HL7 CZ Laboratory IG
0.5.0 - ci-build
HL7 CZ Laboratory IG
0.5.0 - ci-build
HL7 CZ Laboratory IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-lab/ and changes regularly. See the Directory of published versions
| Official URL: https://hl7.cz/fhir/lab/StructureDefinition/cz-observationResult-obl-lab | Version: 0.5.0 | ||||
| Standards status: Informative Draft as of 2026-04-17 | Maturity Level: 0 | Computable Name: CZ_ObservationResultObligationsLab | |||
This profile defines obligations for an observation result in FHIR for the purpose of this guide.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Observation |
C | 0..* | CZ_ObservationResultLaboratory | Laboratory result for a simple test or for a panel/study This profile also imposes the profile Observation Results: laboratory Constraints: obs-6, obs-7, cz-lab-0, cz-lab-2 | ||||||||||||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||||
  Slices for extension |
Content/Rules for all slices | |||||||||||||||||||||
   extension:supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||||||||||||
 extension:triggeredBy-r5 |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |||||||||||||||||||
   Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||||||||||
 extension:observation |
1..1 | Extension | Triggering observation. Constraints: ext-1 | |||||||||||||||||||
 url |
1..1 | uri | "observation" | |||||||||||||||||||
  value[x] |
1..1 | Reference(Cross-version Profile for R5.Observation for use in FHIR R4(0.1.0) | Observation) | Triggering observation | |||||||||||||||||||
| extension:type |
1..1 | Extension | The type of trigger Constraints: ext-1 | |||||||||||||||||||
| url |
1..1 | uri | "type" | |||||||||||||||||||
| value[x] |
1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation. | |||||||||||||||||||
 extension:reason |
0..1 | Extension | R5: Reason that the observation was triggered (new) Constraints: ext-1 | |||||||||||||||||||
 url |
1..1 | uri | "reason" | |||||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||||||||||||
| extension:certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||||||||||||
| extension:certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||||||||||||
| extension:labTestKit |
0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||||||||||||
| extension:accreditation |
0..1 | boolean | Accreditation Requirement URL: https://hl7.cz/fhir/core/StructureDefinition/accreditation-cz | |||||||||||||||||||
| extension:value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||||||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||||
| status |
?!OΣ | 1..1 | code | Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||||||||||||||
| Slices for category |
O | 1..* | CodeableConceptIPS(2.0.0) | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| ||||||||||||||||||
| category:laboratory |
1..1 | CodeableConcept | Classification of type of observation 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 | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required) | |||||||||||||||||||
 category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required) | |||||||||||||||||||
| code |
OΣ | 1..1 | CodeableConceptIPS(2.0.0) | Type of observation (code / type) Binding: National Code List of Laboratory Items (required)
| ||||||||||||||||||
| subject |
Σ | 1..1 | Reference(Patient: Animal (CZ) | Patient (CZ core) | Group | Device | Location (CZ core)) | Who and/or what the observation is about | ||||||||||||||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||||||||
| Slices for effective[x] |
ΣC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: cz-lab-1 | |||||||||||||||||||
 effective[x]:All Slices |
Content/Rules for all slices | |||||||||||||||||||||
| effective[x]All Types |
Content/Rules for all Types | |||||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||||||||||
| extension:ClinicallyRelevantTime |
S | 0..1 | Coding | Extension - Clinically Relevant Time URL: https://hl7.cz/fhir/lab/StructureDefinition/cz-lab-clinically-relevant-time Binding: ValueSet - Clinically Relevant Time (required) | ||||||||||||||||||
| extension:data-absent-reason |
0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||||||||||||
| effectiveDateTime |
dateTime | |||||||||||||||||||||
| effectivePeriod |
Period | |||||||||||||||||||||
| effective[x]:effectiveDateTime |
OΣC | 0..1 | dateTime | Clinically relevant time/time-period for observation Constraints: cz-lab-1
| ||||||||||||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||||||||||||
| extension:ClinicallyRelevantTime |
S | 0..1 | Coding | Extension - Clinically Relevant Time URL: https://hl7.cz/fhir/lab/StructureDefinition/cz-lab-clinically-relevant-time Binding: ValueSet - Clinically Relevant Time (required) | ||||||||||||||||||
| extension:data-absent-reason |
0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||||||||||||
| performer |
Σ | 1..* | Reference(CareTeam | Related Person (CZ core) | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core)) | Who is responsible for the observation | ||||||||||||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||||||||||||
| Slices for value[x] |
ΣC | 0..1 | Actual result 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]:valueString |
OΣC | 0..1 | string | Actual result
| ||||||||||||||||||
| value[x]:valueQuantity |
OΣC | 0..1 | QuantityEuLab | Actual result
| ||||||||||||||||||
| value[x]:valueCodeableConcept |
OΣC | 0..1 | CodeableConceptIPS(2.0.0) | Actual result Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||||||||||||
| value[x]:valueRange |
ΣC | 0..1 | RangeIPS | Actual result | ||||||||||||||||||
| value[x]:valueRatio |
ΣC | 0..1 | RatioEuLab | Actual result | ||||||||||||||||||
| 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 | ||||||||||||||||||
| interpretation |
O | 0..* | CodeableConceptIPS(2.0.0) | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||||||||||||
| note |
O | 0..* | Annotation | Comments about the observation
| ||||||||||||||||||
| bodySite |
O | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||||||||||||
| method |
O | 0..1 | CodeableConceptIPS(2.0.0) | How it was done Binding: Laboratory Techniques (preferred)
| ||||||||||||||||||
| specimen |
O | 0..1 | Reference(Specimen Laboratory (CZ)) | Specimen used for this observation
| ||||||||||||||||||
| device |
O | 0..1 | Reference(Device: Performer/Observer (CZ core) | DeviceMetric) | Measuring instrument
| ||||||||||||||||||
| referenceRange |
OC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
| ||||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
| hasMember |
OΣ | 0..* | Reference(Observation Laboratory (CZ)) | Related resource that belongs to the Observation group
| ||||||||||||||||||
| derivedFrom |
OΣ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Observation Laboratory (CZ)) | In the initial iteration of the Czech interoperability project: this can be ObservationLaboratory (CZ) or Media
| ||||||||||||||||||
| component |
OΣ | 0..* | BackboneElement | Component results
| ||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||||||||||
| extension:value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
| code |
Σ | 1..1 | CodeableConceptIPS(2.0.0) | Type of component observation (code / type) Binding: National Code List of Laboratory Items (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 |
Σ | 0..1 | RangeIPS | Actual component result | ||||||||||||||||||
| value[x]:valueRatio |
Σ | 0..1 | RatioEuLab | Actual component result | ||||||||||||||||||
| 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 |
Σ | 0..1 | QuantityEuLab | Actual component result | ||||||||||||||||||
| value[x]:valueCodeableConcept |
Σ | 0..1 | CodeableConceptIPS(2.0.0) | Actual component result Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||||||||||||
| Documentation for this format | ||||||||||||||||||||||
| Id | Grade | Path(s) | Description | Expression |
| cz-lab-0 | 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()
|
| cz-lab-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | Datetime musí být uveden s přesností alespoň na den |
($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
|
| cz-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()
|
| 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())
|
| 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()
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| Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|
| Observation |
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| status |
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| Slices for effective[x] |
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| effective[x]:effectiveDateTime |
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| Slices for value[x] |
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| value[x]:valueString |
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| value[x]:valueQuantity |
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| value[x]:valueCodeableConcept |
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| interpretation |
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| note |
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| bodySite |
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| method |
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| specimen |
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| device |
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| referenceRange |
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| hasMember |
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| derivedFrom |
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| component |
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| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | CZ_ObservationResultLaboratory | Laboratory result for a simple test or for a panel/study This profile also imposes the profile Observation Results: laboratory Constraints: obs-6, obs-7, cz-lab-0, cz-lab-2 | ||||||||||||||||||
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||||||||||
| Slices for extension |
0..* | Extension | Information on the laboratory’s accreditation for the respective test Slice: Unordered, Open by value:url | |||||||||||||||||||
| extension:supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||||||||||||
| extension:triggeredBy-r5 |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||||||||||
| extension:observation |
1..1 | Extension | Triggering observation. Constraints: ext-1 | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||||||||||
| url |
1..1 | uri | "observation" | |||||||||||||||||||
| value[x] |
1..1 | Reference(Cross-version Profile for R5.Observation for use in FHIR R4(0.1.0) | Observation) | Triggering observation | |||||||||||||||||||
| extension:type |
1..1 | Extension | The type of trigger Constraints: ext-1 | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||||||||||
| url |
1..1 | uri | "type" | |||||||||||||||||||
| value[x] |
1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation. | |||||||||||||||||||
| extension:reason |
0..1 | Extension | R5: Reason that the observation was triggered (new) Constraints: ext-1 | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||||||||||
| url |
1..1 | uri | "reason" | |||||||||||||||||||
| value[x] |
0..1 | string | Reason that the observation was triggered | |||||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||||||||||||
| extension:certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||||||||||||
| extension:certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||||||||||||
| extension:labTestKit |
0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||||||||||||
| extension:accreditation |
0..1 | boolean | Accreditation Requirement URL: https://hl7.cz/fhir/core/StructureDefinition/accreditation-cz | |||||||||||||||||||
| extension:value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||||||||||||
| value[x] |
0..1 | Attachment | Actual result | |||||||||||||||||||
| 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 |
?!OΣ | 1..1 | code | Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||||||||||||||
| Slices for category |
O | 1..* | CodeableConceptIPS(2.0.0) | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| ||||||||||||||||||
| category:laboratory |
1..1 | CodeableConcept | Classification of type of observation 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 | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required) | |||||||||||||||||||
| category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required) | |||||||||||||||||||
| code |
OΣ | 1..1 | CodeableConceptIPS(2.0.0) | Type of observation (code / type) Binding: National Code List of Laboratory Items (required)
| ||||||||||||||||||
| subject |
Σ | 1..1 | Reference(Patient: Animal (CZ) | Patient (CZ core) | Group | Device | Location (CZ core)) | Who and/or what the observation is about | ||||||||||||||||||
| 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) | Healthcare event during which this observation is made | ||||||||||||||||||
| Slices for effective[x] |
ΣC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: cz-lab-1 | |||||||||||||||||||
| effective[x]:All Slices |
Content/Rules for all slices | |||||||||||||||||||||
| 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 | |||||||||||||||||||
| extension:ClinicallyRelevantTime |
S | 0..1 | Coding | Extension - Clinically Relevant Time URL: https://hl7.cz/fhir/lab/StructureDefinition/cz-lab-clinically-relevant-time Binding: ValueSet - Clinically Relevant Time (required) | ||||||||||||||||||
| extension:data-absent-reason |
0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||||||||||||
| effectiveDateTime |
dateTime | |||||||||||||||||||||
| effectivePeriod |
Period | |||||||||||||||||||||
| effective[x]:effectiveDateTime |
OΣC | 0..1 | dateTime | Clinically relevant time/time-period for observation Constraints: cz-lab-1
| ||||||||||||||||||
| 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:ClinicallyRelevantTime |
S | 0..1 | Coding | Extension - Clinically Relevant Time URL: https://hl7.cz/fhir/lab/StructureDefinition/cz-lab-clinically-relevant-time Binding: ValueSet - Clinically Relevant Time (required) | ||||||||||||||||||
| extension:data-absent-reason |
0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||||||||||||
| issued |
Σ | 0..1 | instant | Date/Time this result was made available | ||||||||||||||||||
| performer |
Σ | 1..* | Reference(CareTeam | Related Person (CZ core) | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core)) | Who is responsible for the observation | ||||||||||||||||||
| 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:performerFunction |
0..1 | 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 | Actual result 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]:valueString |
OΣC | 0..1 | string | Actual result
| ||||||||||||||||||
| value[x]:valueQuantity |
OΣC | 0..1 | QuantityEuLab | Actual result
| ||||||||||||||||||
| value[x]:valueCodeableConcept |
OΣC | 0..1 | CodeableConceptIPS(2.0.0) | Actual result Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||||||||||||
| value[x]:valueRange |
ΣC | 0..1 | RangeIPS | Actual result | ||||||||||||||||||
| value[x]:valueRatio |
ΣC | 0..1 | RatioEuLab | Actual result | ||||||||||||||||||
| 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 |
O | 0..* | CodeableConceptIPS(2.0.0) | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||||||||||||
| note |
O | 0..* | Annotation | Comments about the observation
| ||||||||||||||||||
| bodySite |
O | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||||||||||||
| method |
O | 0..1 | CodeableConceptIPS(2.0.0) | How it was done Binding: Laboratory Techniques (preferred)
| ||||||||||||||||||
| specimen |
O | 0..1 | Reference(Specimen Laboratory (CZ)) | Specimen used for this observation
| ||||||||||||||||||
| device |
O | 0..1 | Reference(Device: Performer/Observer (CZ core) | DeviceMetric) | Measuring instrument
| ||||||||||||||||||
| referenceRange |
OC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
| ||||||||||||||||||
| 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(4.0.1) | Low Range, if relevant | ||||||||||||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | 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 |
OΣ | 0..* | Reference(Observation Laboratory (CZ)) | Related resource that belongs to the Observation group
| ||||||||||||||||||
| derivedFrom |
OΣ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Observation Laboratory (CZ)) | In the initial iteration of the Czech interoperability project: this can be ObservationLaboratory (CZ) or Media
| ||||||||||||||||||
| component |
OΣ | 0..* | BackboneElement | Component results
| ||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||||||||||
| extension:value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||||||||||||
| value[x] |
0..1 | Attachment | Actual result | |||||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
| code |
Σ | 1..1 | CodeableConceptIPS(2.0.0) | Type of component observation (code / type) Binding: National Code List of Laboratory Items (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 |
Σ | 0..1 | RangeIPS | Actual component result | ||||||||||||||||||
| value[x]:valueRatio |
Σ | 0..1 | RatioEuLab | Actual component result | ||||||||||||||||||
| 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 |
Σ | 0..1 | QuantityEuLab | Actual component result | ||||||||||||||||||
| value[x]:valueCodeableConcept |
Σ | 0..1 | CodeableConceptIPS(2.0.0) | Actual component result 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 | ||||||||||||||||||||||
| Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|
| Observation |
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| Slices for extension |
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| status |
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| Slices for category |
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| code |
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| Slices for effective[x] |
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| effective[x]:effectiveDateTime |
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| Slices for extension |
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| Slices for value[x] |
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| value[x]:valueString |
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| value[x]:valueQuantity |
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| value[x]:valueCodeableConcept |
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| interpretation |
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| note |
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| bodySite |
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| method |
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| specimen |
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| device |
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| referenceRange |
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| hasMember |
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| derivedFrom |
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| component |
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| Slices for extension |
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| Slices for value[x] |
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| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Observation.extension:triggeredBy-r5.extension:type.value[x] | Base | required | Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1 |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:laboratory | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:studyType | Base | required | Laboratory Study Types (CZ) | 📦0.5.0 | This IG |
| Observation.category:specialty | Base | required | Laboratory Speciality Types (CZ) | 📦0.5.0 | This IG |
| Observation.code | Base | required | National Code List of Laboratory Items | 📦0.5.0 | This IG |
| Observation.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Observation.method | Base | preferred | Laboratory Techniques | 📦0.5.0 | This IG |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std. |
| Observation.component.code | Base | preferred | National Code List of Laboratory Items | 📦0.5.0 | This IG |
| Observation.component.value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cz-lab-0 | 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()
|
| cz-lab-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | Datetime musí být uveden s přesností alespoň na den |
($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
|
| cz-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()
|
| 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())
|
| 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()
|
| Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|
| Observation |
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| Slices for extension |
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| status |
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| Slices for category |
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| code |
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| Slices for effective[x] |
||||
| effective[x]:effectiveDateTime |
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| Slices for extension |
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| Slices for value[x] |
||||
| value[x]:valueString |
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| value[x]:valueQuantity |
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| value[x]:valueCodeableConcept |
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| interpretation |
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| note |
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| bodySite |
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| method |
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| specimen |
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| device |
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| referenceRange |
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| hasMember |
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| derivedFrom |
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| component |
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| Slices for extension |
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| Slices for value[x] |
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| Documentation for this format | ||||
Summary
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 0
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | CZ_ObservationResultLaboratory | Laboratory result for a simple test or for a panel/study This profile also imposes the profile Observation Results: laboratory Constraints: obs-6, obs-7, cz-lab-0, cz-lab-2 | ||||||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||||||||||
| extension:supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||||||||||||
| extension:triggeredBy-r5 |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |||||||||||||||||||
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||||||||||
| extension:observation |
1..1 | Extension | Triggering observation. Constraints: ext-1 | |||||||||||||||||||
| url |
1..1 | uri | "observation" | |||||||||||||||||||
| value[x] |
1..1 | Reference(Cross-version Profile for R5.Observation for use in FHIR R4(0.1.0) | Observation) | Triggering observation | |||||||||||||||||||
| extension:type |
1..1 | Extension | The type of trigger Constraints: ext-1 | |||||||||||||||||||
| url |
1..1 | uri | "type" | |||||||||||||||||||
| value[x] |
1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation. | |||||||||||||||||||
| extension:reason |
0..1 | Extension | R5: Reason that the observation was triggered (new) Constraints: ext-1 | |||||||||||||||||||
| url |
1..1 | uri | "reason" | |||||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||||||||||||
| extension:certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||||||||||||
| extension:certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||||||||||||
| extension:labTestKit |
0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||||||||||||
| extension:accreditation |
0..1 | boolean | Accreditation Requirement URL: https://hl7.cz/fhir/core/StructureDefinition/accreditation-cz | |||||||||||||||||||
| extension:value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||||
| status |
?!OΣ | 1..1 | code | Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||||||||||||||
| Slices for category |
O | 1..* | CodeableConceptIPS(2.0.0) | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| ||||||||||||||||||
| category:laboratory |
1..1 | CodeableConcept | Classification of type of observation 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 | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required) | |||||||||||||||||||
| category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required) | |||||||||||||||||||
| code |
OΣ | 1..1 | CodeableConceptIPS(2.0.0) | Type of observation (code / type) Binding: National Code List of Laboratory Items (required)
| ||||||||||||||||||
| subject |
Σ | 1..1 | Reference(Patient: Animal (CZ) | Patient (CZ core) | Group | Device | Location (CZ core)) | Who and/or what the observation is about | ||||||||||||||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||||||||
| Slices for effective[x] |
ΣC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: cz-lab-1 | |||||||||||||||||||
| effective[x]:All Slices |
Content/Rules for all slices | |||||||||||||||||||||
| effective[x]All Types |
Content/Rules for all Types | |||||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||||||||||
| extension:ClinicallyRelevantTime |
S | 0..1 | Coding | Extension - Clinically Relevant Time URL: https://hl7.cz/fhir/lab/StructureDefinition/cz-lab-clinically-relevant-time Binding: ValueSet - Clinically Relevant Time (required) | ||||||||||||||||||
| extension:data-absent-reason |
0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||||||||||||
| effectiveDateTime |
dateTime | |||||||||||||||||||||
| effectivePeriod |
Period | |||||||||||||||||||||
| effective[x]:effectiveDateTime |
OΣC | 0..1 | dateTime | Clinically relevant time/time-period for observation Constraints: cz-lab-1
| ||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||||||||||
| extension:ClinicallyRelevantTime |
S | 0..1 | Coding | Extension - Clinically Relevant Time URL: https://hl7.cz/fhir/lab/StructureDefinition/cz-lab-clinically-relevant-time Binding: ValueSet - Clinically Relevant Time (required) | ||||||||||||||||||
| extension:data-absent-reason |
0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||||||||||||
| performer |
Σ | 1..* | Reference(CareTeam | Related Person (CZ core) | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core)) | Who is responsible for the observation | ||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||||||||||||
| Slices for value[x] |
ΣC | 0..1 | Actual result 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]:valueString |
OΣC | 0..1 | string | Actual result
| ||||||||||||||||||
| value[x]:valueQuantity |
OΣC | 0..1 | QuantityEuLab | Actual result
| ||||||||||||||||||
| value[x]:valueCodeableConcept |
OΣC | 0..1 | CodeableConceptIPS(2.0.0) | Actual result Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||||||||||||
| value[x]:valueRange |
ΣC | 0..1 | RangeIPS | Actual result | ||||||||||||||||||
| value[x]:valueRatio |
ΣC | 0..1 | RatioEuLab | Actual result | ||||||||||||||||||
| 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 | ||||||||||||||||||
| interpretation |
O | 0..* | CodeableConceptIPS(2.0.0) | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||||||||||||
| note |
O | 0..* | Annotation | Comments about the observation
| ||||||||||||||||||
| bodySite |
O | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||||||||||||
| method |
O | 0..1 | CodeableConceptIPS(2.0.0) | How it was done Binding: Laboratory Techniques (preferred)
| ||||||||||||||||||
| specimen |
O | 0..1 | Reference(Specimen Laboratory (CZ)) | Specimen used for this observation
| ||||||||||||||||||
| device |
O | 0..1 | Reference(Device: Performer/Observer (CZ core) | DeviceMetric) | Measuring instrument
| ||||||||||||||||||
| referenceRange |
OC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
| ||||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
| hasMember |
OΣ | 0..* | Reference(Observation Laboratory (CZ)) | Related resource that belongs to the Observation group
| ||||||||||||||||||
| derivedFrom |
OΣ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Observation Laboratory (CZ)) | In the initial iteration of the Czech interoperability project: this can be ObservationLaboratory (CZ) or Media
| ||||||||||||||||||
| component |
OΣ | 0..* | BackboneElement | Component results
| ||||||||||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||||||||||
| extension:value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
| code |
Σ | 1..1 | CodeableConceptIPS(2.0.0) | Type of component observation (code / type) Binding: National Code List of Laboratory Items (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 |
Σ | 0..1 | RangeIPS | Actual component result | ||||||||||||||||||
| value[x]:valueRatio |
Σ | 0..1 | RatioEuLab | Actual component result | ||||||||||||||||||
| 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 |
Σ | 0..1 | QuantityEuLab | Actual component result | ||||||||||||||||||
| value[x]:valueCodeableConcept |
Σ | 0..1 | CodeableConceptIPS(2.0.0) | Actual component result Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||||||||||||
| Documentation for this format | ||||||||||||||||||||||
| Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|
| Observation |
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| Slices for extension |
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| status |
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| Slices for category |
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| code |
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| Slices for effective[x] |
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| effective[x]:effectiveDateTime |
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| Slices for extension |
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| Slices for value[x] |
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| value[x]:valueString |
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| value[x]:valueQuantity |
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| value[x]:valueCodeableConcept |
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| interpretation |
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| note |
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| bodySite |
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| method |
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| specimen |
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| device |
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| referenceRange |
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| hasMember |
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| derivedFrom |
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| component |
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| Slices for extension |
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| Slices for value[x] |
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| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.extension:triggeredBy-r5.extension:type.value[x] | Base | required | Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1 |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:laboratory | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:studyType | Base | required | Laboratory Study Types (CZ) | 📦0.5.0 | This IG |
| Observation.category:specialty | Base | required | Laboratory Speciality Types (CZ) | 📦0.5.0 | This IG |
| Observation.code | Base | required | National Code List of Laboratory Items | 📦0.5.0 | This IG |
| Observation.value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Observation.method | Base | preferred | Laboratory Techniques | 📦0.5.0 | This IG |
| Observation.component.code | Base | preferred | National Code List of Laboratory Items | 📦0.5.0 | This IG |
| Observation.component.value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Id | Grade | Path(s) | Description | Expression |
| cz-lab-0 | 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()
|
| cz-lab-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | Datetime musí být uveden s přesností alespoň na den |
($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
|
| cz-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()
|
| 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())
|
| 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()
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
0..* | CZ_ObservationResultLaboratory | Laboratory result for a simple test or for a panel/study This profile also imposes the profile Observation Results: laboratory | |||||||||||
| status |
O | 1..1 | code | Status of this observation (e.g. preliminary, final,...)
| ||||||||||
| category |
O | 1..* | CodeableConceptIPS(2.0.0) | Classification of type of observation
| ||||||||||
| code |
O | 1..1 | CodeableConceptIPS(2.0.0) | Type of observation (code / type)
| ||||||||||
| Slices for effective[x] |
1..1 | dateTime, Period | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||||||||
| effective[x]:effectiveDateTime |
O | 0..1 | dateTime | Clinically relevant time/time-period for observation
| ||||||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||||||||
| value[x]:valueString |
O | 0..1 | string | Actual result
| ||||||||||
| value[x]:valueQuantity |
O | 0..1 | QuantityEuLab | Actual result
| ||||||||||
| value[x]:valueCodeableConcept |
O | 0..1 | CodeableConceptIPS(2.0.0) | Actual result
| ||||||||||
| interpretation |
O | 0..* | CodeableConceptIPS(2.0.0) | High, low, normal, etc.
| ||||||||||
| note |
O | 0..* | Annotation | Comments about the observation
| ||||||||||
| bodySite |
O | 0..1 | CodeableConcept | Observed body part
| ||||||||||
| method |
O | 0..1 | CodeableConceptIPS(2.0.0) | How it was done
| ||||||||||
| specimen |
O | 0..1 | Reference(Specimen Laboratory (CZ)) | Specimen used for this observation
| ||||||||||
| device |
O | 0..1 | Reference(Device: Performer/Observer (CZ core) | DeviceMetric) | Measuring instrument
| ||||||||||
| referenceRange |
O | 0..* | BackboneElement | Provides guide for interpretation
| ||||||||||
| hasMember |
O | 0..* | Reference(Observation Laboratory (CZ)) | Related resource that belongs to the Observation group
| ||||||||||
| derivedFrom |
O | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Observation Laboratory (CZ)) | In the initial iteration of the Czech interoperability project: this can be ObservationLaboratory (CZ) or Media
| ||||||||||
| component |
O | 0..* | BackboneElement | Component results
| ||||||||||
| Documentation for this format | ||||||||||||||
| Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|
| Observation |
||||
| status |
|
|
|
|
| category |
|
|
|
|
| code |
|
|
|
|
| Slices for effective[x] |
||||
| effective[x]:effectiveDateTime |
|
|
|
|
| Slices for value[x] |
||||
| value[x]:valueString |
|
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|
|
| value[x]:valueQuantity |
|
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| value[x]:valueCodeableConcept |
|
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| interpretation |
|
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| note |
|
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| bodySite |
|
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| method |
|
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| specimen |
|
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| device |
|
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| referenceRange |
|
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| hasMember |
|
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|
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| derivedFrom |
|
|
|
|
| component |
|
|
|
|
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | CZ_ObservationResultLaboratory | Laboratory result for a simple test or for a panel/study This profile also imposes the profile Observation Results: laboratory Constraints: obs-6, obs-7, cz-lab-0, cz-lab-2 | ||||||||||||||||||
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||||||||||
| Slices for extension |
0..* | Extension | Information on the laboratory’s accreditation for the respective test Slice: Unordered, Open by value:url | |||||||||||||||||||
| extension:supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||||||||||||
| extension:triggeredBy-r5 |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||||||||||
| extension:observation |
1..1 | Extension | Triggering observation. Constraints: ext-1 | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||||||||||
| url |
1..1 | uri | "observation" | |||||||||||||||||||
| value[x] |
1..1 | Reference(Cross-version Profile for R5.Observation for use in FHIR R4(0.1.0) | Observation) | Triggering observation | |||||||||||||||||||
| extension:type |
1..1 | Extension | The type of trigger Constraints: ext-1 | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||||||||||
| url |
1..1 | uri | "type" | |||||||||||||||||||
| value[x] |
1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation. | |||||||||||||||||||
| extension:reason |
0..1 | Extension | R5: Reason that the observation was triggered (new) Constraints: ext-1 | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||||||||||
| url |
1..1 | uri | "reason" | |||||||||||||||||||
| value[x] |
0..1 | string | Reason that the observation was triggered | |||||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||||||||||||
| extension:certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||||||||||||
| extension:certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||||||||||||
| extension:labTestKit |
0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||||||||||||
| extension:accreditation |
0..1 | boolean | Accreditation Requirement URL: https://hl7.cz/fhir/core/StructureDefinition/accreditation-cz | |||||||||||||||||||
| extension:value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||||||||||||
| value[x] |
0..1 | Attachment | Actual result | |||||||||||||||||||
| 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 |
?!OΣ | 1..1 | code | Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||||||||||||||
| Slices for category |
O | 1..* | CodeableConceptIPS(2.0.0) | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| ||||||||||||||||||
| category:laboratory |
1..1 | CodeableConcept | Classification of type of observation 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 | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (CZ) (required) | |||||||||||||||||||
| category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Speciality Types (CZ) (required) | |||||||||||||||||||
| code |
OΣ | 1..1 | CodeableConceptIPS(2.0.0) | Type of observation (code / type) Binding: National Code List of Laboratory Items (required)
| ||||||||||||||||||
| subject |
Σ | 1..1 | Reference(Patient: Animal (CZ) | Patient (CZ core) | Group | Device | Location (CZ core)) | Who and/or what the observation is about | ||||||||||||||||||
| 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) | Healthcare event during which this observation is made | ||||||||||||||||||
| Slices for effective[x] |
ΣC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: cz-lab-1 | |||||||||||||||||||
| effective[x]:All Slices |
Content/Rules for all slices | |||||||||||||||||||||
| 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 | |||||||||||||||||||
| extension:ClinicallyRelevantTime |
S | 0..1 | Coding | Extension - Clinically Relevant Time URL: https://hl7.cz/fhir/lab/StructureDefinition/cz-lab-clinically-relevant-time Binding: ValueSet - Clinically Relevant Time (required) | ||||||||||||||||||
| extension:data-absent-reason |
0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||||||||||||
| effectiveDateTime |
dateTime | |||||||||||||||||||||
| effectivePeriod |
Period | |||||||||||||||||||||
| effective[x]:effectiveDateTime |
OΣC | 0..1 | dateTime | Clinically relevant time/time-period for observation Constraints: cz-lab-1
| ||||||||||||||||||
| 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:ClinicallyRelevantTime |
S | 0..1 | Coding | Extension - Clinically Relevant Time URL: https://hl7.cz/fhir/lab/StructureDefinition/cz-lab-clinically-relevant-time Binding: ValueSet - Clinically Relevant Time (required) | ||||||||||||||||||
| extension:data-absent-reason |
0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||||||||||||
| issued |
Σ | 0..1 | instant | Date/Time this result was made available | ||||||||||||||||||
| performer |
Σ | 1..* | Reference(CareTeam | Related Person (CZ core) | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core)) | Who is responsible for the observation | ||||||||||||||||||
| 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:performerFunction |
0..1 | 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 | Actual result 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]:valueString |
OΣC | 0..1 | string | Actual result
| ||||||||||||||||||
| value[x]:valueQuantity |
OΣC | 0..1 | QuantityEuLab | Actual result
| ||||||||||||||||||
| value[x]:valueCodeableConcept |
OΣC | 0..1 | CodeableConceptIPS(2.0.0) | Actual result Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||||||||||||
| value[x]:valueRange |
ΣC | 0..1 | RangeIPS | Actual result | ||||||||||||||||||
| value[x]:valueRatio |
ΣC | 0..1 | RatioEuLab | Actual result | ||||||||||||||||||
| 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 |
O | 0..* | CodeableConceptIPS(2.0.0) | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||||||||||||
| note |
O | 0..* | Annotation | Comments about the observation
| ||||||||||||||||||
| bodySite |
O | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||||||||||||
| method |
O | 0..1 | CodeableConceptIPS(2.0.0) | How it was done Binding: Laboratory Techniques (preferred)
| ||||||||||||||||||
| specimen |
O | 0..1 | Reference(Specimen Laboratory (CZ)) | Specimen used for this observation
| ||||||||||||||||||
| device |
O | 0..1 | Reference(Device: Performer/Observer (CZ core) | DeviceMetric) | Measuring instrument
| ||||||||||||||||||
| referenceRange |
OC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
| ||||||||||||||||||
| 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(4.0.1) | Low Range, if relevant | ||||||||||||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | 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 |
OΣ | 0..* | Reference(Observation Laboratory (CZ)) | Related resource that belongs to the Observation group
| ||||||||||||||||||
| derivedFrom |
OΣ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Observation Laboratory (CZ)) | In the initial iteration of the Czech interoperability project: this can be ObservationLaboratory (CZ) or Media
| ||||||||||||||||||
| component |
OΣ | 0..* | BackboneElement | Component results
| ||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||||||||||
| extension:value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||||||||||||
| value[x] |
0..1 | Attachment | Actual result | |||||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||||
| code |
Σ | 1..1 | CodeableConceptIPS(2.0.0) | Type of component observation (code / type) Binding: National Code List of Laboratory Items (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 |
Σ | 0..1 | RangeIPS | Actual component result | ||||||||||||||||||
| value[x]:valueRatio |
Σ | 0..1 | RatioEuLab | Actual component result | ||||||||||||||||||
| 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 |
Σ | 0..1 | QuantityEuLab | Actual component result | ||||||||||||||||||
| value[x]:valueCodeableConcept |
Σ | 0..1 | CodeableConceptIPS(2.0.0) | Actual component result 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 | ||||||||||||||||||||||
| Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|
| Observation |
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| Slices for extension |
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| status |
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| Slices for category |
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| code |
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| Slices for effective[x] |
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| effective[x]:effectiveDateTime |
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| Slices for extension |
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| Slices for value[x] |
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| value[x]:valueString |
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| value[x]:valueQuantity |
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| value[x]:valueCodeableConcept |
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| interpretation |
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| note |
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| bodySite |
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| method |
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| specimen |
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| device |
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| referenceRange |
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| hasMember |
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| derivedFrom |
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| component |
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| Slices for extension |
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| Slices for value[x] |
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| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Observation.extension:triggeredBy-r5.extension:type.value[x] | Base | required | Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1 |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:laboratory | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:studyType | Base | required | Laboratory Study Types (CZ) | 📦0.5.0 | This IG |
| Observation.category:specialty | Base | required | Laboratory Speciality Types (CZ) | 📦0.5.0 | This IG |
| Observation.code | Base | required | National Code List of Laboratory Items | 📦0.5.0 | This IG |
| Observation.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Observation.method | Base | preferred | Laboratory Techniques | 📦0.5.0 | This IG |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std. |
| Observation.component.code | Base | preferred | National Code List of Laboratory Items | 📦0.5.0 | This IG |
| Observation.component.value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cz-lab-0 | 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()
|
| cz-lab-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | Datetime musí být uveden s přesností alespoň na den |
($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
|
| cz-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()
|
| 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())
|
| 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()
|
| Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|
| Observation |
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| Slices for extension |
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| status |
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| Slices for category |
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| code |
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| Slices for effective[x] |
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| effective[x]:effectiveDateTime |
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| Slices for extension |
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| Slices for value[x] |
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| value[x]:valueString |
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| value[x]:valueQuantity |
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| value[x]:valueCodeableConcept |
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| interpretation |
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| note |
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| bodySite |
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| method |
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| specimen |
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| device |
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| referenceRange |
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| hasMember |
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| derivedFrom |
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| component |
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| Slices for extension |
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| Slices for value[x] |
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| Documentation for this format | ||||
Summary
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron