SMART Health Cards: Vaccination & Testing Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-shc-vaccination-ig/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• JSON

Resource Profile: Generic Laboratory Result Observation Profile - Data Minimization

Defines a primary (DM) profile representing an infectious disease laboratory testing result in a health card.

See here for implementation details.

Usage:

• Use this Resource Profile: Infectious Disease (Generic) Laboratory Test Results Bundle - Data Minimization

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from SHCInfectiousDiseaseLaboratoryResultObservationAD

Name	Flags	Card.	Type	Description & Constraints
Observation			SHCInfectiousDiseaseLaboratoryResultObservationAD
id		0..0
meta
id		0..0
extension		0..0
versionId		0..0
lastUpdated		0..0
source		0..0
profile		0..0
tag		0..0
implicitRules		0..0
language		0..0
text		0..0
contained		0..0
extension		0..0
modifierExtension		0..0
identifier		0..0
basedOn		0..0
partOf		0..0
category		0..0
code
id		0..0
extension		0..0
coding		1..1	Coding	Code defined by a terminology system
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
subject		1..1	Reference(Patient Profile - General - Allowable Data)	Patient to whom lab result applies
id		0..0
extension		0..0
focus		0..0
encounter		0..0
issued		0..0
performer
id		0..0
extension		0..0
reference		0..0
type		0..0
identifier		0..0
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual result
id		0..0
extension		0..0
coding		1..1	Coding	Code defined by a terminology system
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
value[x]:valueQuantity		0..1	Quantity	Actual result
id		0..0
value[x]:valueString		0..1	string	String representation of results; used ONLY when a computable representation is not possible
id		0..0
dataAbsentReason		0..0
interpretation		0..0
note		0..0
bodySite		0..0
method		0..0
specimen		0..0
device		0..0
referenceRange
id		0..0
extension		0..0
modifierExtension		0..0
type
id		0..0
extension		0..0
text		0..0
appliesTo		0..0
age		0..0
hasMember		0..0
derivedFrom		0..0
Slices for component		0..1	BackboneElement	Component results Slice: Unordered, Closed by value:code
component:All Slices				Content/Rules for all slices
id		0..0
extension		0..0
modifierExtension		0..0
dataAbsentReason		0..0
interpretation		0..0
referenceRange		0..0
component:specimen-supervision-status		0..1	BackboneElement	Component results
id		0..0
extension		0..0
modifierExtension		0..0
code
id		0..0
extension		0..0
coding
id		0..0
extension		0..0
version		0..0
display		0..0
userSelected		0..0
text		0..0
value[x]:valueCodeableConcept		1..1	CodeableConcept	Actual component result
id		0..0
coding
id		0..0
extension		0..0
version		0..0
display		0..0
userSelected		0..0
text		0..0
dataAbsentReason		0..0
interpretation		0..0
referenceRange		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	SHCInfectiousDiseaseLaboratoryResultObservationAD	Measurements and simple assertions
meta	SΣ	0..1	Meta	Metadata about the resource
extension		0..0
security	SΣ	0..1	Coding	Limited security label to convey identity level of assurance for patient referenced by this resource. Binding: Identity Assurance Level (required)
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: Completed observation status (required)
code	SΣ	1..1	CodeableConcept	LOINC identifying the lab test Binding: LOINCCodes (required)
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(Patient Profile - General - Allowable Data)	Patient to whom lab result applies
extension		0..0
reference	ΣC	1..1	string	This SHOULD use an absolute URI like `resource:0` that will resolve within the containing Bundle.
effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	0..1	Reference(Organization)	Organization which was responsible for the laboratory test result.
extension		0..0
display	SΣC	1..1	string	Short, human-readable text representation of the organization.
Slices for value[x]	SΣC	1..1		Actual result Slice: Unordered, Closed by type:$this
valueCodeableConcept			CodeableConcept
valueQuantity			Quantity
valueString			string
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Actual result Binding: Lab result findings (SNOMED CT) (required)
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
value[x]:valueQuantity	ΣC	0..1	Quantity	Actual result
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
value[x]:valueString	ΣC	0..1	string	String representation of results; used ONLY when a computable representation is not possible
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation. SHOULD include if using valueQuantity.
Slices for component	Σ	0..1	BackboneElement	Component results Slice: Unordered, Closed by value:code
component:All Slices				Content/Rules for all slices
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:specimen-supervision-status	SΣ	0..1	BackboneElement	Component results
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	SNOMED CT concept 'Type of supervision for specimen collection (observable entity)' Fixed Value: 1208522006
Slices for value[x]	Σ	1..1	CodeableConcept	Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	Σ	1..1	CodeableConcept	Actual component result Binding: Specimen Collection Supervision Status (required)
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.meta.security	required	IdentityAssuranceLevel
Observation.status	required	CompletedObservationStatus
Observation.code	required	LOINCCodes (a valid code from LOINC)
Observation.value[x]:valueCodeableConcept	required	LabResultFindings
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:specimen-supervision-status.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:specimen-supervision-status.value[x]:valueCodeableConcept	required	SpecimenCollectionSupervisionStatus

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vc-observation-quantity-should-have-range	warning	Observation.value[x]:valueQuantity	Quantitative lab results SHOULD include reference range : %resource.referenceRange.exists()
vc-observation-range-only-quantity-or-string	warning	Observation.referenceRange	Reference range SHOULD be included for quantitative lab results, MAY be included for free text (string) results, and SHOULD NOT be included otherwise : $this.exists() and (%resource.value.ofType(Quantity).exists() or %resource.value.ofType(string).exists())
vc-should-be-under-20-chars	warning	Observation.value[x]:valueString	Length SHOULD be <20 for data minimization. : $this.length() < 20
vc-should-be-under-30-chars	warning	Observation.performer.display	Length SHOULD be <30 for data minimization. : $this.length() < 30

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	SHCInfectiousDiseaseLaboratoryResultObservationAD	Measurements and simple assertions
meta	SΣ	0..1	Meta	Metadata about the resource
extension		0..0
security	SΣ	0..1	Coding	Limited security label to convey identity level of assurance for patient referenced by this resource. Binding: Identity Assurance Level (required)
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: Completed observation status (required)
code	SΣ	1..1	CodeableConcept	LOINC identifying the lab test Binding: LOINCCodes (required)
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(Patient Profile - General - Allowable Data)	Patient to whom lab result applies
extension		0..0
reference	ΣC	1..1	string	This SHOULD use an absolute URI like `resource:0` that will resolve within the containing Bundle.
effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	0..1	Reference(Organization)	Organization which was responsible for the laboratory test result.
extension		0..0
display	SΣC	1..1	string	Short, human-readable text representation of the organization.
Slices for value[x]	SΣC	1..1		Actual result Slice: Unordered, Closed by type:$this
valueCodeableConcept			CodeableConcept
valueQuantity			Quantity
valueString			string
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Actual result Binding: Lab result findings (SNOMED CT) (required)
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
value[x]:valueQuantity	ΣC	0..1	Quantity	Actual result
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
value[x]:valueString	ΣC	0..1	string	String representation of results; used ONLY when a computable representation is not possible
extension		0..*	Extension	Additional content defined by implementations
value		0..1	string	Primitive value for string Max Length: 1048576
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation. SHOULD include if using valueQuantity.
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.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system
text		0..1	string	Text based reference range in an observation
Slices for component	Σ	0..1	BackboneElement	Component results Slice: Unordered, Closed by value:code
component:All Slices				Content/Rules for all slices
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
component:specimen-supervision-status	SΣ	0..1	BackboneElement	Component results
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	SNOMED CT concept 'Type of supervision for specimen collection (observable entity)' Fixed Value: 1208522006
Slices for value[x]	Σ	1..1	CodeableConcept	Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	Σ	1..1	CodeableConcept	Actual component result Binding: Specimen Collection Supervision Status (required)
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.meta.security	required	IdentityAssuranceLevel
Observation.status	required	CompletedObservationStatus
Observation.code	required	LOINCCodes (a valid code from LOINC)
Observation.value[x]:valueCodeableConcept	required	LabResultFindings
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:specimen-supervision-status.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:specimen-supervision-status.value[x]:valueCodeableConcept	required	SpecimenCollectionSupervisionStatus

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vc-observation-quantity-should-have-range	warning	Observation.value[x]:valueQuantity	Quantitative lab results SHOULD include reference range : %resource.referenceRange.exists()
vc-observation-range-only-quantity-or-string	warning	Observation.referenceRange	Reference range SHOULD be included for quantitative lab results, MAY be included for free text (string) results, and SHOULD NOT be included otherwise : $this.exists() and (%resource.value.ofType(Quantity).exists() or %resource.value.ofType(string).exists())
vc-should-be-under-20-chars	warning	Observation.value[x]:valueString	Length SHOULD be <20 for data minimization. : $this.length() < 20
vc-should-be-under-30-chars	warning	Observation.performer.display	Length SHOULD be <30 for data minimization. : $this.length() < 30

This structure is derived from SHCInfectiousDiseaseLaboratoryResultObservationAD

Summary

Mandatory: 3 elements (3 nested mandatory elements)
Prohibited: 90 elements

Slices

This structure defines the following Slices:

• The element Observation.component is sliced based on the value of value:code (Closed)

Differential View

This structure is derived from SHCInfectiousDiseaseLaboratoryResultObservationAD

Name	Flags	Card.	Type	Description & Constraints
Observation			SHCInfectiousDiseaseLaboratoryResultObservationAD
id		0..0
meta
id		0..0
extension		0..0
versionId		0..0
lastUpdated		0..0
source		0..0
profile		0..0
tag		0..0
implicitRules		0..0
language		0..0
text		0..0
contained		0..0
extension		0..0
modifierExtension		0..0
identifier		0..0
basedOn		0..0
partOf		0..0
category		0..0
code
id		0..0
extension		0..0
coding		1..1	Coding	Code defined by a terminology system
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
subject		1..1	Reference(Patient Profile - General - Allowable Data)	Patient to whom lab result applies
id		0..0
extension		0..0
focus		0..0
encounter		0..0
issued		0..0
performer
id		0..0
extension		0..0
reference		0..0
type		0..0
identifier		0..0
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual result
id		0..0
extension		0..0
coding		1..1	Coding	Code defined by a terminology system
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
value[x]:valueQuantity		0..1	Quantity	Actual result
id		0..0
value[x]:valueString		0..1	string	String representation of results; used ONLY when a computable representation is not possible
id		0..0
dataAbsentReason		0..0
interpretation		0..0
note		0..0
bodySite		0..0
method		0..0
specimen		0..0
device		0..0
referenceRange
id		0..0
extension		0..0
modifierExtension		0..0
type
id		0..0
extension		0..0
text		0..0
appliesTo		0..0
age		0..0
hasMember		0..0
derivedFrom		0..0
Slices for component		0..1	BackboneElement	Component results Slice: Unordered, Closed by value:code
component:All Slices				Content/Rules for all slices
id		0..0
extension		0..0
modifierExtension		0..0
dataAbsentReason		0..0
interpretation		0..0
referenceRange		0..0
component:specimen-supervision-status		0..1	BackboneElement	Component results
id		0..0
extension		0..0
modifierExtension		0..0
code
id		0..0
extension		0..0
coding
id		0..0
extension		0..0
version		0..0
display		0..0
userSelected		0..0
text		0..0
value[x]:valueCodeableConcept		1..1	CodeableConcept	Actual component result
id		0..0
coding
id		0..0
extension		0..0
version		0..0
display		0..0
userSelected		0..0
text		0..0
dataAbsentReason		0..0
interpretation		0..0
referenceRange		0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	SHCInfectiousDiseaseLaboratoryResultObservationAD	Measurements and simple assertions
meta	SΣ	0..1	Meta	Metadata about the resource
extension		0..0
security	SΣ	0..1	Coding	Limited security label to convey identity level of assurance for patient referenced by this resource. Binding: Identity Assurance Level (required)
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: Completed observation status (required)
code	SΣ	1..1	CodeableConcept	LOINC identifying the lab test Binding: LOINCCodes (required)
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(Patient Profile - General - Allowable Data)	Patient to whom lab result applies
extension		0..0
reference	ΣC	1..1	string	This SHOULD use an absolute URI like `resource:0` that will resolve within the containing Bundle.
effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	0..1	Reference(Organization)	Organization which was responsible for the laboratory test result.
extension		0..0
display	SΣC	1..1	string	Short, human-readable text representation of the organization.
Slices for value[x]	SΣC	1..1		Actual result Slice: Unordered, Closed by type:$this
valueCodeableConcept			CodeableConcept
valueQuantity			Quantity
valueString			string
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Actual result Binding: Lab result findings (SNOMED CT) (required)
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
value[x]:valueQuantity	ΣC	0..1	Quantity	Actual result
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
value[x]:valueString	ΣC	0..1	string	String representation of results; used ONLY when a computable representation is not possible
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation. SHOULD include if using valueQuantity.
Slices for component	Σ	0..1	BackboneElement	Component results Slice: Unordered, Closed by value:code
component:All Slices				Content/Rules for all slices
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:specimen-supervision-status	SΣ	0..1	BackboneElement	Component results
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	SNOMED CT concept 'Type of supervision for specimen collection (observable entity)' Fixed Value: 1208522006
Slices for value[x]	Σ	1..1	CodeableConcept	Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	Σ	1..1	CodeableConcept	Actual component result Binding: Specimen Collection Supervision Status (required)
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.meta.security	required	IdentityAssuranceLevel
Observation.status	required	CompletedObservationStatus
Observation.code	required	LOINCCodes (a valid code from LOINC)
Observation.value[x]:valueCodeableConcept	required	LabResultFindings
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:specimen-supervision-status.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:specimen-supervision-status.value[x]:valueCodeableConcept	required	SpecimenCollectionSupervisionStatus

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vc-observation-quantity-should-have-range	warning	Observation.value[x]:valueQuantity	Quantitative lab results SHOULD include reference range : %resource.referenceRange.exists()
vc-observation-range-only-quantity-or-string	warning	Observation.referenceRange	Reference range SHOULD be included for quantitative lab results, MAY be included for free text (string) results, and SHOULD NOT be included otherwise : $this.exists() and (%resource.value.ofType(Quantity).exists() or %resource.value.ofType(string).exists())
vc-should-be-under-20-chars	warning	Observation.value[x]:valueString	Length SHOULD be <20 for data minimization. : $this.length() < 20
vc-should-be-under-30-chars	warning	Observation.performer.display	Length SHOULD be <30 for data minimization. : $this.length() < 30

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	SHCInfectiousDiseaseLaboratoryResultObservationAD	Measurements and simple assertions
meta	SΣ	0..1	Meta	Metadata about the resource
extension		0..0
security	SΣ	0..1	Coding	Limited security label to convey identity level of assurance for patient referenced by this resource. Binding: Identity Assurance Level (required)
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: Completed observation status (required)
code	SΣ	1..1	CodeableConcept	LOINC identifying the lab test Binding: LOINCCodes (required)
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(Patient Profile - General - Allowable Data)	Patient to whom lab result applies
extension		0..0
reference	ΣC	1..1	string	This SHOULD use an absolute URI like `resource:0` that will resolve within the containing Bundle.
effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	0..1	Reference(Organization)	Organization which was responsible for the laboratory test result.
extension		0..0
display	SΣC	1..1	string	Short, human-readable text representation of the organization.
Slices for value[x]	SΣC	1..1		Actual result Slice: Unordered, Closed by type:$this
valueCodeableConcept			CodeableConcept
valueQuantity			Quantity
valueString			string
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Actual result Binding: Lab result findings (SNOMED CT) (required)
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
value[x]:valueQuantity	ΣC	0..1	Quantity	Actual result
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
value[x]:valueString	ΣC	0..1	string	String representation of results; used ONLY when a computable representation is not possible
extension		0..*	Extension	Additional content defined by implementations
value		0..1	string	Primitive value for string Max Length: 1048576
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation. SHOULD include if using valueQuantity.
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.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system
text		0..1	string	Text based reference range in an observation
Slices for component	Σ	0..1	BackboneElement	Component results Slice: Unordered, Closed by value:code
component:All Slices				Content/Rules for all slices
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
component:specimen-supervision-status	SΣ	0..1	BackboneElement	Component results
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	SNOMED CT concept 'Type of supervision for specimen collection (observable entity)' Fixed Value: 1208522006
Slices for value[x]	Σ	1..1	CodeableConcept	Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	Σ	1..1	CodeableConcept	Actual component result Binding: Specimen Collection Supervision Status (required)
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.meta.security	required	IdentityAssuranceLevel
Observation.status	required	CompletedObservationStatus
Observation.code	required	LOINCCodes (a valid code from LOINC)
Observation.value[x]:valueCodeableConcept	required	LabResultFindings
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:specimen-supervision-status.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:specimen-supervision-status.value[x]:valueCodeableConcept	required	SpecimenCollectionSupervisionStatus

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vc-observation-quantity-should-have-range	warning	Observation.value[x]:valueQuantity	Quantitative lab results SHOULD include reference range : %resource.referenceRange.exists()
vc-observation-range-only-quantity-or-string	warning	Observation.referenceRange	Reference range SHOULD be included for quantitative lab results, MAY be included for free text (string) results, and SHOULD NOT be included otherwise : $this.exists() and (%resource.value.ofType(Quantity).exists() or %resource.value.ofType(string).exists())
vc-should-be-under-20-chars	warning	Observation.value[x]:valueString	Length SHOULD be <20 for data minimization. : $this.length() < 20
vc-should-be-under-30-chars	warning	Observation.performer.display	Length SHOULD be <30 for data minimization. : $this.length() < 30

This structure is derived from SHCInfectiousDiseaseLaboratoryResultObservationAD

Summary

Mandatory: 3 elements (3 nested mandatory elements)
Prohibited: 90 elements

Slices

This structure defines the following Slices:

• The element Observation.component is sliced based on the value of value:code (Closed)