Smart Health Checks
0.3.0 - ci-build

Smart Health Checks, published by AEHRC CSIRO. This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/aehrc/smart-forms-ig/ and changes regularly. See the Directory of published versions

## Resource Profile: Smart Health Checks Pathology Result

Official URL: https://smartforms.csiro.au/ig/StructureDefinition/SHCPathologyResult | Version: 0.3.0
Draft as of 2025-10-01 | Computable Name: SmartHealthChecksPathologyResult
Copyright/Legal: Copyright © 2022+ Australian Government Department of Health and Aged Care - All rights reserved. This content is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. See https://creativecommons.org/licenses/by-sa/4.0/.

This profile sets the minimum expectations for an Observation resource to search and retrieve pathology result information when used within Smart Health Checks.

Usages:

- CapabilityStatements using this Profile: SHC App and SHC Host FHIR Server
- This Profile is not used by any profiles in this Implementation Guide

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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | AUCorePathologyResult | A pathology test result in an Australian healthcare context Constraints: obs-6, obs-7, inv-obs-0, au-core-obs-01
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!SO Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
Slices for category | SO | 1..* | CodeableConcept | Classification of the service requested as laboratory + more specific discipline where available Slice: Unordered, Open by value:coding.system, value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
category:lab | SO | 1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
coding | Σ | 1..* | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory
category:specificDiscipline | SO | 0..* | CodeableConcept | Specific discipline of pathology Binding: Pathology Diagnostic Service Category (extensible)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
code | SO Σ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible)
Additional Bindings | Purpose
RCPA - SPIA Chemical Pathology Value Set | Component
RCPA - SPIA Haematology Value Set | Component
RCPA - SPIA Immunopathology Value Set | Component
RCPA - SPIA Microbiology Serology Molecular Pathology Value Set | Component
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
coding | SO Σ | 0..* | Coding | Code defined by a terminology system
Obligations | Actor
SHALL:populate | SHC Host FHIR Server
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate | SHC Host FHIR Server |
Slices for effective[x] | SO Σ C | 1..1 |  | Time of specimen collection Slice: Unordered, Open by type:$this Constraints: au-core-obs-02
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
effective[x]:effectiveDateTime | SO Σ C | 0..1 | dateTime | Time of specimen collection Constraints: au-core-obs-02
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known & SHOULD:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
performer | SO Σ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Core RelatedPerson) | Who is responsible for the observation
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
Slices for value[x] | SO Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | SO Σ C | 0..1 | Quantity | Actual result
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known & SHOULD:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
value | SO Σ | 0..1 | decimal | Numerical value (with implicit precision)
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system | SO Σ C | 0..1 | uri | System that defines coded unit form
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
code | SO Σ | 0..1 | code | Coded form of the unit
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
dataAbsentReason | SO C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
interpretation | SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
specimen | SO | 0..1 | Reference(AU Base Specimen) | Specimen used for this observation
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
referenceRange | SO C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | SO C | 0..1 | SimpleQuantity | Low Range, if relevant
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
high | SO C | 0..1 | SimpleQuantity | High Range, if relevant
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
type | SO | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
text | SO | 0..1 | string | Text based reference range in an observation
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
hasMember | SO Σ C | 0..* | Reference(AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
component | SO Σ C | 0..* | BackboneElement | Individual tests in a group or panel Constraints: au-core-obs-03
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | SO Σ | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
value[x] | SO Σ C | 0..1 |  | Actual component result
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | SO C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:lab | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:specificDiscipline | Base | extensible | Pathology Diagnostic Service Category | ⏿1.0.0 | tx.ontoserver.csiro.au
Observation.code | Base | extensible | RCPA SPIA Pathology Reporting | ⏿1.0.0 | tx.ontoserver.csiro.au
Observation.value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std.
Observation.component.​code | Base | extensible | RCPA SPIA Pathology Reporting | ⏿1.0.0 | tx.ontoserver.csiro.au
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
au-core-obs-01 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present | `(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())`
au-core-obs-02 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present | `(($this is dateTime implies $this.toString().length() >= 10) and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not()) xor ($this is dateTime implies ($this.hasValue().not() and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists()))`
au-core-obs-03 | error | Observation.component | The component shall at least have a value or a data absent reason | `value.exists() or dataAbsentReason.exists()`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
inv-obs-0 | error | Observation | A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason | `value.exists() or dataAbsentReason.exists() or hasMember.exists() or 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 AUCorePathologyResult

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | AUCorePathologyResult | A pathology test result in an Australian healthcare context
status | O | 1..1 | code | registered | preliminary | final | amended +
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
code |  |  |  |
coding | SO | 0..* | Coding | Code defined by a terminology system
Obligations | Actor
SHALL:populate | SHC Host FHIR Server
subject | O | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate | SHC Host FHIR Server |
Slices for effective[x] |  | 1..1 | dateTime, Period, Timing, instant | Time of specimen collection Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime | SO | 0..1 | dateTime | Time of specimen collection
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known & SHOULD:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
Slices for value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this
value[x]:valueQuantity | SO | 0..1 | Quantity | Actual result
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known & SHOULD:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
value | SO | 0..1 | decimal | Numerical value (with implicit precision)
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
system | SO | 0..1 | uri | System that defines coded unit form
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
code | SO | 0..1 | code | Coded form of the unit
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | AUCorePathologyResult | A pathology test result in an Australian healthcare context Constraints: obs-6, obs-7, inv-obs-0, au-core-obs-01
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 Bindings | Purpose
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 | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!SO Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
Slices for category | SO | 1..* | CodeableConcept | Classification of the service requested as laboratory + more specific discipline where available Slice: Unordered, Open by value:coding.system, value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
category:lab | SO | 1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
category:specificDiscipline | SO | 0..* | CodeableConcept | Specific discipline of pathology Binding: Pathology Diagnostic Service Category (extensible)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
code | SO Σ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible)
Additional Bindings | Purpose
RCPA - SPIA Chemical Pathology Value Set | Component
RCPA - SPIA Haematology Value Set | Component
RCPA - SPIA Immunopathology Value Set | Component
RCPA - SPIA Microbiology Serology Molecular Pathology Value Set | Component
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | SO Σ | 0..* | Coding | Code defined by a terminology system
Obligations | Actor
SHALL:populate | SHC Host FHIR Server
text | Σ | 0..1 | string | Plain text representation of the concept
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate | SHC Host FHIR Server |
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
Slices for effective[x] | SO Σ C | 1..1 |  | Time of specimen collection Slice: Unordered, Open by type:$this Constraints: au-core-obs-02
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
effective[x]:effectiveDateTime | SO Σ C | 0..1 | dateTime | Time of specimen collection Constraints: au-core-obs-02
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known & SHOULD:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | SO Σ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Core RelatedPerson) | Who is responsible for the observation
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
Slices for value[x] | SO Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | SO Σ C | 0..1 | Quantity | Actual result
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known & SHOULD:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | SO Σ | 0..1 | decimal | Numerical value (with implicit precision)
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
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 | SO Σ C | 0..1 | uri | System that defines coded unit form
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
code | SO Σ | 0..1 | code | Coded form of the unit
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
dataAbsentReason | SO C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
interpretation | SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen | SO | 0..1 | Reference(AU Base Specimen) | Specimen used for this observation
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | SO C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
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 | SO C | 0..1 | SimpleQuantity | Low Range, if relevant
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
high | SO C | 0..1 | SimpleQuantity | High Range, if relevant
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
type | SO | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
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 | SO | 0..1 | string | Text based reference range in an observation
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
hasMember | SO Σ C | 0..* | Reference(AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
component | SO Σ C | 0..* | BackboneElement | Individual tests in a group or panel Constraints: au-core-obs-03
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
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 | SO Σ | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
value[x] | SO Σ C | 0..1 |  | Actual component result
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | SO C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
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 | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:lab | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:specificDiscipline | Base | extensible | Pathology Diagnostic Service Category | ⏿1.0.0 | tx.ontoserver.csiro.au
Observation.code | Base | extensible | RCPA SPIA Pathology Reporting | ⏿1.0.0 | tx.ontoserver.csiro.au
Observation.value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
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 | extensible | RCPA SPIA Pathology Reporting | ⏿1.0.0 | tx.ontoserver.csiro.au
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
au-core-obs-01 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present | `(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())`
au-core-obs-02 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present | `(($this is dateTime implies $this.toString().length() >= 10) and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not()) xor ($this is dateTime implies ($this.hasValue().not() and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists()))`
au-core-obs-03 | error | Observation.component | The component shall at least have a value or a data absent reason | `value.exists() or dataAbsentReason.exists()`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
inv-obs-0 | error | Observation | A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason | `value.exists() or dataAbsentReason.exists() or hasMember.exists() or 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 AUCorePathologyResult

Summary

Must-Support: 6 elements

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.effective[x]
- The element 1 is sliced based on the value of Observation.value[x]

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | AUCorePathologyResult | A pathology test result in an Australian healthcare context Constraints: obs-6, obs-7, inv-obs-0, au-core-obs-01
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!SO Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
Slices for category | SO | 1..* | CodeableConcept | Classification of the service requested as laboratory + more specific discipline where available Slice: Unordered, Open by value:coding.system, value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
category:lab | SO | 1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
coding | Σ | 1..* | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory
category:specificDiscipline | SO | 0..* | CodeableConcept | Specific discipline of pathology Binding: Pathology Diagnostic Service Category (extensible)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
code | SO Σ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible)
Additional Bindings | Purpose
RCPA - SPIA Chemical Pathology Value Set | Component
RCPA - SPIA Haematology Value Set | Component
RCPA - SPIA Immunopathology Value Set | Component
RCPA - SPIA Microbiology Serology Molecular Pathology Value Set | Component
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
coding | SO Σ | 0..* | Coding | Code defined by a terminology system
Obligations | Actor
SHALL:populate | SHC Host FHIR Server
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate | SHC Host FHIR Server |
Slices for effective[x] | SO Σ C | 1..1 |  | Time of specimen collection Slice: Unordered, Open by type:$this Constraints: au-core-obs-02
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
effective[x]:effectiveDateTime | SO Σ C | 0..1 | dateTime | Time of specimen collection Constraints: au-core-obs-02
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known & SHOULD:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
performer | SO Σ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Core RelatedPerson) | Who is responsible for the observation
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
Slices for value[x] | SO Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | SO Σ C | 0..1 | Quantity | Actual result
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known & SHOULD:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
value | SO Σ | 0..1 | decimal | Numerical value (with implicit precision)
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system | SO Σ C | 0..1 | uri | System that defines coded unit form
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
code | SO Σ | 0..1 | code | Coded form of the unit
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
dataAbsentReason | SO C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
interpretation | SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
specimen | SO | 0..1 | Reference(AU Base Specimen) | Specimen used for this observation
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
referenceRange | SO C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | SO C | 0..1 | SimpleQuantity | Low Range, if relevant
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
high | SO C | 0..1 | SimpleQuantity | High Range, if relevant
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
type | SO | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
text | SO | 0..1 | string | Text based reference range in an observation
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
hasMember | SO Σ C | 0..* | Reference(AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
component | SO Σ C | 0..* | BackboneElement | Individual tests in a group or panel Constraints: au-core-obs-03
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | SO Σ | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
value[x] | SO Σ C | 0..1 |  | Actual component result
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | SO C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:lab | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:specificDiscipline | Base | extensible | Pathology Diagnostic Service Category | ⏿1.0.0 | tx.ontoserver.csiro.au
Observation.code | Base | extensible | RCPA SPIA Pathology Reporting | ⏿1.0.0 | tx.ontoserver.csiro.au
Observation.value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std.
Observation.component.​code | Base | extensible | RCPA SPIA Pathology Reporting | ⏿1.0.0 | tx.ontoserver.csiro.au
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
au-core-obs-01 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present | `(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())`
au-core-obs-02 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present | `(($this is dateTime implies $this.toString().length() >= 10) and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not()) xor ($this is dateTime implies ($this.hasValue().not() and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists()))`
au-core-obs-03 | error | Observation.component | The component shall at least have a value or a data absent reason | `value.exists() or dataAbsentReason.exists()`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
inv-obs-0 | error | Observation | A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason | `value.exists() or dataAbsentReason.exists() or hasMember.exists() or 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 AUCorePathologyResult

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | AUCorePathologyResult | A pathology test result in an Australian healthcare context
status | O | 1..1 | code | registered | preliminary | final | amended +
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
code |  |  |  |
coding | SO | 0..* | Coding | Code defined by a terminology system
Obligations | Actor
SHALL:populate | SHC Host FHIR Server
subject | O | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate | SHC Host FHIR Server |
Slices for effective[x] |  | 1..1 | dateTime, Period, Timing, instant | Time of specimen collection Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime | SO | 0..1 | dateTime | Time of specimen collection
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known & SHOULD:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
Slices for value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this
value[x]:valueQuantity | SO | 0..1 | Quantity | Actual result
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known & SHOULD:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
value | SO | 0..1 | decimal | Numerical value (with implicit precision)
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
system | SO | 0..1 | uri | System that defines coded unit form
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
code | SO | 0..1 | code | Coded form of the unit
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | AUCorePathologyResult | A pathology test result in an Australian healthcare context Constraints: obs-6, obs-7, inv-obs-0, au-core-obs-01
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 Bindings | Purpose
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 | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!SO Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
Slices for category | SO | 1..* | CodeableConcept | Classification of the service requested as laboratory + more specific discipline where available Slice: Unordered, Open by value:coding.system, value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
category:lab | SO | 1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
category:specificDiscipline | SO | 0..* | CodeableConcept | Specific discipline of pathology Binding: Pathology Diagnostic Service Category (extensible)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
code | SO Σ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible)
Additional Bindings | Purpose
RCPA - SPIA Chemical Pathology Value Set | Component
RCPA - SPIA Haematology Value Set | Component
RCPA - SPIA Immunopathology Value Set | Component
RCPA - SPIA Microbiology Serology Molecular Pathology Value Set | Component
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | SO Σ | 0..* | Coding | Code defined by a terminology system
Obligations | Actor
SHALL:populate | SHC Host FHIR Server
text | Σ | 0..1 | string | Plain text representation of the concept
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate | SHC Host FHIR Server |
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
Slices for effective[x] | SO Σ C | 1..1 |  | Time of specimen collection Slice: Unordered, Open by type:$this Constraints: au-core-obs-02
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
effective[x]:effectiveDateTime | SO Σ C | 0..1 | dateTime | Time of specimen collection Constraints: au-core-obs-02
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known & SHOULD:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | SO Σ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Core RelatedPerson) | Who is responsible for the observation
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
Slices for value[x] | SO Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | SO Σ C | 0..1 | Quantity | Actual result
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
SHALL:populate-if-known & SHOULD:populate | SHC Host FHIR Server |
SHALL:process | SHC App |
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | SO Σ | 0..1 | decimal | Numerical value (with implicit precision)
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
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 | SO Σ C | 0..1 | uri | System that defines coded unit form
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
code | SO Σ | 0..1 | code | Coded form of the unit
Obligations | Actor
SHALL:populate-if-known | SHC Host FHIR Server
SHALL:process | SHC App
dataAbsentReason | SO C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
interpretation | SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen | SO | 0..1 | Reference(AU Base Specimen) | Specimen used for this observation
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | SO C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
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 | SO C | 0..1 | SimpleQuantity | Low Range, if relevant
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
high | SO C | 0..1 | SimpleQuantity | High Range, if relevant
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
type | SO | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
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 | SO | 0..1 | string | Text based reference range in an observation
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
hasMember | SO Σ C | 0..* | Reference(AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
component | SO Σ C | 0..* | BackboneElement | Individual tests in a group or panel Constraints: au-core-obs-03
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
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 | SO Σ | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
value[x] | SO Σ C | 0..1 |  | Actual component result
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | SO C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core Pathology Result Observation
SHALL:no-error | AU Core Requester | from AU Core Pathology Result Observation
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
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 | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:lab | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:specificDiscipline | Base | extensible | Pathology Diagnostic Service Category | ⏿1.0.0 | tx.ontoserver.csiro.au
Observation.code | Base | extensible | RCPA SPIA Pathology Reporting | ⏿1.0.0 | tx.ontoserver.csiro.au
Observation.value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
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 | extensible | RCPA SPIA Pathology Reporting | ⏿1.0.0 | tx.ontoserver.csiro.au
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
au-core-obs-01 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present | `(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())`
au-core-obs-02 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present | `(($this is dateTime implies $this.toString().length() >= 10) and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not()) xor ($this is dateTime implies ($this.hasValue().not() and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists()))`
au-core-obs-03 | error | Observation.component | The component shall at least have a value or a data absent reason | `value.exists() or dataAbsentReason.exists()`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
inv-obs-0 | error | Observation | A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason | `value.exists() or dataAbsentReason.exists() or hasMember.exists() or 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 AUCorePathologyResult

Summary

Must-Support: 6 elements

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.effective[x]
- The element 1 is sliced based on the value of Observation.value[x]

Other representations of profile: CSV, Excel, Schematron