International Patient Summary Implementation Guide
1.1.0 - CI Build International flag

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

Resource Profile: Observation Results: radiology (IPS)

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

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

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

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

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

Usage:

Formal Views of Profile Content

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

This structure is derived from ObservationResultsUvIps

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ObservationResultsUvIps Measurements and simple assertions
hasMemberOrComponent: component and hasMember are mutually exclusive
... partOf 0..* Reference(Imaging Study (IPS)) Part of referenced event
... status 1..1 code registered | preliminary | final | amended +
Fixed Value: final
... Slices for category 1..* CodeableConceptIPS Concept - reference to a terminology or just text
Slice: Unordered, Open by pattern:$this
.... category:radiology S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: imaging
... subject S 1..1 Reference(Patient (IPS)) Who and/or what the observation is about
... effective[x] SC 1..1 dateTime, Period Clinically relevant time/time-period for observation
ips-1: Datetime must be at least to day.
... performer S 1..* Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson) Who is responsible for the observation
... valueString S 0..1 string Actual result
... bodySite 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
... device 0..1 Reference(Device - performer, observer) (Measurement) Device
... hasMember 0..* Reference(Observation Results: radiology (IPS) | Observation Results (IPS)) Related resource that belongs to the Observation group
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for component S 0..* BackboneElement Component results
Slice: Unordered, Closed by type:value
.... component:observationText 0..* BackboneElement Observation Text
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Textual Observations (SNOMED-DICOM-LOINC) - IPS (extensible)
..... value[x] 1..1 string Actual component result
.... component:observationCode 0..* BackboneElement Observation Code
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
..... value[x] 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
.... component:numericQuantityMeasurement 0..* BackboneElement Observation Measurement, including linear, area and volume quantity measurements
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

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

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

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

..... value[x] 1..1 SampledData Actual component result

doco Documentation for this format

Terminology Bindings (Differential)

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

Constraints

IdGradePath(s)DetailsRequirements
hasMemberOrComponenterrorObservationcomponent and hasMember are mutually exclusive
: hasMember.empty() or component.empty()
ips-1errorObservation.effective[x]Datetime must be at least to day.
: $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ObservationResultsUvIps Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
hasMemberOrComponent: component and hasMember are mutually exclusive
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf Σ 0..* Reference(Imaging Study (IPS)) Part of referenced event
... Slices for category 1..* CodeableConceptIPS Concept - reference to a terminology or just text
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


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



Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: imaging
... code S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
... subject SΣ 1..1 Reference(Patient (IPS)) Who and/or what the observation is about
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... effective[x] SΣC 1..1 Clinically relevant time/time-period for observation
ips-1: Datetime must be at least to day.
.... effective[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... data-absent-reason S 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(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 string Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueString SΣC 0..1 string Actual result
... bodySite 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... device 0..1 Reference(Device - performer, observer) (Measurement) Device
... hasMember Σ 0..* Reference(Observation Results: radiology (IPS) | Observation Results (IPS)) Related resource that belongs to the Observation group
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Closed by type:value
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... component:observationText SΣ 0..* BackboneElement Observation Text
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Textual Observations (SNOMED-DICOM-LOINC) - IPS (extensible)
..... value[x] Σ 1..1 string Actual component result
.... component:observationCode SΣ 0..* BackboneElement Observation Code
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
..... value[x] 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
.... component:numericQuantityMeasurement SΣ 0..* BackboneElement Observation Measurement, including linear, area and volume quantity measurements
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C 1..1 QuantityIPS A measured amount using UCUM
qty-3: If a code for the unit is present, the system SHALL also be present
.... component:numericRangeMeasurement SΣ 0..* BackboneElement Observation Measurement, including linear, area and volume range measurements
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C 1..1 RangeIPS Set of values bounded by low and high
rng-2: If present, low SHALL have a lower value than high
.... component:numericRatioMeasurement SΣ 0..* BackboneElement Observation Measurement, including linear, area and volume ratio measurements
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C 1..1 RatioIPS A ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
.... component:numericSampledDataMeasurement SΣ 0..* BackboneElement Observation Measurement, including linear, area and volume sampled data measurements
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] Σ 1..1 SampledData Actual component result

doco Documentation for this format

Terminology Bindings

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

Constraints

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

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(Imaging Study (IPS)) Part of referenced event
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


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


.... category:radiology S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
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: imaging
...... 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
... code S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
... subject SΣ 1..1 Reference(Patient (IPS)) 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 SΣC 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
ips-1: Datetime must be at least to day.
.... effective[x]All Types Content/Rules for all Types
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... data-absent-reason S 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 version was made available
... performer SΣ 1..* Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 string Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueString SΣC 0..1 string Actual result
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


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

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

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

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


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation Results: radiology (IPS) | Observation Results (IPS)) Related resource that belongs to the Observation group
.... 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 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
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Closed by type:value
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... value[x] Σ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:observationText SΣ 0..* BackboneElement Observation Text
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Textual Observations (SNOMED-DICOM-LOINC) - IPS (extensible)
..... value[x] Σ 1..1 string Actual component result
..... 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
.... component:observationCode SΣ 0..* BackboneElement Observation Code
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
..... value[x] 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
..... 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
.... component:numericQuantityMeasurement SΣ 0..* BackboneElement Observation Measurement, including linear, area and volume quantity measurements
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C 1..1 QuantityIPS A measured amount using UCUM
qty-3: If a code for the unit is present, the system SHALL also be present
..... 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
.... component:numericRangeMeasurement SΣ 0..* BackboneElement Observation Measurement, including linear, area and volume range measurements
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C 1..1 RangeIPS Set of values bounded by low and high
rng-2: If present, low SHALL have a lower value than high
..... 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
.... component:numericRatioMeasurement SΣ 0..* BackboneElement Observation Measurement, including linear, area and volume ratio measurements
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C 1..1 RatioIPS A ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
..... dataAbsentReason 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
.... component:numericSampledDataMeasurement SΣ 0..* BackboneElement Observation Measurement, including linear, area and volume sampled data measurements
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] Σ 1..1 SampledData Actual component result
..... 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

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

Constraints

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

This structure is derived from ObservationResultsUvIps

Differential View

This structure is derived from ObservationResultsUvIps

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ObservationResultsUvIps Measurements and simple assertions
hasMemberOrComponent: component and hasMember are mutually exclusive
... partOf 0..* Reference(Imaging Study (IPS)) Part of referenced event
... status 1..1 code registered | preliminary | final | amended +
Fixed Value: final
... Slices for category 1..* CodeableConceptIPS Concept - reference to a terminology or just text
Slice: Unordered, Open by pattern:$this
.... category:radiology S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: imaging
... subject S 1..1 Reference(Patient (IPS)) Who and/or what the observation is about
... effective[x] SC 1..1 dateTime, Period Clinically relevant time/time-period for observation
ips-1: Datetime must be at least to day.
... performer S 1..* Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson) Who is responsible for the observation
... valueString S 0..1 string Actual result
... bodySite 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
... device 0..1 Reference(Device - performer, observer) (Measurement) Device
... hasMember 0..* Reference(Observation Results: radiology (IPS) | Observation Results (IPS)) Related resource that belongs to the Observation group
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for component S 0..* BackboneElement Component results
Slice: Unordered, Closed by type:value
.... component:observationText 0..* BackboneElement Observation Text
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Textual Observations (SNOMED-DICOM-LOINC) - IPS (extensible)
..... value[x] 1..1 string Actual component result
.... component:observationCode 0..* BackboneElement Observation Code
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
..... value[x] 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
.... component:numericQuantityMeasurement 0..* BackboneElement Observation Measurement, including linear, area and volume quantity measurements
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

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

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

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

..... value[x] 1..1 SampledData Actual component result

doco Documentation for this format

Terminology Bindings (Differential)

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

Constraints

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

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ObservationResultsUvIps Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
hasMemberOrComponent: component and hasMember are mutually exclusive
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf Σ 0..* Reference(Imaging Study (IPS)) Part of referenced event
... Slices for category 1..* CodeableConceptIPS Concept - reference to a terminology or just text
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


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



Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: imaging
... code S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
... subject SΣ 1..1 Reference(Patient (IPS)) Who and/or what the observation is about
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... effective[x] SΣC 1..1 Clinically relevant time/time-period for observation
ips-1: Datetime must be at least to day.
.... effective[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... data-absent-reason S 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(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 string Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueString SΣC 0..1 string Actual result
... bodySite 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... device 0..1 Reference(Device - performer, observer) (Measurement) Device
... hasMember Σ 0..* Reference(Observation Results: radiology (IPS) | Observation Results (IPS)) Related resource that belongs to the Observation group
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Closed by type:value
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... component:observationText SΣ 0..* BackboneElement Observation Text
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Textual Observations (SNOMED-DICOM-LOINC) - IPS (extensible)
..... value[x] Σ 1..1 string Actual component result
.... component:observationCode SΣ 0..* BackboneElement Observation Code
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
..... value[x] 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
.... component:numericQuantityMeasurement SΣ 0..* BackboneElement Observation Measurement, including linear, area and volume quantity measurements
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C 1..1 QuantityIPS A measured amount using UCUM
qty-3: If a code for the unit is present, the system SHALL also be present
.... component:numericRangeMeasurement SΣ 0..* BackboneElement Observation Measurement, including linear, area and volume range measurements
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C 1..1 RangeIPS Set of values bounded by low and high
rng-2: If present, low SHALL have a lower value than high
.... component:numericRatioMeasurement SΣ 0..* BackboneElement Observation Measurement, including linear, area and volume ratio measurements
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] C 1..1 RatioIPS A ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
.... component:numericSampledDataMeasurement SΣ 0..* BackboneElement Observation Measurement, including linear, area and volume sampled data measurements
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Measurement Observation (SNOMED-DICOM) - IPS (extensible): Codes identifying numeric measurements

..... value[x] Σ 1..1 SampledData Actual component result

doco Documentation for this format

Terminology Bindings

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

Constraints

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

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ObservationResultsUvIps Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
hasMemberOrComponent: component and hasMember are mutually exclusive
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(Imaging Study (IPS)) Part of referenced event
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


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


.... category:radiology S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
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: imaging
...... 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
... code S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Radiology Observation - IPS (extensible)
... subject SΣ 1..1 Reference(Patient (IPS)) 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 SΣC 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
ips-1: Datetime must be at least to day.
.... effective[x]All Types Content/Rules for all Types
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... data-absent-reason S 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 version was made available
... performer SΣ 1..* Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 string Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueString SΣC 0..1 string Actual result
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


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

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

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

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


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation Results: radiology (IPS) | Observation Results (IPS)) Related resource that belongs to the Observation group
.... 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 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
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Closed by type:value
.... component:All Slices Content/Rules for all slices
..... id