AU Base Implementation Guide
5.0.1-ci-build - CI Build Australia flag

AU Base Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 5.0.1-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-base/ and changes regularly. See the Directory of published versions

Resource Profile: AU Base Pathology Result

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-pathologyresult Version: 5.0.1-ci-build
Standards status: Trial-use Maturity Level: 1 Computable Name: AUBasePathologyResult

Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

This profile defines an observation structure to represent a pathology test result issued by a diagnostic service provider in an Australian context. This profile is intended to be capable of supporting reporting for all pathology disciplines (e.g. including microbiology, histopathology, cytology, blood transfusion) with the exception of genomics. The observation may represent the result of a simple test such as haemoglobin or it may group the set of results produced by a multi-test study or panel such as a full blood count, or urine specimen study.

This profile does not provide full support for structured pathology reporting. It is expected that this support is best handled by a set of profiles that represent the structured reporting requirements for each specific protocol (see for example RCPA’s structured pathology reporting of cancer); this is not in the scope of this implementation guide at this time.

Usage Notes

Profile specific implementation guidance:

Usage:

Changes since version 5.0.0:

  • No changes

    • Formal Views of Profile Content

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

    This structure is derived from Observation

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation A pathology test result in an Australian healthcare context
    inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason
    ... Slices for category 1..* CodeableConcept Classification of the service requested as laboratory + more specific discipline where available
    Slice: Unordered, Open by value:coding.system, value:coding.code
    .... category:lab 1..1 CodeableConcept Observation generated by laboratories
    ..... coding 1..* Coding Code defined by a terminology system
    ...... 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:specificDiscipline 0..* CodeableConcept Specific discipline of pathology
    Binding: Pathology Diagnostic Service Category . (extensible)
    ..... coding
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
    ... code 1..1 CodeableConcept Pathology test or test group
    Binding: RCPA SPIA Pathology Reporting . (preferred)
    Additional BindingsPurpose
    RCPA - SPIA Chemical Pathology Terminology Reference Set . Component
    RCPA - SPIA Haematology Terminology Reference Set . Component
    RCPA - SPIA Immunopathology Terminology Reference Set . Component
    RCPA - SPIA Microbiology Serology Molecular Pathology Terminology Reference Set . Component
    ... subject 1..1 Reference(Patient) Who and/or what the observation is about
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    ... value[x] C 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
    ... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    ... specimen 0..1 Reference(AU Base Specimen) Specimen used for this observation
    ... hasMember C 0..* Reference(AU Base Diagnostic Result | AU Base Pathology Result) Individual tests in a group or panel
    ... component 0..* BackboneElement Individual tests in a group or panel
    .... code 1..1 CodeableConcept Individual pathology test
    Binding: RCPA SPIA Pathology Reporting . (preferred)
    .... value[x] C 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
    .... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.category:specificDisciplineextensiblePathologyDiagnosticServiceCategory .
    https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1
    Observation.codepreferredRCPASPIAPathologyReporting .
    https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
    Observation.component.codepreferredRCPASPIAPathologyReporting .
    https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1

    Constraints

    IdGradePath(s)DetailsRequirements
    inv-obs-0errorObservationA pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason
    : value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.exists()
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation A pathology test result in an Australian healthcare context
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-3: 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
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    dom-6: A resource should have narrative for robust management
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ele-1: All FHIR elements must have a @value or children
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.


    ele-1: All FHIR elements must have a @value or children
    .... category:lab 1..1 CodeableConcept Observation generated by laboratories
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


    ele-1: All FHIR elements must have a @value or children
    ..... coding Σ 1..* Coding Code defined by a terminology system
    ele-1: All FHIR elements must have a @value or children
    ...... system Σ 1..1 uri Identity of the terminology system
    ele-1: All FHIR elements must have a @value or children
    Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
    ...... code Σ 1..1 code Symbol in syntax defined by the system
    ele-1: All FHIR elements must have a @value or children
    Fixed Value: laboratory
    .... category:specificDiscipline 0..* CodeableConcept Specific discipline of pathology
    Binding: Pathology Diagnostic Service Category . (extensible)
    ele-1: All FHIR elements must have a @value or children
    ... code Σ 1..1 CodeableConcept Pathology test or test group
    Binding: RCPA SPIA Pathology Reporting . (preferred)
    Additional BindingsPurpose
    RCPA - SPIA Chemical Pathology Terminology Reference Set . Component
    RCPA - SPIA Haematology Terminology Reference Set . Component
    RCPA - SPIA Immunopathology Terminology Reference Set . Component
    RCPA - SPIA Microbiology Serology Molecular Pathology Terminology Reference Set . Component

    ele-1: All FHIR elements must have a @value or children
    ... subject Σ 1..1 Reference(Patient) Who and/or what the observation is about
    ele-1: All FHIR elements must have a @value or children
    ... effective[x] Σ 1..1 Time of specimen collection
    ele-1: All FHIR elements must have a @value or children
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    ... value[x] ΣC 0..1 Actual result
    ele-1: All FHIR elements must have a @value or children
    .... valueQuantity Quantity
    .... valueCodeableConcept CodeableConcept
    .... valueString string
    .... valueBoolean boolean
    .... valueInteger integer
    .... valueRange Range
    .... valueRatio Ratio
    .... valueSampledData SampledData
    .... valueTime time
    .... valueDateTime dateTime
    .... valuePeriod Period
    ... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


    ele-1: All FHIR elements must have a @value or children
    ... specimen 0..1 Reference(AU Base Specimen) Specimen used for this observation
    ele-1: All FHIR elements must have a @value or children
    ... hasMember ΣC 0..* Reference(AU Base Diagnostic Result | AU Base Pathology Result) Individual tests in a group or panel
    ele-1: All FHIR elements must have a @value or children
    ... component Σ 0..* BackboneElement Individual tests in a group or panel
    ele-1: All FHIR elements must have a @value or children
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    .... code Σ 1..1 CodeableConcept Individual pathology test
    Binding: RCPA SPIA Pathology Reporting . (preferred)
    ele-1: All FHIR elements must have a @value or children
    .... value[x] ΣC 0..1 Actual component result
    ele-1: All FHIR elements must have a @value or children
    ..... valueQuantity Quantity
    ..... valueCodeableConcept CodeableConcept
    ..... valueString string
    ..... valueBoolean boolean
    ..... valueInteger integer
    ..... valueRange Range
    ..... valueRatio Ratio
    ..... valueSampledData SampledData
    ..... valueTime time
    ..... valueDateTime dateTime
    ..... valuePeriod Period
    .... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Observation.statusrequiredObservationStatus
    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:labpreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    from the FHIR Standard
    Observation.category:specificDisciplineextensiblePathologyDiagnosticServiceCategory .
    https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1
    Observation.codepreferredRCPASPIAPathologyReporting .
    https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
    Observation.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component.codepreferredRCPASPIAPathologyReporting .
    https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
    Observation.component.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    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()
    inv-obs-0errorObservationA pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason
    : value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.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()
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation A pathology test result in an Australian healthcare context
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason
    ... 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.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier 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 registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.

    ... Slices for category 1..* CodeableConcept Classification of the service requested as laboratory + more specific discipline where available
    Slice: Unordered, Open by value:coding.system, value:coding.code
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


    .... category:lab 1..1 CodeableConcept Observation generated by laboratories
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... coding Σ 1..* Coding Code defined by a terminology system
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 1..1 code Symbol in syntax defined by the system
    Fixed Value: laboratory
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... text Σ 0..1 string Plain text representation of the concept
    .... category:specificDiscipline 0..* CodeableConcept Specific discipline of pathology
    Binding: Pathology Diagnostic Service Category . (extensible)
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... coding Σ 0..* Coding Code defined by a terminology system
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... text Σ 0..1 string Plain text representation of the concept
    ... code Σ 1..1 CodeableConcept Pathology test or test group
    Binding: RCPA SPIA Pathology Reporting . (preferred)
    Additional BindingsPurpose
    RCPA - SPIA Chemical Pathology Terminology Reference Set . Component
    RCPA - SPIA Haematology Terminology Reference Set . Component
    RCPA - SPIA Immunopathology Terminology Reference Set . Component
    RCPA - SPIA Microbiology Serology Molecular Pathology Terminology Reference Set . Component
    ... subject Σ 1..1 Reference(Patient) Who and/or what the observation is about
    ... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
    ... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
    ... effective[x] Σ 1..1 Time of specimen collection
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    ... issued Σ 0..1 instant Date/Time this version was made available
    ... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
    ... value[x] ΣC 0..1 Actual result
    .... valueQuantity Quantity
    .... valueCodeableConcept CodeableConcept
    .... valueString string
    .... valueBoolean boolean
    .... valueInteger integer
    .... valueRange Range
    .... valueRatio Ratio
    .... valueSampledData SampledData
    .... valueTime time
    .... valueDateTime dateTime
    .... valuePeriod Period
    ... dataAbsentReason C 0..1 CodeableConcept Why the 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.


    ... note 0..* Annotation Comments about the observation
    ... bodySite 0..1 CodeableConcept Observed body part
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

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

    ... specimen 0..1 Reference(AU Base Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
    ... referenceRange C 0..* BackboneElement Provides guide for interpretation
    obs-3: Must have at least a low or a high or text
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... low C 0..1 SimpleQuantity Low Range, if relevant
    .... high C 0..1 SimpleQuantity High Range, if relevant
    .... type 0..1 CodeableConcept Reference range qualifier
    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

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


    .... age 0..1 Range Applicable age range, if relevant
    .... text 0..1 string Text based reference range in an observation
    ... hasMember ΣC 0..* Reference(AU Base Diagnostic Result | AU Base Pathology Result) Individual tests in a group or panel
    ... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
    ... component Σ 0..* BackboneElement Individual tests in a group or panel
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... code Σ 1..1 CodeableConcept Individual pathology test
    Binding: RCPA SPIA Pathology Reporting . (preferred)
    .... value[x] ΣC 0..1 Actual component result
    ..... valueQuantity Quantity
    ..... valueCodeableConcept CodeableConcept
    ..... valueString string
    ..... valueBoolean boolean
    ..... valueInteger integer
    ..... valueRange Range
    ..... valueRatio Ratio
    ..... valueSampledData SampledData
    ..... valueTime time
    ..... valueDateTime dateTime
    ..... valuePeriod Period
    .... dataAbsentReason 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

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Observation.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Observation.statusrequiredObservationStatus
    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:labpreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    from the FHIR Standard
    Observation.category:specificDisciplineextensiblePathologyDiagnosticServiceCategory .
    https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1
    Observation.codepreferredRCPASPIAPathologyReporting .
    https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
    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.component.codepreferredRCPASPIAPathologyReporting .
    https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
    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

    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()
    inv-obs-0errorObservationA pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason
    : value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.exists()
    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()

    This structure is derived from Observation

    Summary

    Mandatory: 7 elements(1 nested mandatory element)
    Fixed: 3 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Observation.category

    Maturity: 1

    Differential View

    This structure is derived from Observation

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation A pathology test result in an Australian healthcare context
    inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason
    ... Slices for category 1..* CodeableConcept Classification of the service requested as laboratory + more specific discipline where available
    Slice: Unordered, Open by value:coding.system, value:coding.code
    .... category:lab 1..1 CodeableConcept Observation generated by laboratories
    ..... coding 1..* Coding Code defined by a terminology system
    ...... 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:specificDiscipline 0..* CodeableConcept Specific discipline of pathology
    Binding: Pathology Diagnostic Service Category . (extensible)
    ..... coding
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
    ... code 1..1 CodeableConcept Pathology test or test group
    Binding: RCPA SPIA Pathology Reporting . (preferred)
    Additional BindingsPurpose
    RCPA - SPIA Chemical Pathology Terminology Reference Set . Component
    RCPA - SPIA Haematology Terminology Reference Set . Component
    RCPA - SPIA Immunopathology Terminology Reference Set . Component
    RCPA - SPIA Microbiology Serology Molecular Pathology Terminology Reference Set . Component
    ... subject 1..1 Reference(Patient) Who and/or what the observation is about
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    ... value[x] C 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
    ... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    ... specimen 0..1 Reference(AU Base Specimen) Specimen used for this observation
    ... hasMember C 0..* Reference(AU Base Diagnostic Result | AU Base Pathology Result) Individual tests in a group or panel
    ... component 0..* BackboneElement Individual tests in a group or panel
    .... code 1..1 CodeableConcept Individual pathology test
    Binding: RCPA SPIA Pathology Reporting . (preferred)
    .... value[x] C 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
    .... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.category:specificDisciplineextensiblePathologyDiagnosticServiceCategory .
    https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1
    Observation.codepreferredRCPASPIAPathologyReporting .
    https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
    Observation.component.codepreferredRCPASPIAPathologyReporting .
    https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1

    Constraints

    IdGradePath(s)DetailsRequirements
    inv-obs-0errorObservationA pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason
    : value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.exists()

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation A pathology test result in an Australian healthcare context
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-3: 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
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    dom-6: A resource should have narrative for robust management
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ele-1: All FHIR elements must have a @value or children
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.


    ele-1: All FHIR elements must have a @value or children
    .... category:lab 1..1 CodeableConcept Observation generated by laboratories
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


    ele-1: All FHIR elements must have a @value or children
    ..... coding Σ 1..* Coding Code defined by a terminology system
    ele-1: All FHIR elements must have a @value or children
    ...... system Σ 1..1 uri Identity of the terminology system
    ele-1: All FHIR elements must have a @value or children
    Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
    ...... code Σ 1..1 code Symbol in syntax defined by the system
    ele-1: All FHIR elements must have a @value or children
    Fixed Value: laboratory
    .... category:specificDiscipline 0..* CodeableConcept Specific discipline of pathology
    Binding: Pathology Diagnostic Service Category . (extensible)
    ele-1: All FHIR elements must have a @value or children
    ... code Σ 1..1 CodeableConcept Pathology test or test group
    Binding: RCPA SPIA Pathology Reporting . (preferred)
    Additional BindingsPurpose
    RCPA - SPIA Chemical Pathology Terminology Reference Set . Component
    RCPA - SPIA Haematology Terminology Reference Set . Component
    RCPA - SPIA Immunopathology Terminology Reference Set . Component
    RCPA - SPIA Microbiology Serology Molecular Pathology Terminology Reference Set . Component

    ele-1: All FHIR elements must have a @value or children
    ... subject Σ 1..1 Reference(Patient) Who and/or what the observation is about
    ele-1: All FHIR elements must have a @value or children
    ... effective[x] Σ 1..1 Time of specimen collection
    ele-1: All FHIR elements must have a @value or children
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    ... value[x] ΣC 0..1 Actual result
    ele-1: All FHIR elements must have a @value or children
    .... valueQuantity Quantity
    .... valueCodeableConcept CodeableConcept
    .... valueString string
    .... valueBoolean boolean
    .... valueInteger integer
    .... valueRange Range
    .... valueRatio Ratio
    .... valueSampledData SampledData
    .... valueTime time
    .... valueDateTime dateTime
    .... valuePeriod Period
    ... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


    ele-1: All FHIR elements must have a @value or children
    ... specimen 0..1 Reference(AU Base Specimen) Specimen used for this observation
    ele-1: All FHIR elements must have a @value or children
    ... hasMember ΣC 0..* Reference(AU Base Diagnostic Result | AU Base Pathology Result) Individual tests in a group or panel
    ele-1: All FHIR elements must have a @value or children
    ... component Σ 0..* BackboneElement Individual tests in a group or panel
    ele-1: All FHIR elements must have a @value or children
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    .... code Σ 1..1 CodeableConcept Individual pathology test
    Binding: RCPA SPIA Pathology Reporting . (preferred)
    ele-1: All FHIR elements must have a @value or children
    .... value[x] ΣC 0..1 Actual component result
    ele-1: All FHIR elements must have a @value or children
    ..... valueQuantity Quantity
    ..... valueCodeableConcept CodeableConcept
    ..... valueString string
    ..... valueBoolean boolean
    ..... valueInteger integer
    ..... valueRange Range
    ..... valueRatio Ratio
    ..... valueSampledData SampledData
    ..... valueTime time
    ..... valueDateTime dateTime
    ..... valuePeriod Period
    .... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Observation.statusrequiredObservationStatus
    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:labpreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    from the FHIR Standard
    Observation.category:specificDisciplineextensiblePathologyDiagnosticServiceCategory .
    https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1
    Observation.codepreferredRCPASPIAPathologyReporting .
    https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
    Observation.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component.codepreferredRCPASPIAPathologyReporting .
    https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
    Observation.component.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    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()
    inv-obs-0errorObservationA pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason
    : value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.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()

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation A pathology test result in an Australian healthcare context
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason
    ... 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.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier 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 registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.

    ... Slices for category 1..* CodeableConcept Classification of the service requested as laboratory + more specific discipline where available
    Slice: Unordered, Open by value:coding.system, value:coding.code
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


    .... category:lab 1..1 CodeableConcept Observation generated by laboratories
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... coding Σ 1..* Coding Code defined by a terminology system
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 1..1 code Symbol in syntax defined by the system
    Fixed Value: laboratory
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... text Σ 0..1 string Plain text representation of the concept
    .... category:specificDiscipline 0..* CodeableConcept Specific discipline of pathology
    Binding: Pathology Diagnostic Service Category . (extensible)
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... coding Σ 0..* Coding Code defined by a terminology system
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... text Σ 0..1 string Plain text representation of the concept
    ... code Σ 1..1 CodeableConcept Pathology test or test group
    Binding: RCPA SPIA Pathology Reporting . (preferred)
    Additional BindingsPurpose
    RCPA - SPIA Chemical Pathology Terminology Reference Set . Component
    RCPA - SPIA Haematology Terminology Reference Set . Component
    RCPA - SPIA Immunopathology Terminology Reference Set . Component
    RCPA - SPIA Microbiology Serology Molecular Pathology Terminology Reference Set . Component
    ... subject Σ 1..1 Reference(Patient) Who and/or what the observation is about
    ... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
    ... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
    ... effective[x] Σ 1..1 Time of specimen collection
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    ... issued Σ 0..1 instant Date/Time this version was made available
    ... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
    ... value[x] ΣC 0..1 Actual result
    .... valueQuantity Quantity
    .... valueCodeableConcept CodeableConcept
    .... valueString string
    .... valueBoolean boolean
    .... valueInteger integer
    .... valueRange Range
    .... valueRatio Ratio
    .... valueSampledData SampledData
    .... valueTime time
    .... valueDateTime dateTime
    .... valuePeriod Period
    ... dataAbsentReason C 0..1 CodeableConcept Why the 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.


    ... note 0..* Annotation Comments about the observation
    ... bodySite 0..1 CodeableConcept Observed body part
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

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

    ... specimen 0..1 Reference(AU Base Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
    ... referenceRange C 0..* BackboneElement Provides guide for interpretation
    obs-3: Must have at least a low or a high or text
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... low C 0..1 SimpleQuantity Low Range, if relevant
    .... high C 0..1 SimpleQuantity High Range, if relevant
    .... type 0..1 CodeableConcept Reference range qualifier
    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

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


    .... age 0..1 Range Applicable age range, if relevant
    .... text 0..1 string Text based reference range in an observation
    ... hasMember ΣC 0..* Reference(AU Base Diagnostic Result | AU Base Pathology Result) Individual tests in a group or panel
    ... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
    ... component Σ 0..* BackboneElement Individual tests in a group or panel
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... code Σ 1..1 CodeableConcept Individual pathology test
    Binding: RCPA SPIA Pathology Reporting . (preferred)
    .... value[x] ΣC 0..1 Actual component result
    ..... valueQuantity Quantity
    ..... valueCodeableConcept CodeableConcept
    ..... valueString string
    ..... valueBoolean boolean
    ..... valueInteger integer
    ..... valueRange Range
    ..... valueRatio Ratio
    ..... valueSampledData SampledData
    ..... valueTime time
    ..... valueDateTime dateTime
    ..... valuePeriod Period
    .... dataAbsentReason 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

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Observation.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Observation.statusrequiredObservationStatus
    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:labpreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    from the FHIR Standard
    Observation.category:specificDisciplineextensiblePathologyDiagnosticServiceCategory .
    https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1
    Observation.codepreferredRCPASPIAPathologyReporting .
    https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
    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.component.codepreferredRCPASPIAPathologyReporting .
    https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
    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

    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()
    inv-obs-0errorObservationA pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason
    : value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.exists()
    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()

    This structure is derived from Observation

    Summary

    Mandatory: 7 elements(1 nested mandatory element)
    Fixed: 3 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Observation.category

    Maturity: 1

     

    Other representations of profile: CSV, Excel, Schematron