HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use
HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use
HL7 FHIR Implementation Guide Laboratory Report, published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/lab-report/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.it/fhir/lab-report/StructureDefinition/observation-doc-it-lab | Version: 0.2.0 | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: ObservationDocRefertoLabIt | ||
Descrizione dei vincoli aggiuntivi per Observation-Lab Report tramite il profilo della risorsa Observation per il referto di laboratorio..
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ObservationRefertoLabIt
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | ObservationRefertoLabIt | |||
  status | 1..1 | code | Descrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended + Binding: Observation status code (required) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatusCodeLabReporthttp://hl7.it/fhir/lab-report/ValueSet/valueset-status-obs-itfrom this IG |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | ObservationRefertoLabIt | Observation Referto di Laboratorio 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 eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" |
  implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 supportingInfo | 0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |
 triggeredBy-r5 | 0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |
  extension:observation | 0..* | Extension | Triggering observation. | |
   extension | 0..0 | |||
| url | 1..1 | uri | "observation" | |
  value[x] | 1..1 | Reference(Observation) | Value of extension | |
| extension:type | 0..* | Extension | The type of trigger | |
| extension | 0..0 | |||
| url | 1..1 | uri | "type" | |
| value[x] | 1..1 | code | Value of extension | |
| extension:reason | 0..* | Extension | Extension | |
| extension | 0..0 | |||
| url | 1..1 | uri | "reason" | |
| value[x] | 1..1 | string | Value of extension | |
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |
| certifiedRefMaterialCodeable | 0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |
| certifiedRefMaterialIdentifer | 0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |
| labTestKit | 0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |
| value-r5 | 0..1 | Attachment, Reference(MolecularSequence) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |
 value[x] | 1..1 | Attachment | Value of extension | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | Descrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended + Binding: Observation status code (required) |
 Slices for category | 1..* | CodeableConceptIPS | Codice che classifica il tipo di osservazione. Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
 category:laboratory | 1..1 | CodeableConcept | Indica genericamente che si riferisce ad un esame di Laboratorio Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |
   coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |
 category:studyType | 0..* | CodeableConcept | Classificazione per tipo di studio Binding: Laboratory Study Types (required) | |
 category:specialty | 0..* | CodeableConcept | Classificazione per specialità Binding: Laboratory Specialty (required) | |
| code | 1..1 | CodeableConceptIPS | Tipo di osservazione tramite codice. Binding: Tipo Osservazione (preferred) | |
| subject | Σ | 1..1 | Reference(Patient - Lab Report) | Soggetto della rilevazione clinica. |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
 effective[x] | Σ | 1..1 | Clinically relevant time/time-period for observation | |
| effective[x]:All Types | Content/Rules for all Types | |||
| data-absent-reason | 0..1 | code | effective[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. | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| performer | Σ | 1..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson) | Soggetto responsabile dell'osservazione. |
| performerFunction | 0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |
 Slices for value[x] | ΣC | 0..1 | Risultato dell'osservazione. Slice: Unordered, Closed by type:$this | |
| valueQuantity | Quantity | |||
| valueCodeableConcept | CodeableConcept | |||
| valueString | string | |||
| valueBoolean | boolean | |||
| valueInteger | integer | |||
| valueRange | Range | |||
| valueRatio | Ratio | |||
| valueSampledData | SampledData | |||
| valueTime | time | |||
| valueDateTime | dateTime | |||
| valuePeriod | Period | |||
| value[x]:valueQuantity | C | 0..1 | QuantityLab | Risultato misurabile tramite una quantità. qty-3: If a code for the unit is present, the system SHALL also be present |
| value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Risultato osservazione codificato (preferred) | |
| value[x]:valueString | ΣC | 0..1 | string | Actual result |
| value[x]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high |
| value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
| value[x]:valueTime | ΣC | 0..1 | time | Actual result |
| value[x]:valueDateTime | ΣC | 0..1 | dateTime | Actual result |
| value[x]:valuePeriod | ΣC | 0..1 | Period | Actual result |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.status | required | ObservationStatusCodeLabReporthttp://hl7.it/fhir/lab-report/ValueSet/valueset-status-obs-itfrom this IG | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | |
| Observation.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | |
| Observation.code | preferred | VsResultsLaboratoryObservationhttp://hl7.it/fhir/lab-report/ValueSet/risultato-osservazionefrom this IG | |
| Observation.value[x]:valueCodeableConcept | preferred | VsObservationValueCodeableConcepthttp://hl7.it/fhir/lab-report/ValueSet/valueset-valuecodeableconcept-obs-itfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If 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-4 | error | Observation | If 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-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| eu-lab-1 | error | Observation | If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists() | |
| eu-lab-2 | error | Observation | If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists() | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If 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-3 | error | Observation.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| rat-1 | error | Observation.value[x]:valueRatio | 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-2 | error | Observation.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
| Name | Flags | Card. | Type | Description & Constraints | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | ObservationRefertoLabIt | Observation Referto di Laboratorio 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 eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" | ||||||||
| 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 | |||||||||
| Slices for extension | 0..* | Extension | Laboratory Test Kit Slice: Unordered, Open by value:url | |||||||||
| supportingInfo | 0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
| triggeredBy-r5 | 0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:observation | 0..* | Extension | Triggering observation. | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..0 | |||||||||||
| url | 1..1 | uri | "observation" | |||||||||
| value[x] | 1..1 | Reference(Observation) | Value of extension | |||||||||
| extension:type | 0..* | Extension | The type of trigger | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..0 | |||||||||||
| url | 1..1 | uri | "type" | |||||||||
| value[x] | 1..1 | code | Value of extension | |||||||||
| extension:reason | 0..* | Extension | Extension | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..0 | |||||||||||
| url | 1..1 | uri | "reason" | |||||||||
| value[x] | 1..1 | string | Value of extension | |||||||||
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| certifiedRefMaterialCodeable | 0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| certifiedRefMaterialIdentifer | 0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| labTestKit | 0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| value-r5 | 0..1 | Attachment, Reference(MolecularSequence) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..0 | |||||||||||
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||
| value[x] | 1..1 | Attachment | Value of extension | |||||||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||||||
| status | ?!Σ | 1..1 | code | Descrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended + Binding: Observation status code (required) | ||||||||
| Slices for category | 1..* | CodeableConceptIPS | Codice che classifica il tipo di osservazione. Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
| category:laboratory | 1..1 | CodeableConcept | Indica genericamente che si riferisce ad un esame di Laboratorio Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
| version | 0..1 | string | Version of the system - if relevant | |||||||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |||||||||
| display | 0..1 | string | Representation defined by the system | |||||||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text | 0..1 | string | Plain text representation of the concept | |||||||||
| category:studyType | 0..* | CodeableConcept | Classificazione per tipo di studio Binding: Laboratory Study Types (required) | |||||||||
| category:specialty | 0..* | CodeableConcept | Classificazione per specialità Binding: Laboratory Specialty (required) | |||||||||
| code | 1..1 | CodeableConceptIPS | Tipo di osservazione tramite codice. Binding: Tipo Osservazione (preferred) | |||||||||
| subject | Σ | 1..1 | Reference(Patient - Lab Report) | Soggetto della rilevazione clinica. | ||||||||
| 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 | ||||||||
| 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 - Lab Report) | Contesto in cui è stata prodotta l'osservazione. | ||||||||
| effective[x] | Σ | 1..1 | Clinically relevant time/time-period for observation | |||||||||
| effective[x]:All Types | Content/Rules for all Types | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| data-absent-reason | 0..1 | code | effective[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. | |||||||||
| effectiveDateTime | dateTime | |||||||||||
| effectivePeriod | Period | |||||||||||
| issued | Σ | 0..1 | instant | Date/Time this result was made available | ||||||||
| performer | Σ | 1..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson) | Soggetto responsabile dell'osservazione. | ||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| performerFunction | 0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| reference | ΣC | 0..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 | ||||||||
| Slices for value[x] | ΣC | 0..1 | Risultato dell'osservazione. Slice: Unordered, Closed by type:$this | |||||||||
| valueQuantity | Quantity | |||||||||||
| valueCodeableConcept | CodeableConcept | |||||||||||
| valueString | string | |||||||||||
| valueBoolean | boolean | |||||||||||
| valueInteger | integer | |||||||||||
| valueRange | Range | |||||||||||
| valueRatio | Ratio | |||||||||||
| valueSampledData | SampledData | |||||||||||
| valueTime | time | |||||||||||
| valueDateTime | dateTime | |||||||||||
| valuePeriod | Period | |||||||||||
| value[x]:valueQuantity | C | 0..1 | QuantityLab | Risultato misurabile tramite una quantità. qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
| value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Risultato osservazione codificato (preferred) | |||||||||
| value[x]:valueString | ΣC | 0..1 | string | Actual result | ||||||||
| value[x]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
| value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
| value[x]:valueTime | ΣC | 0..1 | time | Actual result | ||||||||
| value[x]:valueDateTime | ΣC | 0..1 | dateTime | Actual result | ||||||||
| value[x]:valuePeriod | ΣC | 0..1 | Period | Actual result | ||||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
| interpretation | 0..* | CodeableConceptIPS | Interpretazione del risultato (Alto, Basso, Normale, ecc.) Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
| note | 0..* | Annotation | Comments about the observation | |||||||||
| bodySite | 0..1 | CodeableConcept | Sito corporeo dell'osservazione. Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
| method | 0..1 | CodeableConceptIPS | Metodo di rilevazione dell'osservazione. Binding: ObservationMethods (preferred) | |||||||||
| specimen | 0..1 | Reference(Specimen - Lab Report) | Reference al campione su cui si basa l'osservazione. | |||||||||
| device | 0..1 | Reference(Device - Lab Report | DeviceMetric) | Dispositivo utilizzato per ottenere l'osservazione. | |||||||||
| referenceRange | C | 0..* | BackboneElement | Range di riferimento per la caratterizzazione dell'osservazione sulla base di un criterio.
Esempio: Range di normalità per uomo adulto. 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 | C | 0..1 | SimpleQuantity | Limite inferiore del range di riferimento, se rilevante. | ||||||||
| high | C | 0..1 | SimpleQuantity | Limite superiore del range di riferimento, se rilevante. | ||||||||
| type | 0..1 | CodeableConcept | Contesto del range di riferimento. Esempio: Un intervallo atteso in un individuo prima della pubertà. Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||||||
| appliesTo | 0..* | CodeableConcept | Categoria della popolazione a cui si applica il range di riferimento. Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||||||
| age | 0..1 | Range | Età a cui si applica, se rilevante. | |||||||||
| text | 0..1 | string | Note testuali. | |||||||||
| hasMember | Σ | 0..* | Reference(Observation - Lab Report) | Osservazioni correlate alla risorsa. | ||||||||
| derivedFrom | Σ | 0..* | Reference(Observation - Lab Report | Media - Lab Report) | Reference dell'osservazione da cui deriva questo valore di osservazione. Ad esempio, un gap anionico calcolato o una misurazione fetale basata su un'immagine ecografica. | ||||||||
| component | Σ | 0..* | BackboneElement | Laboratory result | ||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| value-r5 | 0..1 | Attachment, Reference(MolecularSequence) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..0 | |||||||||||
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||
| value[x] | 1..1 | Attachment | Value of extension | |||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Laboratory Observation - IPS (preferred) | |||||||||
| Slices for value[x] | Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||||||
| valueQuantity | Quantity | |||||||||||
| valueCodeableConcept | CodeableConcept | |||||||||||
| valueString | string | |||||||||||
| valueBoolean | boolean | |||||||||||
| valueInteger | integer | |||||||||||
| valueRange | Range | |||||||||||
| valueRatio | Ratio | |||||||||||
| valueSampledData | SampledData | |||||||||||
| valueTime | time | |||||||||||
| valueDateTime | dateTime | |||||||||||
| valuePeriod | Period | |||||||||||
| value[x]:valueString | Σ | 0..1 | string | Actual component result | ||||||||
| value[x]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
| value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
| value[x]:valueTime | Σ | 0..1 | time | Actual component result | ||||||||
| value[x]:valueDateTime | Σ | 0..1 | dateTime | Actual component result | ||||||||
| value[x]:valuePeriod | Σ | 0..1 | Period | Actual component result | ||||||||
| value[x]:valueQuantity | C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
| value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - IPS (preferred)
| |||||||||
| dataAbsentReason | C | 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 / Code | URI | |||||||||||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||||||||||
| Observation.status | required | ObservationStatusCodeLabReporthttp://hl7.it/fhir/lab-report/ValueSet/valueset-status-obs-itfrom this IG | ||||||||||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||||||||||
| Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||||||||||
| Observation.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | ||||||||||||
| Observation.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | ||||||||||||
| Observation.code | preferred | VsResultsLaboratoryObservationhttp://hl7.it/fhir/lab-report/ValueSet/risultato-osservazionefrom this IG | ||||||||||||
| Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||||||||||
| Observation.performer.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||||||||||
| Observation.value[x]:valueCodeableConcept | preferred | VsObservationValueCodeableConcepthttp://hl7.it/fhir/lab-report/ValueSet/valueset-valuecodeableconcept-obs-itfrom this IG | ||||||||||||
| 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 | preferred | 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.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||||||||||
| Observation.component.code | preferred | ResultsLaboratoryObservationUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips | ||||||||||||
| Observation.component.value[x]:valueCodeableConcept | preferred | ResultsCodedValuesLaboratoryUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | ||||||||||||
| 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 |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If 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-4 | error | Observation | If 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-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| eu-lab-1 | error | Observation | If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists() | |
| eu-lab-2 | error | Observation | If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists() | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If 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-3 | error | Observation.value[x]:valueQuantity, Observation.component.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| rat-1 | error | Observation.value[x]:valueRatio, Observation.component.value[x]:valueRatio | 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-2 | error | Observation.value[x]:valueRange, Observation.component.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
This structure is derived from ObservationRefertoLabIt
Differential View
This structure is derived from ObservationRefertoLabIt
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | ObservationRefertoLabIt | |||
| status | 1..1 | code | Descrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended + Binding: Observation status code (required) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatusCodeLabReporthttp://hl7.it/fhir/lab-report/ValueSet/valueset-status-obs-itfrom this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | ObservationRefertoLabIt | Observation Referto di Laboratorio 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 eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| supportingInfo | 0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |
| triggeredBy-r5 | 0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |
| extension:observation | 0..* | Extension | Triggering observation. | |
| extension | 0..0 | |||
| url | 1..1 | uri | "observation" | |
| value[x] | 1..1 | Reference(Observation) | Value of extension | |
| extension:type | 0..* | Extension | The type of trigger | |
| extension | 0..0 | |||
| url | 1..1 | uri | "type" | |
| value[x] | 1..1 | code | Value of extension | |
| extension:reason | 0..* | Extension | Extension | |
| extension | 0..0 | |||
| url | 1..1 | uri | "reason" | |
| value[x] | 1..1 | string | Value of extension | |
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |
| certifiedRefMaterialCodeable | 0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |
| certifiedRefMaterialIdentifer | 0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |
| labTestKit | 0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |
| value-r5 | 0..1 | Attachment, Reference(MolecularSequence) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |
| value[x] | 1..1 | Attachment | Value of extension | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | Descrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended + Binding: Observation status code (required) |
| Slices for category | 1..* | CodeableConceptIPS | Codice che classifica il tipo di osservazione. Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
| category:laboratory | 1..1 | CodeableConcept | Indica genericamente che si riferisce ad un esame di Laboratorio Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |
| category:studyType | 0..* | CodeableConcept | Classificazione per tipo di studio Binding: Laboratory Study Types (required) | |
| category:specialty | 0..* | CodeableConcept | Classificazione per specialità Binding: Laboratory Specialty (required) | |
| code | 1..1 | CodeableConceptIPS | Tipo di osservazione tramite codice. Binding: Tipo Osservazione (preferred) | |
| subject | Σ | 1..1 | Reference(Patient - Lab Report) | Soggetto della rilevazione clinica. |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| effective[x] | Σ | 1..1 | Clinically relevant time/time-period for observation | |
| effective[x]:All Types | Content/Rules for all Types | |||
| data-absent-reason | 0..1 | code | effective[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. | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| performer | Σ | 1..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson) | Soggetto responsabile dell'osservazione. |
| performerFunction | 0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |
| Slices for value[x] | ΣC | 0..1 | Risultato dell'osservazione. Slice: Unordered, Closed by type:$this | |
| valueQuantity | Quantity | |||
| valueCodeableConcept | CodeableConcept | |||
| valueString | string | |||
| valueBoolean | boolean | |||
| valueInteger | integer | |||
| valueRange | Range | |||
| valueRatio | Ratio | |||
| valueSampledData | SampledData | |||
| valueTime | time | |||
| valueDateTime | dateTime | |||
| valuePeriod | Period | |||
| value[x]:valueQuantity | C | 0..1 | QuantityLab | Risultato misurabile tramite una quantità. qty-3: If a code for the unit is present, the system SHALL also be present |
| value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Risultato osservazione codificato (preferred) | |
| value[x]:valueString | ΣC | 0..1 | string | Actual result |
| value[x]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high |
| value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
| value[x]:valueTime | ΣC | 0..1 | time | Actual result |
| value[x]:valueDateTime | ΣC | 0..1 | dateTime | Actual result |
| value[x]:valuePeriod | ΣC | 0..1 | Period | Actual result |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.status | required | ObservationStatusCodeLabReporthttp://hl7.it/fhir/lab-report/ValueSet/valueset-status-obs-itfrom this IG | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | |
| Observation.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | |
| Observation.code | preferred | VsResultsLaboratoryObservationhttp://hl7.it/fhir/lab-report/ValueSet/risultato-osservazionefrom this IG | |
| Observation.value[x]:valueCodeableConcept | preferred | VsObservationValueCodeableConcepthttp://hl7.it/fhir/lab-report/ValueSet/valueset-valuecodeableconcept-obs-itfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If 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-4 | error | Observation | If 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-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| eu-lab-1 | error | Observation | If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists() | |
| eu-lab-2 | error | Observation | If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists() | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If 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-3 | error | Observation.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| rat-1 | error | Observation.value[x]:valueRatio | 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-2 | error | Observation.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | ObservationRefertoLabIt | Observation Referto di Laboratorio 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 eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" | ||||||||
| 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 | |||||||||
| Slices for extension | 0..* | Extension | Laboratory Test Kit Slice: Unordered, Open by value:url | |||||||||
| supportingInfo | 0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
| triggeredBy-r5 | 0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:observation | 0..* | Extension | Triggering observation. | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..0 | |||||||||||
| url | 1..1 | uri | "observation" | |||||||||
| value[x] | 1..1 | Reference(Observation) | Value of extension | |||||||||
| extension:type | 0..* | Extension | The type of trigger | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..0 | |||||||||||
| url | 1..1 | uri | "type" | |||||||||
| value[x] | 1..1 | code | Value of extension | |||||||||
| extension:reason | 0..* | Extension | Extension | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..0 | |||||||||||
| url | 1..1 | uri | "reason" | |||||||||
| value[x] | 1..1 | string | Value of extension | |||||||||
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| certifiedRefMaterialCodeable | 0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| certifiedRefMaterialIdentifer | 0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| labTestKit | 0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| value-r5 | 0..1 | Attachment, Reference(MolecularSequence) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..0 | |||||||||||
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||
| value[x] | 1..1 | Attachment | Value of extension | |||||||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||||||
| status | ?!Σ | 1..1 | code | Descrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended + Binding: Observation status code (required) | ||||||||
| Slices for category | 1..* | CodeableConceptIPS | Codice che classifica il tipo di osservazione. Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
| category:laboratory | 1..1 | CodeableConcept | Indica genericamente che si riferisce ad un esame di Laboratorio Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
| version | 0..1 | string | Version of the system - if relevant | |||||||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |||||||||
| display | 0..1 | string | Representation defined by the system | |||||||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text | 0..1 | string | Plain text representation of the concept | |||||||||
| category:studyType | 0..* | CodeableConcept | Classificazione per tipo di studio Binding: Laboratory Study Types (required) | |||||||||
| category:specialty | 0..* | CodeableConcept | Classificazione per specialità Binding: Laboratory Specialty (required) | |||||||||
| code | 1..1 | CodeableConceptIPS | Tipo di osservazione tramite codice. Binding: Tipo Osservazione (preferred) | |||||||||
| subject | Σ | 1..1 | Reference(Patient - Lab Report) | Soggetto della rilevazione clinica. | ||||||||
| 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 | ||||||||
| 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 - Lab Report) | Contesto in cui è stata prodotta l'osservazione. | ||||||||
| effective[x] | Σ | 1..1 | Clinically relevant time/time-period for observation | |||||||||
| effective[x]:All Types | Content/Rules for all Types | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| data-absent-reason | 0..1 | code | effective[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. | |||||||||
| effectiveDateTime | dateTime | |||||||||||
| effectivePeriod | Period | |||||||||||
| issued | Σ | 0..1 | instant | Date/Time this result was made available | ||||||||
| performer | Σ | 1..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson) | Soggetto responsabile dell'osservazione. | ||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| performerFunction | 0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| reference | ΣC | 0..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 | ||||||||
| Slices for value[x] | ΣC | 0..1 | Risultato dell'osservazione. Slice: Unordered, Closed by type:$this | |||||||||
| valueQuantity | Quantity | |||||||||||
| valueCodeableConcept | CodeableConcept | |||||||||||
| valueString | string | |||||||||||
| valueBoolean | boolean | |||||||||||
| valueInteger | integer | |||||||||||
| valueRange | Range | |||||||||||
| valueRatio | Ratio | |||||||||||
| valueSampledData | SampledData | |||||||||||
| valueTime | time | |||||||||||
| valueDateTime | dateTime | |||||||||||
| valuePeriod | Period | |||||||||||
| value[x]:valueQuantity | C | 0..1 | QuantityLab | Risultato misurabile tramite una quantità. qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
| value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Risultato osservazione codificato (preferred) | |||||||||
| value[x]:valueString | ΣC | 0..1 | string | Actual result | ||||||||
| value[x]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
| value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
| value[x]:valueTime | ΣC | 0..1 | time | Actual result | ||||||||
| value[x]:valueDateTime | ΣC | 0..1 | dateTime | Actual result | ||||||||
| value[x]:valuePeriod | ΣC | 0..1 | Period | Actual result | ||||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
| interpretation | 0..* | CodeableConceptIPS | Interpretazione del risultato (Alto, Basso, Normale, ecc.) Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
| note | 0..* | Annotation | Comments about the observation | |||||||||
| bodySite | 0..1 | CodeableConcept | Sito corporeo dell'osservazione. Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
| method | 0..1 | CodeableConceptIPS | Metodo di rilevazione dell'osservazione. Binding: ObservationMethods (preferred) | |||||||||
| specimen | 0..1 | Reference(Specimen - Lab Report) | Reference al campione su cui si basa l'osservazione. | |||||||||
| device | 0..1 | Reference(Device - Lab Report | DeviceMetric) | Dispositivo utilizzato per ottenere l'osservazione. | |||||||||
| referenceRange | C | 0..* | BackboneElement | Range di riferimento per la caratterizzazione dell'osservazione sulla base di un criterio.
Esempio: Range di normalità per uomo adulto. 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 | C | 0..1 | SimpleQuantity | Limite inferiore del range di riferimento, se rilevante. | ||||||||
| high | C | 0..1 | SimpleQuantity | Limite superiore del range di riferimento, se rilevante. | ||||||||
| type | 0..1 | CodeableConcept | Contesto del range di riferimento. Esempio: Un intervallo atteso in un individuo prima della pubertà. Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||||||
| appliesTo | 0..* | CodeableConcept | Categoria della popolazione a cui si applica il range di riferimento. Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||||||
| age | 0..1 | Range | Età a cui si applica, se rilevante. | |||||||||
| text | 0..1 | string | Note testuali. | |||||||||
| hasMember | Σ | 0..* | Reference(Observation - Lab Report) | Osservazioni correlate alla risorsa. | ||||||||
| derivedFrom | Σ | 0..* | Reference(Observation - Lab Report | Media - Lab Report) | Reference dell'osservazione da cui deriva questo valore di osservazione. Ad esempio, un gap anionico calcolato o una misurazione fetale basata su un'immagine ecografica. | ||||||||
| component | Σ | 0..* | BackboneElement | Laboratory result | ||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| value-r5 | 0..1 | Attachment, Reference(MolecularSequence) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||||||
| extension | 0..0 | |||||||||||
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||
| value[x] | 1..1 | Attachment | Value of extension | |||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Laboratory Observation - IPS (preferred) | |||||||||
| Slices for value[x] | Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||||||
| valueQuantity | Quantity | |||||||||||
| valueCodeableConcept | CodeableConcept | |||||||||||
| valueString | string | |||||||||||
| valueBoolean | boolean | |||||||||||
| valueInteger | integer | |||||||||||
| valueRange | Range | |||||||||||
| valueRatio | Ratio | |||||||||||
| valueSampledData | SampledData | |||||||||||
| valueTime | time | |||||||||||
| valueDateTime | dateTime | |||||||||||
| valuePeriod | Period | |||||||||||
| value[x]:valueString | Σ | 0..1 | string | Actual component result | ||||||||
| value[x]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
| value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
| value[x]:valueTime | Σ | 0..1 | time | Actual component result | ||||||||
| value[x]:valueDateTime | Σ | 0..1 | dateTime | Actual component result | ||||||||
| value[x]:valuePeriod | Σ | 0..1 | Period | Actual component result | ||||||||
| value[x]:valueQuantity | C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
| value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - IPS (preferred)
| |||||||||
| dataAbsentReason | C | 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 / Code | URI | |||||||||||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||||||||||
| Observation.status | required | ObservationStatusCodeLabReporthttp://hl7.it/fhir/lab-report/ValueSet/valueset-status-obs-itfrom this IG | ||||||||||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||||||||||
| Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||||||||||
| Observation.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | ||||||||||||
| Observation.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | ||||||||||||
| Observation.code | preferred | VsResultsLaboratoryObservationhttp://hl7.it/fhir/lab-report/ValueSet/risultato-osservazionefrom this IG | ||||||||||||
| Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||||||||||
| Observation.performer.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||||||||||
| Observation.value[x]:valueCodeableConcept | preferred | VsObservationValueCodeableConcepthttp://hl7.it/fhir/lab-report/ValueSet/valueset-valuecodeableconcept-obs-itfrom this IG | ||||||||||||
| 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 | preferred | 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.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||||||||||
| Observation.component.code | preferred | ResultsLaboratoryObservationUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips | ||||||||||||
| Observation.component.value[x]:valueCodeableConcept | preferred | ResultsCodedValuesLaboratoryUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | ||||||||||||
| 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 |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If 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-4 | error | Observation | If 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-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| eu-lab-1 | error | Observation | If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists() | |
| eu-lab-2 | error | Observation | If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists() | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If 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-3 | error | Observation.value[x]:valueQuantity, Observation.component.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| rat-1 | error | Observation.value[x]:valueRatio, Observation.component.value[x]:valueRatio | 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-2 | error | Observation.value[x]:valueRange, Observation.component.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
This structure is derived from ObservationRefertoLabIt
Other representations of profile: CSV, Excel, Schematron