# Observation Results - Laboratory/Pathology (IPS) - International Patient Summary Implementation Guide v2.0.0

## Resource Profile: Observation Results - Laboratory/Pathology (IPS) 

 
This profile constrains the Observation resource to represent results produced by laboratory (including pathology) tests or panels/studies in a patient summary. 
This observation may represent the result of a simple laboratory test such as hematocrit or it may group the set of results produced by a multi-test study or panel such as a complete blood count, a dynamic function test, or a urine specimen study. In the latter case, the observation carries the overall conclusion of the study and or a global interpretation by the producer of the study, in the comment element; and references the atomic results of the study as "has-member" child observations. 

**Usages:**

* Use this Profile: [Bundle (IPS)](StructureDefinition-Bundle-uv-ips.md)
* Refer to this Profile: [Composition (IPS)](StructureDefinition-Composition-uv-ips.md), [DiagnosticReport (IPS)](StructureDefinition-DiagnosticReport-uv-ips.md) and [Observation Results - Laboratory/Pathology (IPS)](StructureDefinition-Observation-results-laboratory-pathology-uv-ips.md)
* Examples for this Profile: [Observation/hemoglobin](Observation-hemoglobin.md), [Observation/pathology-cancer](Observation-pathology-cancer.md), [Observation/pathology-suppressed-data](Observation-pathology-suppressed-data.md), [Observation/serum-creatinine-adult](Observation-serum-creatinine-adult.md) and [Observation/urine-wbc-range](Observation-urine-wbc-range.md)
* CapabilityStatements using this Profile: [IPS Server Capability Statement](CapabilityStatement-ips-server.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.uv.ips|current/StructureDefinition/Observation-results-laboratory-pathology-uv-ips)

### Formal Views of Profile Content

 [Description Differentials, Snapshots, and other representations](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](../StructureDefinition-Observation-results-laboratory-pathology-uv-ips.csv), [Excel](../StructureDefinition-Observation-results-laboratory-pathology-uv-ips.xlsx), [Schematron](../StructureDefinition-Observation-results-laboratory-pathology-uv-ips.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "Observation-results-laboratory-pathology-uv-ips",
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "pc"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 3,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/uv/ips/ImplementationGuide/hl7.fhir.uv.ips"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/uv/ips/ImplementationGuide/hl7.fhir.uv.ips"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-laboratory-pathology-uv-ips",
  "version" : "2.0.0",
  "name" : "ObservationResultsLaboratoryPathologyUvIps",
  "title" : "Observation Results - Laboratory/Pathology (IPS)",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-06-19T10:50:07-05:00",
  "publisher" : "HL7 International / Patient Care",
  "contact" : [
    {
      "name" : "HL7 International / Patient Care",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare"
        }
      ]
    }
  ],
  "description" : "This profile constrains the Observation resource to represent results produced by laboratory (including pathology) tests or panels/studies in a patient summary.\n\nThis observation may represent the result of a simple laboratory test such as hematocrit or it may group the set of results produced by a multi-test study or panel such as a complete blood count, a dynamic function test, or a urine specimen study. In the latter case, the observation carries the overall conclusion of the study and or a global interpretation by the producer of the study, in the comment element; and references the atomic results of the study as \"has-member\" child observations.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "purpose" : "This profile constrains the Observation resource to represent a laboratory or pathology in vitro diagnostic test or panel/study. In case of a panel or multiple-observation study, the results of the panel or study appear as sub-observations. In this case this top-level Observation acts as a grouper of all the observations belonging to the panel or study.  The top-level observation may carry a conclusion in the value element and or a global interpretation by the producer of the study, in the comment element.",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "sct-concept",
      "uri" : "http://snomed.info/conceptdomain",
      "name" : "SNOMED CT Concept Domain Binding"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "sct-attr",
      "uri" : "http://snomed.org/attributebinding",
      "name" : "SNOMED CT Attribute Binding"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "short" : "Laboratory (including Pathology) result for a simple test or for a panel/study",
        "definition" : "This observation may represent the result of a simple laboratory or pathology test such as hematocrit, or it may group the set of results produced by a multi-test study or panel such as a complete blood count, a dynamic function test, or a urine specimen study. In the latter case, the observation carries the overall conclusion of the study and references the atomic results of the study as \"has-member\" child observations",
        "comment" : "Represents either a lab simple observation or the group of observations produced by a laboratory study.",
        "constraint" : [
          {
            "key" : "ips-2",
            "severity" : "error",
            "human" : "At least one of these Observation elements shall be provided:  \"value\", \"dataAbsentReason\", \"hasMember\" or \"component\"",
            "expression" : "value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()",
            "source" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-laboratory-pathology-uv-ips"
          },
          {
            "key" : "ips-3",
            "severity" : "error",
            "human" : "If observation has components, at least one of these Observation.component elements shall be provided:  \"value\" or \"dataAbsentReason\"",
            "expression" : "component.exists() implies (component.value.exists() or component.dataAbsentReason.exists())",
            "source" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-laboratory-pathology-uv-ips"
          }
        ]
      },
      {
        "id" : "Observation.status",
        "path" : "Observation.status",
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationStatus"
            }
          ],
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips"
        }
      },
      {
        "id" : "Observation.category",
        "path" : "Observation.category",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        },
        "definition" : "A code that classifies the general type of observation being made. In this profile, fixed to \"laboratory\".",
        "comment" : "\"laboratory\" includes laboratory medicine and pathology",
        "min" : 1,
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id" : "Observation.category:laboratory",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:populate-if-known"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:display"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Observation.category",
        "sliceName" : "laboratory",
        "min" : 1,
        "max" : "1",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "laboratory"
            }
          ]
        },
        "mustSupport" : true
      },
      {
        "id" : "Observation.code",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:populate-if-known"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:display"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Observation.code",
        "definition" : "Describes what was observed. Sometimes this is called the observation \"name\".  In this profile this code represents either a simple laboratory test or a single pathology examination or a laboratory or pathology study with multiple child observations.",
        "comment" : "In the context of this Observation-results-laboratory-pathology-uv-ips profile, when the observation plays the role of a grouper of member sub-observations, the code represents the group (for instance a panel code). In case no code is available, at least a text shall be provided.",
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "mustSupport" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCode"
            }
          ],
          "strength" : "preferred",
          "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-pathology-observations-uv-ips"
        }
      },
      {
        "id" : "Observation.subject",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:populate-if-known"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:display"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Observation.subject",
        "definition" : "The patient, or group of patients, location, or device whose characteristics (direct or indirect) are described by the observation and into whose record the observation is placed.  Comments: Indirect characteristics may be those of a specimen, fetus, donor, other observer (for example a relative or EMT), or any observation made about the subject.\r\n\r\nIn this profile is constrained to the patient",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips",
              "http://hl7.org/fhir/StructureDefinition/Group",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Location"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.subject.reference",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:populate-if-known"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Observation.subject.reference",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.effective[x]",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:populate-if-known"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:display"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Observation.effective[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "min" : 1,
        "type" : [
          {
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.effective[x]:effectiveDateTime",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:able-to-populate"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:display"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Observation.effective[x]",
        "sliceName" : "effectiveDateTime",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.performer",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:populate-if-known"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:display"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Observation.performer",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips",
              "http://hl7.org/fhir/uv/ips/StructureDefinition/PractitionerRole-uv-ips",
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips",
              "http://hl7.org/fhir/StructureDefinition/CareTeam",
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x]",
        "path" : "Observation.value[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        }
      },
      {
        "id" : "Observation.value[x]:valueString",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:populate-if-known"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:display"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Observation.value[x]",
        "sliceName" : "valueString",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x]:valueQuantity",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:populate-if-known"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:display"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Observation.value[x]",
        "sliceName" : "valueQuantity",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Quantity"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x]:valueCodeableConcept",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:populate-if-known"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:display"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Observation.value[x]",
        "sliceName" : "valueCodeableConcept",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "mustSupport" : true,
        "binding" : {
          "strength" : "preferred",
          "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips"
        }
      },
      {
        "id" : "Observation.specimen",
        "path" : "Observation.specimen",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Specimen-uv-ips"
            ]
          }
        ]
      },
      {
        "id" : "Observation.hasMember",
        "path" : "Observation.hasMember",
        "definition" : "A reference to another Observation profiled by Observation-results-laboratory-pathology-uv-ips. The target observation (for instance an individual test member of a panel) is considered as a sub-observation of the current one, which plays the role of a grouper.",
        "comment" : "This element is used in the context of international patient summary when there is a need to group a collection of observations, because they belong to the same panel, or because they share a common interpretation comment, or a common media attachment (illustrative image or graph). In these cases, the current observation is the grouper, and its set of sub-observations are related observations using the type \"has-member\".  For a discussion on the ways Observations can be assembled in groups together see [Observation Grouping](http://hl7.org/fhir/observation.html#obsgrouping).",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-laboratory-pathology-uv-ips"
            ]
          }
        ]
      },
      {
        "id" : "Observation.component",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:populate-if-known"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHALL:handle"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension" : [
              {
                "url" : "code",
                "valueCode" : "SHOULD:display"
              },
              {
                "url" : "actor",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path" : "Observation.component",
        "mustSupport" : true
      }
    ]
  }
}

```
