extensible | PathologyDiagnosticServiceCategory https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1 | |
| Observation.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | |
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | |
| Observation.component.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-obs-01 | error | Observation.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-obs-03 | error | Observation.performer | At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-obs-05 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| inv-dh-obs-06 | error | Observation.component | The component shall at least have a value or a data absent reason : value.exists() or dataAbsentReason.exists() | |
| inv-dh-obs-07 | error | Observation.effective[x] | Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10 |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | AUBasePathologyResult | A pathology test result in an Australian healthcare context obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason inv-dh-obs-05: If there is no component or hasMember element then at least value or data absent reason shall be present | ||||
| 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.
| |||||
| 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 |
SΣ | 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 |
?!SΣ | 1..1 | code | preliminary | final | amended + Binding: ObservationStatus Result Available (required) | ||||
| Slices for category |
S | 1..* | CodeableConcept | Classification of the service requested as laboratory + more specific discipline where available Slice: Unordered, Open by value:coding.system, value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| category:lab |
1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 1..* | Coding | Code defined by a terminology system | ||||
| 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 | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | ||||
| 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 | ||||
| category:specificDiscipline |
0..* | CodeableConcept | Specific discipline of pathology Binding: Pathology Diagnostic Service Category (extensible) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| 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 | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| 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 | ||||
| code |
SΣ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible) | ||||
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the observation is about inv-dh-obs-01: At least reference or a valid identifier shall be present | ||||
| 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] |
SΣC | 1..1 | Time of specimen collection inv-dh-obs-07: Date shall be at least to day | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
SΣC | 1..* | Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who is responsible for the observation inv-dh-obs-03: At least reference or display or a valid identifier shall be present | ||||
| value[x] |
SΣC | 0..1 | Actual result | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
SC | 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 | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||
| note |
S | 0..* | Annotation | Comments about the observation | ||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method |
S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | ||||
| specimen |
S | 0..1 | Reference(ADHA Core Specimen) | Specimen used for this observation | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange |
SC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
| 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 |
SC | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high |
SC | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type |
S | 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 |
S | 0..1 | string | Text based reference range in an observation | ||||
| hasMember |
SΣC | 0..* | Reference(ADHA Pathology Result Observation) | Individual observations in a group, study, or panel | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| component |
SΣC | 0..* | BackboneElement | Individual tests in a group or panel inv-dh-obs-06: The component shall at least have a value or a data absent reason | ||||
| 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 | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible) | ||||
| value[x] |
SΣC | 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 |
SC | 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatusResultAvailable https://healthterminologies.gov.au/fhir/ValueSet/observationstatus-result-available-1 | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:lab | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:specificDiscipline | extensible | PathologyDiagnosticServiceCategory https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1 | ||||
| Observation.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.specimen.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.hasMember.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Observation.component.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-obs-01 | error | Observation.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-obs-03 | error | Observation.performer | At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-obs-05 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| inv-dh-obs-06 | error | Observation.component | The component shall at least have a value or a data absent reason : value.exists() or dataAbsentReason.exists() | |
| inv-dh-obs-07 | error | Observation.effective[x] | Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10 |
This structure is derived from AUBasePathologyResult
Summary
Mandatory: 1 element(2 nested mandatory elements)
Must-Support: 23 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron
Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.
| Name | Type | Conformance | Description | Path |
|---|---|---|---|---|
| category | token | SHALL | The classification of the type of observation | Observation.category |
| subject:identifier | token | SHALL | The subject that the observation is about | Observation.subject.identifier |
| code | token | SHALL | The code of the observation type | Observation.code |
| date | date | SHALL | Obtained date/time. If the obtained element is a period, a date that falls in the period | Observation.effective |
| status | date | SHOULD | The status of the observation | Observation.status |
The following search parameters and search parameter combinations SHALL be supported:
SHALL support searching for all observations for a patient using the subject:identifier search parameter:
GET [base]/Observation?subject:identifier={system|}[code]
Example:
GET [base]/Observation?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437
Implementation Notes: Fetches a bundle of all Observation resources for the specified patient (how to search by :identifier)
SHALL support searching using the combination subject:identifier and category search parameter:
GET [base]/Observation?subject:identifier={system|}[code]&category[code]
Example:
GET [base]/Observation?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&category=http://terminology.hl7.org/CodeSystem/observation-category|laboratory
Implementation Notes: Fetches a bundle of all Observation resources with the category of "laboratory" for the specified patient (how to search by :identifier and how to search by token)
SHALL support searching using the combination subject:identifier and code search parameter:
GET [base]/Observation?subject:identifier={system|}[code]&code={system|}[code]
Example:
GET [base]/Observation?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&code=http://loinc.org|94309-2
Implementation Notes: Fetches a bundle of all Observation resources with the code of an 94309-2 (SARS-CoV-2 (COVID-19)) for the specified patient (how to search by :identifier and how to search by token)
SHALL support searching using the combination of the subject:identifier and date search parameters:
GET [base]/Observation?subject:identifier={system|}[code]&date=[date]
Example:
GET [base]/Observation?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&date=ge2013-03-14
Implementation Notes: Fetches a bundle of all Observation resources for the specified patient that have a date greater than or equal to 21st Jan 2013. (how to search by :identifier and how to search by date)
IG © 2023+ Australian Digital Health Agency. Package au.digitalhealth.r4#1.2.0-ci-build based on FHIR 4.0.1. Generated 2024-09-12
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