HL7 Czech Lab Epidemiology Guide
0.0.1 - ci-build Czechia flag

HL7 Czech Lab Epidemiology Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/lab-epi/ and changes regularly. See the Directory of published versions

Resource Profile: Observation – CZ Lab Result (qual/quant, AST)

Official URL: https://hl7.cz/fhir/lab-epi/StructureDefinition/cz-labresult-obs Version: 0.0.1
Active as of 2025-12-19 Computable Name: CZ_LabResult_Obs

Jednotlivé výsledky včetně kvalitativních a kvantitativních hodnot; AST modelováno per antibiotikum

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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, inv-obs-qty-ucum, inv-obs-cutoff
... 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) Triggering observation(s)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Closed by value:url
Constraints: ext-1
...... extension:observation 1..1 Extension Triggering observation.
Constraints: ext-1
....... url 1..1 uri "observation"
...... extension:type 1..1 Extension The type of trigger
Constraints: ext-1
....... url 1..1 uri "type"
...... extension:reason 0..1 Extension Reason that the observation was triggered
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 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
..... value[x] 1..1 Attachment Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for category 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 SΣ 1..1 CodeableConceptIPS(2.0.0) Type of observation (code / type)
Binding: Národní číselník laboratorních položek (required)
... subject SΣ 1..1 Reference(Patient – CZ Lab (RID)) Who and/or what the observation is about
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... effective[x] SΣC 1..1 Clinically relevant time/time-period for observation
Constraints: cz-lab-1
.... 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
... performer SΣ 1..* Reference(Organization – CZ Lab (IČO/PCZ/ICP)) 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] SΣC 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 ΣC 0..1 string Actual result
.... 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
.... value[x]:valueQuantity ΣC 0..1 QuantityEuLab Actual result
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConceptIPS(2.0.0) Actual result
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
... method S 0..1 CodeableConceptIPS(2.0.0) How it was done
Binding: Laboratory Techniques (preferred)
... specimen S 1..1 Reference(Specimen – CZ Lab) Specimen used for this observation
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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 HL7 CZ Laboratory IG vnull
Observation.category:specialty Base required Laboratory Speciality Types (CZ) 📦0.5.0 HL7 CZ Laboratory IG vnull
Observation.code Base required Národní číselník laboratorních položek 📦0.5.0 HL7 CZ Laboratory IG vnull
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.method Base preferred Laboratory Techniques 📦0.5.0 HL7 CZ Laboratory IG vnull

Constraints

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] 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()
inv-obs-cutoff warning Observation If quantitative result, provide referenceRange.low/high as cut-off when relevant valueQuantity.exists() implies referenceRange.exists()
inv-obs-qty-ucum error Observation If Observation.valueQuantity is present, unit must be UCUM with code valueQuantity.exists() implies (valueQuantity.system = 'http://unitsofmeasure.org' and valueQuantity.code.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()

This structure is derived from CZ_ObservationResultLaboratory

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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: inv-obs-qty-ucum, inv-obs-cutoff
... code S 1..1 CodeableConceptIPS(2.0.0) Type of observation (code / type)
... subject S 1..1 Reference(Patient – CZ Lab (RID)) Who and/or what the observation is about
... effective[x] S 1..1 dateTime, Period Clinically relevant time/time-period for observation
... value[x] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
... method S 0..1 CodeableConceptIPS(2.0.0) How it was done
... specimen S 1..1 Reference(Specimen – CZ Lab) Specimen used for this observation
... referenceRange S 0..* BackboneElement Provides guide for interpretation

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
inv-obs-cutoff warning Observation If quantitative result, provide referenceRange.low/high as cut-off when relevant valueQuantity.exists() implies referenceRange.exists()
inv-obs-qty-ucum error Observation If Observation.valueQuantity is present, unit must be UCUM with code valueQuantity.exists() implies (valueQuantity.system = 'http://unitsofmeasure.org' and valueQuantity.code.exists())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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, inv-obs-qty-ucum, inv-obs-cutoff
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
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) Triggering observation(s)
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, Closed 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] 0..1 Reference() 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] 0..1 code reflex | repeat | re-run
Binding: R5_observation_triggeredbytype_for_R4 (0.0.1-snapshot-2) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension Reason that the observation was triggered
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"
..... value[x] 0..1 Value of extension
...... valueBase64Binary base64Binary
...... valueBoolean boolean
...... valueCanonical canonical(Any)
...... valueCode code
...... valueDate date
...... valueDateTime dateTime
...... valueDecimal decimal
...... valueId id
...... valueInstant instant
...... valueInteger integer
...... valueMarkdown markdown
...... valueOid oid
...... valuePositiveInt positiveInt
...... valueString string
...... valueTime time
...... valueUnsignedInt unsignedInt
...... valueUri uri
...... valueUrl url
...... valueUuid uuid
...... valueAddress Address
...... valueAge Age
...... valueAnnotation Annotation
...... valueAttachment Attachment
...... valueCodeableConcept CodeableConcept
...... valueCoding Coding
...... valueContactPoint ContactPoint
...... valueCount Count
...... valueDistance Distance
...... valueDuration Duration
...... valueHumanName HumanName
...... valueIdentifier Identifier
...... valueMoney Money
...... valuePeriod Period
...... valueQuantity Quantity
...... valueRange Range
...... valueRatio Ratio
...... valueReference Reference(Any)
...... valueSampledData SampledData
...... valueSignature Signature
...... valueTiming Timing
...... valueContactDetail ContactDetail
...... valueContributor Contributor
...... valueDataRequirement DataRequirement
...... valueExpression Expression
...... valueParameterDefinition ParameterDefinition
...... valueRelatedArtifact RelatedArtifact
...... valueTriggerDefinition TriggerDefinition
...... valueUsageContext UsageContext
...... valueDosage Dosage
...... valueMeta Meta
.... 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 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
..... value[x] 1..1 Attachment Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code Status of this observation (e.g. preliminary, final,...)
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category 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 SΣ 1..1 CodeableConceptIPS(2.0.0) Type of observation (code / type)
Binding: Národní číselník laboratorních položek (required)
... subject SΣ 1..1 Reference(Patient – CZ Lab (RID)) 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
... effective[x] SΣC 1..1 Clinically relevant time/time-period for observation
Constraints: cz-lab-1
.... 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
... issued Σ 0..1 instant Date/Time this result was made available
... performer SΣ 1..* Reference(Organization – CZ Lab (IČO/PCZ/ICP)) 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] SΣC 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 ΣC 0..1 string Actual result
.... 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
.... value[x]:valueQuantity ΣC 0..1 QuantityEuLab Actual result
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConceptIPS(2.0.0) Actual result
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
... dataAbsentReason C 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConceptIPS(2.0.0) High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConceptIPS(2.0.0) How it was done
Binding: Laboratory Techniques (preferred)
... specimen S 1..1 Reference(Specimen – CZ Lab) Specimen used for this observation
... device 0..1 Reference(Device: Performer/Observer (CZ) | DeviceMetric) Measuring instrument
... referenceRange SC 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 Σ 0..* Reference(Observation Laboratory (CZ)) Related resource that belongs to the Observation group
... derivedFrom Σ 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 Σ 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 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
...... value[x] 1..1 Attachment Value of extension
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConceptIPS(2.0.0) Type of component observation (code / type)
Binding: Národní číselník laboratorních položek (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)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

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 VS for R5.TriggeredBytype for use in FHIR R4 📍0.0.1-snapshot-2 FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0
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 HL7 CZ Laboratory IG vnull
Observation.category:specialty Base required Laboratory Speciality Types (CZ) 📦0.5.0 HL7 CZ Laboratory IG vnull
Observation.code Base required Národní číselník laboratorních položek 📦0.5.0 HL7 CZ Laboratory IG vnull
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 HL7 CZ Laboratory IG vnull
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 Národní číselník laboratorních položek 📦0.5.0 HL7 CZ Laboratory IG vnull
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.

Constraints

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] 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()
inv-obs-cutoff warning Observation If quantitative result, provide referenceRange.low/high as cut-off when relevant valueQuantity.exists() implies referenceRange.exists()
inv-obs-qty-ucum error Observation If Observation.valueQuantity is present, unit must be UCUM with code valueQuantity.exists() implies (valueQuantity.system = 'http://unitsofmeasure.org' and valueQuantity.code.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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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, inv-obs-qty-ucum, inv-obs-cutoff
... 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) Triggering observation(s)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Closed by value:url
Constraints: ext-1
...... extension:observation 1..1 Extension Triggering observation.
Constraints: ext-1
....... url 1..1 uri "observation"
...... extension:type 1..1 Extension The type of trigger
Constraints: ext-1
....... url 1..1 uri "type"
...... extension:reason 0..1 Extension Reason that the observation was triggered
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 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
..... value[x] 1..1 Attachment Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for category 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 SΣ 1..1 CodeableConceptIPS(2.0.0) Type of observation (code / type)
Binding: Národní číselník laboratorních položek (required)
... subject SΣ 1..1 Reference(Patient – CZ Lab (RID)) Who and/or what the observation is about
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... effective[x] SΣC 1..1 Clinically relevant time/time-period for observation
Constraints: cz-lab-1
.... 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
... performer SΣ 1..* Reference(Organization – CZ Lab (IČO/PCZ/ICP)) 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] SΣC 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 ΣC 0..1 string Actual result
.... 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
.... value[x]:valueQuantity ΣC 0..1 QuantityEuLab Actual result
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConceptIPS(2.0.0) Actual result
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
... method S 0..1 CodeableConceptIPS(2.0.0) How it was done
Binding: Laboratory Techniques (preferred)
... specimen S 1..1 Reference(Specimen – CZ Lab) Specimen used for this observation
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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 HL7 CZ Laboratory IG vnull
Observation.category:specialty Base required Laboratory Speciality Types (CZ) 📦0.5.0 HL7 CZ Laboratory IG vnull
Observation.code Base required Národní číselník laboratorních položek 📦0.5.0 HL7 CZ Laboratory IG vnull
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.method Base preferred Laboratory Techniques 📦0.5.0 HL7 CZ Laboratory IG vnull

Constraints

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] 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()
inv-obs-cutoff warning Observation If quantitative result, provide referenceRange.low/high as cut-off when relevant valueQuantity.exists() implies referenceRange.exists()
inv-obs-qty-ucum error Observation If Observation.valueQuantity is present, unit must be UCUM with code valueQuantity.exists() implies (valueQuantity.system = 'http://unitsofmeasure.org' and valueQuantity.code.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

This structure is derived from CZ_ObservationResultLaboratory

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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: inv-obs-qty-ucum, inv-obs-cutoff
... code S 1..1 CodeableConceptIPS(2.0.0) Type of observation (code / type)
... subject S 1..1 Reference(Patient – CZ Lab (RID)) Who and/or what the observation is about
... effective[x] S 1..1 dateTime, Period Clinically relevant time/time-period for observation
... value[x] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
... method S 0..1 CodeableConceptIPS(2.0.0) How it was done
... specimen S 1..1 Reference(Specimen – CZ Lab) Specimen used for this observation
... referenceRange S 0..* BackboneElement Provides guide for interpretation

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
inv-obs-cutoff warning Observation If quantitative result, provide referenceRange.low/high as cut-off when relevant valueQuantity.exists() implies referenceRange.exists()
inv-obs-qty-ucum error Observation If Observation.valueQuantity is present, unit must be UCUM with code valueQuantity.exists() implies (valueQuantity.system = 'http://unitsofmeasure.org' and valueQuantity.code.exists())

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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, inv-obs-qty-ucum, inv-obs-cutoff
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
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) Triggering observation(s)
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, Closed 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] 0..1 Reference() 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] 0..1 code reflex | repeat | re-run
Binding: R5_observation_triggeredbytype_for_R4 (0.0.1-snapshot-2) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension Reason that the observation was triggered
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"
..... value[x] 0..1 Value of extension
...... valueBase64Binary base64Binary
...... valueBoolean boolean
...... valueCanonical canonical(Any)
...... valueCode code
...... valueDate date
...... valueDateTime dateTime
...... valueDecimal decimal
...... valueId id
...... valueInstant instant
...... valueInteger integer
...... valueMarkdown markdown
...... valueOid oid
...... valuePositiveInt positiveInt
...... valueString string
...... valueTime time
...... valueUnsignedInt unsignedInt
...... valueUri uri
...... valueUrl url
...... valueUuid uuid
...... valueAddress Address
...... valueAge Age
...... valueAnnotation Annotation
...... valueAttachment Attachment
...... valueCodeableConcept CodeableConcept
...... valueCoding Coding
...... valueContactPoint ContactPoint
...... valueCount Count
...... valueDistance Distance
...... valueDuration Duration
...... valueHumanName HumanName
...... valueIdentifier Identifier
...... valueMoney Money
...... valuePeriod Period
...... valueQuantity Quantity
...... valueRange Range
...... valueRatio Ratio
...... valueReference Reference(Any)
...... valueSampledData SampledData
...... valueSignature Signature
...... valueTiming Timing
...... valueContactDetail ContactDetail
...... valueContributor Contributor
...... valueDataRequirement DataRequirement
...... valueExpression Expression
...... valueParameterDefinition ParameterDefinition
...... valueRelatedArtifact RelatedArtifact
...... valueTriggerDefinition TriggerDefinition
...... valueUsageContext UsageContext
...... valueDosage Dosage
...... valueMeta Meta
.... 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 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
..... value[x] 1..1 Attachment Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code Status of this observation (e.g. preliminary, final,...)
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category 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 SΣ 1..1 CodeableConceptIPS(2.0.0) Type of observation (code / type)
Binding: Národní číselník laboratorních položek (required)
... subject SΣ 1..1 Reference(Patient – CZ Lab (RID)) 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
... effective[x] SΣC 1..1 Clinically relevant time/time-period for observation
Constraints: cz-lab-1
.... 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
... issued Σ 0..1 instant Date/Time this result was made available
... performer SΣ 1..* Reference(Organization – CZ Lab (IČO/PCZ/ICP)) 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] SΣC 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 ΣC 0..1 string Actual result
.... 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
.... value[x]:valueQuantity ΣC 0..1 QuantityEuLab Actual result
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConceptIPS(2.0.0) Actual result
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
... dataAbsentReason C 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConceptIPS(2.0.0) High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConceptIPS(2.0.0) How it was done
Binding: Laboratory Techniques (preferred)
... specimen S 1..1 Reference(Specimen – CZ Lab) Specimen used for this observation
... device 0..1 Reference(Device: Performer/Observer (CZ) | DeviceMetric) Measuring instrument
... referenceRange SC 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 Σ 0..* Reference(Observation Laboratory (CZ)) Related resource that belongs to the Observation group
... derivedFrom Σ 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 Σ 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 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
...... value[x] 1..1 Attachment Value of extension
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConceptIPS(2.0.0) Type of component observation (code / type)
Binding: Národní číselník laboratorních položek (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)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

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 VS for R5.TriggeredBytype for use in FHIR R4 📍0.0.1-snapshot-2 FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0
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 HL7 CZ Laboratory IG vnull
Observation.category:specialty Base required Laboratory Speciality Types (CZ) 📦0.5.0 HL7 CZ Laboratory IG vnull
Observation.code Base required Národní číselník laboratorních položek 📦0.5.0 HL7 CZ Laboratory IG vnull
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 HL7 CZ Laboratory IG vnull
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 Národní číselník laboratorních položek 📦0.5.0 HL7 CZ Laboratory IG vnull
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.

Constraints

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] 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()
inv-obs-cutoff warning Observation If quantitative result, provide referenceRange.low/high as cut-off when relevant valueQuantity.exists() implies referenceRange.exists()
inv-obs-qty-ucum error Observation If Observation.valueQuantity is present, unit must be UCUM with code valueQuantity.exists() implies (valueQuantity.system = 'http://unitsofmeasure.org' and valueQuantity.code.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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