International Patient Summary Implementation Guide
1.1.0 - CI Build International flag

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

Resource Profile: Observation Results: radiology (IPS)

Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips Version: 1.1.0
Standards status: Trial-use Maturity Level: 2 Computable Name: ObservationResultsRadiologyUvIps

This profile represents the constraints applied to the Observation resource by the IPS project, which specifies a radiology observation for the international patient summary based on the FHIR standard R4.

This observation may represent the conclusions of a diagnostic procedure such a Chest RX, or it may group the set of results produced by that single or multi-modality procedure.

In the latter case, the main observation (this one) carries the overall conclusion of the study and/or a global interpretation by the observer of the study as value of this observation; and may references the atomic results of the study as “child observations”.

It allows also providing details about the related study using the partOf element referring to an ImagingStudy resource.

Usage:

Formal Views of Profile Content

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

This structure is derived from ObservationResultsUvIps

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationResultsUvIpsMeasurements and simple assertions
hasMemberOrComponent: component and hasMember are mutually exclusive
... partOf 0..*Reference(Imaging Study (IPS))Part of referenced event
... status 1..1coderegistered | preliminary | final | amended +
Fixed Value: final
... Slices for category 1..*CodeableConceptIPSConcept - reference to a terminology or just text
Slice: Unordered, Open by pattern:$this
.... category:radiology S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
... subject S1..1Reference(Patient (IPS))Who and/or what the observation is about
... effective[x] SC1..1dateTime, PeriodClinically relevant time/time-period for observation
ips-1: Datetime must be at least to day.
... performer S1..*Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)Who is responsible for the observation
... valueString S0..1stringActual result
... bodySite 0..1CodeableConceptIPSConcept - reference to a terminology or just text
... device 0..1Reference(Device - performer, observer)(Measurement) Device
... hasMember 0..*Reference(Observation Results: radiology (IPS) | Observation Results (IPS))Related resource that belongs to the Observation group
.... reference 0..1stringLiteral reference, Relative, internal or absolute URL
... Slices for component S0..*BackboneElementComponent results
Slice: Unordered, Closed by type:value
.... component:observationText 0..*BackboneElementObservation Text
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Textual Observations (SNOMED-DICOM-LOINC) - IPS (extensible)
..... value[x] 1..1stringActual component result
.... component:observationCode 0..*BackboneElementObservation Code
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
..... value[x] 1..1CodeableConceptIPSConcept - reference to a terminology or just text
.... component:numericQuantityMeasurement 0..*BackboneElementObservation Measurement, including linear, area and volume quantity measurements
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] 1..1QuantityIPSA measured amount using UCUM
.... component:numericRangeMeasurement 0..*BackboneElementObservation Measurement, including linear, area and volume range measurements
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] 1..1RangeIPSSet of values bounded by low and high
.... component:numericRatioMeasurement 0..*BackboneElementObservation Measurement, including linear, area and volume ratio measurements
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] 1..1RatioIPSA ratio of two Quantity values - a numerator and a denominator
.... component:numericSampledDataMeasurement 0..*BackboneElementObservation Measurement, including linear, area and volume sampled data measurements
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] 1..1SampledDataActual component result

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.codeextensibleResultsRadiologyObservationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
from this IG
Observation.component:observationText.codeextensibleResultsRadiologyTextualObservationsSnomedDicomLoincUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-txtobs-snomed-dicom-loinc-uv-ips
from this IG
Observation.component:observationCode.codeextensibleResultsRadiologyObservationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
from this IG
Observation.component:numericQuantityMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericRangeMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericRatioMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericSampledDataMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG

Constraints

IdGradePath(s)DetailsRequirements
hasMemberOrComponenterrorObservationcomponent and hasMember are mutually exclusive
: hasMember.empty() or component.empty()
ips-1errorObservation.effective[x]Datetime must be at least to day.
: $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationResultsUvIpsMeasurements and simple assertions
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
hasMemberOrComponent: component and hasMember are mutually exclusive
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... partOf Σ0..*Reference(Imaging Study (IPS))Part of referenced event
... Slices for category 1..*CodeableConceptIPSConcept - reference to a terminology or just text
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:radiology S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
... subject SΣ1..1Reference(Patient (IPS))Who and/or what the observation is about
.... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
... effective[x] SΣC1..1Clinically relevant time/time-period for observation
ips-1: Datetime must be at least to day.
.... effective[x]:All Types Content/Rules for all Types
..... data-absent-reason S0..1codeeffective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... performer SΣ1..*Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)Who is responsible for the observation
... Slices for value[x] SΣC0..1stringActual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueString SΣC0..1stringActual result
... bodySite 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... device 0..1Reference(Device - performer, observer)(Measurement) Device
... hasMember Σ0..*Reference(Observation Results: radiology (IPS) | Observation Results (IPS))Related resource that belongs to the Observation group
.... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
... Slices for component SΣ0..*BackboneElementComponent results
Slice: Unordered, Closed by type:value
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... component:observationText SΣ0..*BackboneElementObservation Text
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Textual Observations (SNOMED-DICOM-LOINC) - IPS (extensible)
..... value[x] Σ1..1stringActual component result
.... component:observationCode SΣ0..*BackboneElementObservation Code
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
..... value[x] 1..1CodeableConceptIPSConcept - reference to a terminology or just text
.... component:numericQuantityMeasurement SΣ0..*BackboneElementObservation Measurement, including linear, area and volume quantity measurements
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C1..1QuantityIPSA measured amount using UCUM
qty-3: If a code for the unit is present, the system SHALL also be present
.... component:numericRangeMeasurement SΣ0..*BackboneElementObservation Measurement, including linear, area and volume range measurements
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C1..1RangeIPSSet of values bounded by low and high
rng-2: If present, low SHALL have a lower value than high
.... component:numericRatioMeasurement SΣ0..*BackboneElementObservation Measurement, including linear, area and volume ratio measurements
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C1..1RatioIPSA ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
.... component:numericSampledDataMeasurement SΣ0..*BackboneElementObservation Measurement, including linear, area and volume sampled data measurements
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] Σ1..1SampledDataActual component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:radiologypreferredPattern: imaging
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeextensibleResultsRadiologyObservationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
from this IG
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:observationText.codeextensibleResultsRadiologyTextualObservationsSnomedDicomLoincUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-txtobs-snomed-dicom-loinc-uv-ips
from this IG
Observation.component:observationCode.codeextensibleResultsRadiologyObservationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
from this IG
Observation.component:numericQuantityMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericRangeMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericRatioMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericSampledDataMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
hasMemberOrComponenterrorObservationcomponent and hasMember are mutually exclusive
: hasMember.empty() or component.empty()
ips-1errorObservation.effective[x]Datetime must be at least to day.
: $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3errorObservation.component:numericQuantityMeasurement.value[x]If a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.component:numericRatioMeasurement.value[x]Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2errorObservation.component:numericRangeMeasurement.value[x]If present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationResultsUvIpsMeasurements and simple assertions
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
hasMemberOrComponent: component and hasMember are mutually exclusive
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(Imaging Study (IPS))Part of referenced event
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


Fixed Value: final
... Slices for category 1..*CodeableConceptIPSConcept - reference to a terminology or just text
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:radiology S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
... subject SΣ1..1Reference(Patient (IPS))Who and/or what the observation is about
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣC1..1Clinically relevant time/time-period for observation
ips-1: Datetime must be at least to day.
.... effective[x]:All Types Content/Rules for all Types
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... data-absent-reason S0..1codeeffective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this version was made available
... performer SΣ1..*Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)Who is responsible for the observation
... Slices for value[x] SΣC0..1stringActual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueString SΣC0..1stringActual result
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device - performer, observer)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation Results: radiology (IPS) | Observation Results (IPS))Related resource that belongs to the Observation group
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... Slices for component SΣ0..*BackboneElementComponent results
Slice: Unordered, Closed by type:value
.... component:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueBooleanboolean
...... valueIntegerinteger
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:observationText SΣ0..*BackboneElementObservation Text
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Textual Observations (SNOMED-DICOM-LOINC) - IPS (extensible)
..... value[x] Σ1..1stringActual component result
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:observationCode SΣ0..*BackboneElementObservation Code
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
..... value[x] 1..1CodeableConceptIPSConcept - reference to a terminology or just text
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:numericQuantityMeasurement SΣ0..*BackboneElementObservation Measurement, including linear, area and volume quantity measurements
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C1..1QuantityIPSA measured amount using UCUM
qty-3: If a code for the unit is present, the system SHALL also be present
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:numericRangeMeasurement SΣ0..*BackboneElementObservation Measurement, including linear, area and volume range measurements
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C1..1RangeIPSSet of values bounded by low and high
rng-2: If present, low SHALL have a lower value than high
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:numericRatioMeasurement SΣ0..*BackboneElementObservation Measurement, including linear, area and volume ratio measurements
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C1..1RatioIPSA ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:numericSampledDataMeasurement SΣ0..*BackboneElementObservation Measurement, including linear, area and volume sampled data measurements
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] Σ1..1SampledDataActual component result
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:radiologypreferredPattern: imaging
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeextensibleResultsRadiologyObservationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
from this IG
Observation.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.hasMember.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component:observationText.codeextensibleResultsRadiologyTextualObservationsSnomedDicomLoincUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-txtobs-snomed-dicom-loinc-uv-ips
from this IG
Observation.component:observationText.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:observationText.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component:observationCode.codeextensibleResultsRadiologyObservationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
from this IG
Observation.component:observationCode.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:observationCode.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component:numericQuantityMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericQuantityMeasurement.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:numericQuantityMeasurement.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component:numericRangeMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericRangeMeasurement.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:numericRangeMeasurement.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component:numericRatioMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericRatioMeasurement.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:numericRatioMeasurement.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component:numericSampledDataMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericSampledDataMeasurement.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:numericSampledDataMeasurement.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
hasMemberOrComponenterrorObservationcomponent and hasMember are mutually exclusive
: hasMember.empty() or component.empty()
ips-1errorObservation.effective[x]Datetime must be at least to day.
: $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3errorObservation.component:numericQuantityMeasurement.value[x]If a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.component:numericRatioMeasurement.value[x]Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2errorObservation.component:numericRangeMeasurement.value[x]If present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)

This structure is derived from ObservationResultsUvIps

Differential View

This structure is derived from ObservationResultsUvIps

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationResultsUvIpsMeasurements and simple assertions
hasMemberOrComponent: component and hasMember are mutually exclusive
... partOf 0..*Reference(Imaging Study (IPS))Part of referenced event
... status 1..1coderegistered | preliminary | final | amended +
Fixed Value: final
... Slices for category 1..*CodeableConceptIPSConcept - reference to a terminology or just text
Slice: Unordered, Open by pattern:$this
.... category:radiology S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
... subject S1..1Reference(Patient (IPS))Who and/or what the observation is about
... effective[x] SC1..1dateTime, PeriodClinically relevant time/time-period for observation
ips-1: Datetime must be at least to day.
... performer S1..*Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)Who is responsible for the observation
... valueString S0..1stringActual result
... bodySite 0..1CodeableConceptIPSConcept - reference to a terminology or just text
... device 0..1Reference(Device - performer, observer)(Measurement) Device
... hasMember 0..*Reference(Observation Results: radiology (IPS) | Observation Results (IPS))Related resource that belongs to the Observation group
.... reference 0..1stringLiteral reference, Relative, internal or absolute URL
... Slices for component S0..*BackboneElementComponent results
Slice: Unordered, Closed by type:value
.... component:observationText 0..*BackboneElementObservation Text
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Textual Observations (SNOMED-DICOM-LOINC) - IPS (extensible)
..... value[x] 1..1stringActual component result
.... component:observationCode 0..*BackboneElementObservation Code
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
..... value[x] 1..1CodeableConceptIPSConcept - reference to a terminology or just text
.... component:numericQuantityMeasurement 0..*BackboneElementObservation Measurement, including linear, area and volume quantity measurements
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] 1..1QuantityIPSA measured amount using UCUM
.... component:numericRangeMeasurement 0..*BackboneElementObservation Measurement, including linear, area and volume range measurements
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] 1..1RangeIPSSet of values bounded by low and high
.... component:numericRatioMeasurement 0..*BackboneElementObservation Measurement, including linear, area and volume ratio measurements
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] 1..1RatioIPSA ratio of two Quantity values - a numerator and a denominator
.... component:numericSampledDataMeasurement 0..*BackboneElementObservation Measurement, including linear, area and volume sampled data measurements
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] 1..1SampledDataActual component result

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.codeextensibleResultsRadiologyObservationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
from this IG
Observation.component:observationText.codeextensibleResultsRadiologyTextualObservationsSnomedDicomLoincUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-txtobs-snomed-dicom-loinc-uv-ips
from this IG
Observation.component:observationCode.codeextensibleResultsRadiologyObservationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
from this IG
Observation.component:numericQuantityMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericRangeMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericRatioMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericSampledDataMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG

Constraints

IdGradePath(s)DetailsRequirements
hasMemberOrComponenterrorObservationcomponent and hasMember are mutually exclusive
: hasMember.empty() or component.empty()
ips-1errorObservation.effective[x]Datetime must be at least to day.
: $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationResultsUvIpsMeasurements and simple assertions
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
hasMemberOrComponent: component and hasMember are mutually exclusive
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... partOf Σ0..*Reference(Imaging Study (IPS))Part of referenced event
... Slices for category 1..*CodeableConceptIPSConcept - reference to a terminology or just text
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:radiology S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
... subject SΣ1..1Reference(Patient (IPS))Who and/or what the observation is about
.... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
... effective[x] SΣC1..1Clinically relevant time/time-period for observation
ips-1: Datetime must be at least to day.
.... effective[x]:All Types Content/Rules for all Types
..... data-absent-reason S0..1codeeffective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... performer SΣ1..*Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)Who is responsible for the observation
... Slices for value[x] SΣC0..1stringActual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueString SΣC0..1stringActual result
... bodySite 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... device 0..1Reference(Device - performer, observer)(Measurement) Device
... hasMember Σ0..*Reference(Observation Results: radiology (IPS) | Observation Results (IPS))Related resource that belongs to the Observation group
.... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
... Slices for component SΣ0..*BackboneElementComponent results
Slice: Unordered, Closed by type:value
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... component:observationText SΣ0..*BackboneElementObservation Text
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Textual Observations (SNOMED-DICOM-LOINC) - IPS (extensible)
..... value[x] Σ1..1stringActual component result
.... component:observationCode SΣ0..*BackboneElementObservation Code
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
..... value[x] 1..1CodeableConceptIPSConcept - reference to a terminology or just text
.... component:numericQuantityMeasurement SΣ0..*BackboneElementObservation Measurement, including linear, area and volume quantity measurements
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C1..1QuantityIPSA measured amount using UCUM
qty-3: If a code for the unit is present, the system SHALL also be present
.... component:numericRangeMeasurement SΣ0..*BackboneElementObservation Measurement, including linear, area and volume range measurements
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C1..1RangeIPSSet of values bounded by low and high
rng-2: If present, low SHALL have a lower value than high
.... component:numericRatioMeasurement SΣ0..*BackboneElementObservation Measurement, including linear, area and volume ratio measurements
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C1..1RatioIPSA ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
.... component:numericSampledDataMeasurement SΣ0..*BackboneElementObservation Measurement, including linear, area and volume sampled data measurements
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] Σ1..1SampledDataActual component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:radiologypreferredPattern: imaging
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeextensibleResultsRadiologyObservationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
from this IG
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:observationText.codeextensibleResultsRadiologyTextualObservationsSnomedDicomLoincUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-txtobs-snomed-dicom-loinc-uv-ips
from this IG
Observation.component:observationCode.codeextensibleResultsRadiologyObservationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
from this IG
Observation.component:numericQuantityMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericRangeMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericRatioMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG
Observation.component:numericSampledDataMeasurement.codeextensibleResultsRadiologyMeasurementObservationSnomedDicomUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-snomed-dicom-uv-ips
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
hasMemberOrComponenterrorObservationcomponent and hasMember are mutually exclusive
: hasMember.empty() or component.empty()
ips-1errorObservation.effective[x]Datetime must be at least to day.
: $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3errorObservation.component:numericQuantityMeasurement.value[x]If a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.component:numericRatioMeasurement.value[x]Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2errorObservation.component:numericRangeMeasurement.value[x]If present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationResultsUvIpsMeasurements and simple assertions
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
hasMemberOrComponent: component and hasMember are mutually exclusive
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(Imaging Study (IPS))Part of referenced event
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


Fixed Value: final
... Slices for category 1..*CodeableConceptIPSConcept - reference to a terminology or just text
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:radiology S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
... subject SΣ1..1Reference(Patient (IPS))Who and/or what the observation is about
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣC1..1Clinically relevant time/time-period for observation
ips-1: Datetime must be at least to day.
.... effective[x]:All Types Content/Rules for all Types
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... data-absent-reason S0..1codeeffective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this version was made available
... performer SΣ1..*Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)Who is responsible for the observation
... Slices for value[x] SΣC0..1stringActual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueString SΣC0..1stringActual result
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device - performer, observer)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation Results: radiology (IPS) | Observation Results (IPS))Related resource that belongs to the Observation group
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... Slices for component SΣ0..*BackboneElementComponent results
Slice: Unordered, Closed by type:value
.... component:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: