Resumen Clínico del Paciente de Chile
0.5.0-ci-build - STU3 Chile flag

Resumen Clínico del Paciente de Chile, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.5.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/IPS-CL/ and changes regularly. See the Directory of published versions

Resource Profile: Observación Resultado: Laboratorio/Patología

Official URL: https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Observation-resultado-laboratorio-patologico-cl-ips Version: 0.5.0-ci-build
Standards status: Draft Maturity Level: 1 Computable Name: ObservationResultadoLaboratorioPatologiaClIps

Resultados obtenidos para un examen de laboratorio

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservacionCL Measurements and simple assertions
Constraints: obs-6, obs-7, ips-2, ips-3
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificación para la observación
... Slices for category S 1..* CodeableConceptIPS(2.0.0) Clasificación del tipo de observación
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
.... category:laboratorio S 1..1 CodeableConcept Categoría de tipo: Laboratorio
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConceptIPS(2.0.0) Concepto - referencia a una terminología o simplemente a un texto
Binding: ResultsLaboratoryPathologyObservationUvIps (2.0.0) (preferred)
... subject SΣ 1..1 Reference(Paciente | Group | Dispositivo | CL Localización) Sobre Quien o Que se está realizando la observación
... encounter SΣ 0..1 Reference(CL Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
... effective[x] SΣ 1..1 Tiempo/Tiempo-periodo de relevancia clínica para la observación
.... effective[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... extension:data-absent-reason S 0..1 (Complex) Motivo por el cual no se encuentra el dato
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
....... value[x] 1..1 code Value of extension
Binding: DataAbsentReason (required): Es usado para especificar porque el elemento esperado por algún motivo el dato no se encuentra
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer SΣ 1..* Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam | Paciente | RelatedPerson) Quien es responsable por la observación
... Slices for value[x] SΣC 1..1 Resultado Actual
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueString SΣC 0..1 string Actual Resultado
.... value[x]:valueQuantity SΣC 0..1 Quantity Una cantidad medida utilizando UCUM (Unified Code for Units of Measure).
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConceptIPS(2.0.0) Concepto - referencia a una terminología o simplemente a un texto
Binding: ResultsCodedValuesLaboratoryPathologyUvIps (2.0.0) (preferred)
... interpretation S 0..* CodeableConceptIPS(2.0.0) Concepto que referencia a una terminología o un texto acorde
Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
... note S 0..* Annotation Comentarios sobre la observación
... specimen S 0..1 Reference(Muestra) Muestra tomada para la observación
... referenceRange C 0..* BackboneElement Utilizados como guía para la interpretación
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... hasMember SΣ 0..* Reference(Observación Resultado: Laboratorio/Patología) Grupo de recursos relacionados a la observación
... component SΣ 0..* BackboneElement Componente de los resultados del laboratorio o patología
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Tipo de componente de la observación
Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
.... value[x] SΣ 0..1 Actual Resultado del componente
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required Results Status Codes - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratorio Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base preferred Results Laboratory/Pathology Observation - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.effective[x].​extension:data-absent-reason.​value[x] Base required DataAbsentReason 📦4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
ips-2 error Observation Debe exisitir al menos uno de los siguientes elementos: value, dataAbsentReason, hasMember o component value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
ips-3 error Observation Si el observation tiene un componenete entonces, este elemento debe proveer value o dataAbsentReason component.exists() implies (component.value.exists() or component.dataAbsentReason.exists())
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservacionCL

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservacionCL Measurements and simple assertions
Constraints: ips-2, ips-3
... status 1..1 code final | amended | corrected
Binding: ResultsStatusUvIps (2.0.0) (required)
... Slices for category 1..* CodeableConceptIPS(2.0.0) Clasificación del tipo de observación
Slice: Unordered, Open by pattern:$this
.... category:laboratorio S 1..1 CodeableConcept Categoría de tipo: Laboratorio
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
... code 1..1 CodeableConceptIPS(2.0.0) Concepto - referencia a una terminología o simplemente a un texto
Binding: ResultsLaboratoryPathologyObservationUvIps (2.0.0) (preferred)
... effective[x] 1..1 Tiempo/Tiempo-periodo de relevancia clínica para la observación
.... effective[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... extension:data-absent-reason S 0..1 (Complex) Motivo por el cual no se encuentra el dato
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
....... value[x] 1..1 code Value of extension
Binding: DataAbsentReason (required): Es usado para especificar porque el elemento esperado por algún motivo el dato no se encuentra
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer 1..* Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam | Paciente | RelatedPerson) Quien es responsable por la observación
... Slices for value[x] 1..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Resultado Actual
Slice: Unordered, Open by type:$this
.... value[x]:valueString S 0..1 string Actual Resultado
.... value[x]:valueQuantity S 0..1 Quantity Una cantidad medida utilizando UCUM (Unified Code for Units of Measure).
.... value[x]:valueCodeableConcept S 0..1 CodeableConceptIPS(2.0.0) Concepto - referencia a una terminología o simplemente a un texto
Binding: ResultsCodedValuesLaboratoryPathologyUvIps (2.0.0) (preferred)
... interpretation 0..* CodeableConceptIPS(2.0.0) Concepto que referencia a una terminología o un texto acorde
... specimen 0..1 Reference(Muestra) Muestra tomada para la observación
... referenceRange 0..* BackboneElement Utilizados como guía para la interpretación
... hasMember 0..* Reference(Observación Resultado: Laboratorio/Patología) Grupo de recursos relacionados a la observación
... component 0..* BackboneElement Componente de los resultados del laboratorio o patología
.... code 1..1 CodeableConcept Tipo de componente de la observación

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.status Base required Results Status Codes - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.code Base preferred Results Laboratory/Pathology Observation - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.effective[x].​extension:data-absent-reason.​value[x] Base required DataAbsentReason 📦4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0

Constraints

Id Grade Path(s) Description Expression
ips-2 error Observation Debe exisitir al menos uno de los siguientes elementos: value, dataAbsentReason, hasMember o component value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
ips-3 error Observation Si el observation tiene un componenete entonces, este elemento debe proveer value o dataAbsentReason component.exists() implies (component.value.exists() or component.dataAbsentReason.exists())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservacionCL Measurements and simple assertions
Constraints: obs-6, obs-7, ips-2, ips-3
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificación para la observación
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code final | amended | corrected
Binding: ResultsStatusUvIps (2.0.0) (required)
... Slices for category S 1..* CodeableConceptIPS(2.0.0) Clasificación del tipo de observación
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
.... category:laboratorio S 1..1 CodeableConcept Categoría de tipo: Laboratorio
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConceptIPS(2.0.0) Concepto - referencia a una terminología o simplemente a un texto
Binding: ResultsLaboratoryPathologyObservationUvIps (2.0.0) (preferred)
... subject SΣ 1..1 Reference(Paciente | Group | Dispositivo | CL Localización) Sobre Quien o Que se está realizando la observación
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(CL Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
... effective[x] SΣ 1..1 Tiempo/Tiempo-periodo de relevancia clínica para la observación
.... effective[x]All Types Content/Rules for all Types
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:data-absent-reason S 0..1 (Complex) Motivo por el cual no se encuentra el dato
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
....... value[x] 1..1 code Value of extension
Binding: DataAbsentReason (required): Es usado para especificar porque el elemento esperado por algún motivo el dato no se encuentra
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 1..* Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam | Paciente | RelatedPerson) Quien es responsable por la observación
... Slices for value[x] SΣC 1..1 Resultado Actual
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueString SΣC 0..1 string Actual Resultado
.... value[x]:valueQuantity SΣC 0..1 Quantity Una cantidad medida utilizando UCUM (Unified Code for Units of Measure).
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConceptIPS(2.0.0) Concepto - referencia a una terminología o simplemente a un texto
Binding: ResultsCodedValuesLaboratoryPathologyUvIps (2.0.0) (preferred)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation S 0..* CodeableConceptIPS(2.0.0) Concepto que referencia a una terminología o un texto acorde
Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
... note S 0..* Annotation Comentarios sobre la observación
... bodySite 0..1 CodeableConcept Observed body part
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 S 0..1 Reference(Muestra) Muestra tomada para la observación
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Utilizados como guía para la interpretación
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity 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 SΣ 0..* Reference(Observación Resultado: Laboratorio/Patología) Grupo de recursos relacionados a la observación
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component SΣ 0..* BackboneElement Componente de los resultados del laboratorio o patología
.... 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 SΣ 1..1 CodeableConcept Tipo de componente de la observación
Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
.... value[x] SΣ 0..1 Actual Resultado del componente
..... 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 S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.status Base required Results Status Codes - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratorio Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base preferred Results Laboratory/Pathology Observation - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.effective[x].​extension:data-absent-reason.​value[x] Base required DataAbsentReason 📦4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📦4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📦4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
ips-2 error Observation Debe exisitir al menos uno de los siguientes elementos: value, dataAbsentReason, hasMember o component value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
ips-3 error Observation Si el observation tiene un componenete entonces, este elemento debe proveer value o dataAbsentReason component.exists() implies (component.value.exists() or component.dataAbsentReason.exists())
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservacionCL Measurements and simple assertions
Constraints: obs-6, obs-7, ips-2, ips-3
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificación para la observación
... Slices for category S 1..* CodeableConceptIPS(2.0.0) Clasificación del tipo de observación
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
.... category:laboratorio S 1..1 CodeableConcept Categoría de tipo: Laboratorio
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConceptIPS(2.0.0) Concepto - referencia a una terminología o simplemente a un texto
Binding: ResultsLaboratoryPathologyObservationUvIps (2.0.0) (preferred)
... subject SΣ 1..1 Reference(Paciente | Group | Dispositivo | CL Localización) Sobre Quien o Que se está realizando la observación
... encounter SΣ 0..1 Reference(CL Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
... effective[x] SΣ 1..1 Tiempo/Tiempo-periodo de relevancia clínica para la observación
.... effective[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... extension:data-absent-reason S 0..1 (Complex) Motivo por el cual no se encuentra el dato
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
....... value[x] 1..1 code Value of extension
Binding: DataAbsentReason (required): Es usado para especificar porque el elemento esperado por algún motivo el dato no se encuentra
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer SΣ 1..* Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam | Paciente | RelatedPerson) Quien es responsable por la observación
... Slices for value[x] SΣC 1..1 Resultado Actual
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueString SΣC 0..1 string Actual Resultado
.... value[x]:valueQuantity SΣC 0..1 Quantity Una cantidad medida utilizando UCUM (Unified Code for Units of Measure).
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConceptIPS(2.0.0) Concepto - referencia a una terminología o simplemente a un texto
Binding: ResultsCodedValuesLaboratoryPathologyUvIps (2.0.0) (preferred)
... interpretation S 0..* CodeableConceptIPS(2.0.0) Concepto que referencia a una terminología o un texto acorde
Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
... note S 0..* Annotation Comentarios sobre la observación
... specimen S 0..1 Reference(Muestra) Muestra tomada para la observación
... referenceRange C 0..* BackboneElement Utilizados como guía para la interpretación
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... hasMember SΣ 0..* Reference(Observación Resultado: Laboratorio/Patología) Grupo de recursos relacionados a la observación
... component SΣ 0..* BackboneElement Componente de los resultados del laboratorio o patología
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Tipo de componente de la observación
Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
.... value[x] SΣ 0..1 Actual Resultado del componente
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required Results Status Codes - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratorio Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base preferred Results Laboratory/Pathology Observation - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.effective[x].​extension:data-absent-reason.​value[x] Base required DataAbsentReason 📦4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
ips-2 error Observation Debe exisitir al menos uno de los siguientes elementos: value, dataAbsentReason, hasMember o component value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
ips-3 error Observation Si el observation tiene un componenete entonces, este elemento debe proveer value o dataAbsentReason component.exists() implies (component.value.exists() or component.dataAbsentReason.exists())
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from ObservacionCL

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservacionCL Measurements and simple assertions
Constraints: ips-2, ips-3
... status 1..1 code final | amended | corrected
Binding: ResultsStatusUvIps (2.0.0) (required)
... Slices for category 1..* CodeableConceptIPS(2.0.0) Clasificación del tipo de observación
Slice: Unordered, Open by pattern:$this
.... category:laboratorio S 1..1 CodeableConcept Categoría de tipo: Laboratorio
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
... code 1..1 CodeableConceptIPS(2.0.0) Concepto - referencia a una terminología o simplemente a un texto
Binding: ResultsLaboratoryPathologyObservationUvIps (2.0.0) (preferred)
... effective[x] 1..1 Tiempo/Tiempo-periodo de relevancia clínica para la observación
.... effective[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... extension:data-absent-reason S 0..1 (Complex) Motivo por el cual no se encuentra el dato
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
....... value[x] 1..1 code Value of extension
Binding: DataAbsentReason (required): Es usado para especificar porque el elemento esperado por algún motivo el dato no se encuentra
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer 1..* Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam | Paciente | RelatedPerson) Quien es responsable por la observación
... Slices for value[x] 1..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Resultado Actual
Slice: Unordered, Open by type:$this
.... value[x]:valueString S 0..1 string Actual Resultado
.... value[x]:valueQuantity S 0..1 Quantity Una cantidad medida utilizando UCUM (Unified Code for Units of Measure).
.... value[x]:valueCodeableConcept S 0..1 CodeableConceptIPS(2.0.0) Concepto - referencia a una terminología o simplemente a un texto
Binding: ResultsCodedValuesLaboratoryPathologyUvIps (2.0.0) (preferred)
... interpretation 0..* CodeableConceptIPS(2.0.0) Concepto que referencia a una terminología o un texto acorde
... specimen 0..1 Reference(Muestra) Muestra tomada para la observación
... referenceRange 0..* BackboneElement Utilizados como guía para la interpretación
... hasMember 0..* Reference(Observación Resultado: Laboratorio/Patología) Grupo de recursos relacionados a la observación
... component 0..* BackboneElement Componente de los resultados del laboratorio o patología
.... code 1..1 CodeableConcept Tipo de componente de la observación

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.status Base required Results Status Codes - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.code Base preferred Results Laboratory/Pathology Observation - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.effective[x].​extension:data-absent-reason.​value[x] Base required DataAbsentReason 📦4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0

Constraints

Id Grade Path(s) Description Expression
ips-2 error Observation Debe exisitir al menos uno de los siguientes elementos: value, dataAbsentReason, hasMember o component value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
ips-3 error Observation Si el observation tiene un componenete entonces, este elemento debe proveer value o dataAbsentReason component.exists() implies (component.value.exists() or component.dataAbsentReason.exists())

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservacionCL Measurements and simple assertions
Constraints: obs-6, obs-7, ips-2, ips-3
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificación para la observación
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code final | amended | corrected
Binding: ResultsStatusUvIps (2.0.0) (required)
... Slices for category S 1..* CodeableConceptIPS(2.0.0) Clasificación del tipo de observación
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
.... category:laboratorio S 1..1 CodeableConcept Categoría de tipo: Laboratorio
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConceptIPS(2.0.0) Concepto - referencia a una terminología o simplemente a un texto
Binding: ResultsLaboratoryPathologyObservationUvIps (2.0.0) (preferred)
... subject SΣ 1..1 Reference(Paciente | Group | Dispositivo | CL Localización) Sobre Quien o Que se está realizando la observación
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(CL Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
... effective[x] SΣ 1..1 Tiempo/Tiempo-periodo de relevancia clínica para la observación
.... effective[x]All Types Content/Rules for all Types
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:data-absent-reason S 0..1 (Complex) Motivo por el cual no se encuentra el dato
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
....... value[x] 1..1 code Value of extension
Binding: DataAbsentReason (required): Es usado para especificar porque el elemento esperado por algún motivo el dato no se encuentra
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 1..* Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam | Paciente | RelatedPerson) Quien es responsable por la observación
... Slices for value[x] SΣC 1..1 Resultado Actual
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueString SΣC 0..1 string Actual Resultado
.... value[x]:valueQuantity SΣC 0..1 Quantity Una cantidad medida utilizando UCUM (Unified Code for Units of Measure).
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConceptIPS(2.0.0) Concepto - referencia a una terminología o simplemente a un texto
Binding: ResultsCodedValuesLaboratoryPathologyUvIps (2.0.0) (preferred)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation S 0..* CodeableConceptIPS(2.0.0) Concepto que referencia a una terminología o un texto acorde
Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
... note S 0..* Annotation Comentarios sobre la observación
... bodySite 0..1 CodeableConcept Observed body part
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 S 0..1 Reference(Muestra) Muestra tomada para la observación
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Utilizados como guía para la interpretación
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity 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 SΣ 0..* Reference(Observación Resultado: Laboratorio/Patología) Grupo de recursos relacionados a la observación
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component SΣ 0..* BackboneElement Componente de los resultados del laboratorio o patología
.... 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 SΣ 1..1 CodeableConcept Tipo de componente de la observación
Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
.... value[x] SΣ 0..1 Actual Resultado del componente
..... 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 S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.status Base required Results Status Codes - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratorio Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base preferred Results Laboratory/Pathology Observation - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.effective[x].​extension:data-absent-reason.​value[x] Base required DataAbsentReason 📦4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📍2.0.0 International Patient Summary Implementation Guide v2.0
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📦4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📦4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
ips-2 error Observation Debe exisitir al menos uno de los siguientes elementos: value, dataAbsentReason, hasMember o component value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
ips-3 error Observation Si el observation tiene un componenete entonces, este elemento debe proveer value o dataAbsentReason component.exists() implies (component.value.exists() or component.dataAbsentReason.exists())
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

 

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