Smart Health Checks
0.4.0 - ci-build
Smart Health Checks
0.4.0 - ci-build
Smart Health Checks, published by AEHRC CSIRO. This guide is not an authorized publication; it is the continuous build for version 0.4.0 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
| Official URL: https://smartforms.csiro.au/ig/StructureDefinition/SHCPathologyResult | Version: 0.4.0 | |||
| Draft as of 2026-04-23 | 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/. |
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This profile sets the minimum expectations for an Observation resource to search and record pathology result information when used within Smart Health Checks.
The following are supported usage scenarios for this profile:
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| 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.hl7.org.au |
| Observation.code | Base | extensible |
RCPA SPIA Pathology Reporting
|
⏿1.0.0 | tx.hl7.org.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.hl7.org.au |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| 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:   | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Observation |
0..* | AUCorePathologyResult | A pathology test result in an Australian healthcare context | ||||||||||||||||
  status |
O | 1..1 | code | registered | preliminary | final | amended +
| |||||||||||||||
 code |
|||||||||||||||||||
  coding |
SO | 0..* | Coding | Code defined by a terminology system
| |||||||||||||||
| subject |
O | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
| |||||||||||||||
 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
| |||||||||||||||
 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
| |||||||||||||||
 value |
SO | 0..1 | decimal | Numerical value (with implicit precision)
| |||||||||||||||
| system |
SO | 0..1 | uri | System that defines coded unit form
| |||||||||||||||
 code |
SO | 0..1 | code | Coded form of the unit
| |||||||||||||||
| Documentation for this format | |||||||||||||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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.
| ||||||||||||||||||||||
| 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 |
?!SOΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| |||||||||||||||||||||
| 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.
| |||||||||||||||||||||
 category:lab |
SO | 1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| |||||||||||||||||||||
 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)
| |||||||||||||||||||||
| 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 |
SOΣ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible)
| |||||||||||||||||||||
| 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 |
SOΣ | 0..* | Coding | Code defined by a terminology system
| |||||||||||||||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | |||||||||||||||||||||
| subject |
SOΣ | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
| |||||||||||||||||||||
| 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] |
SOΣC | 1..1 | Time of specimen collection Slice: Unordered, Open by type:$this Constraints: au-core-obs-02
| ||||||||||||||||||||||
 effectiveDateTime |
dateTime | ||||||||||||||||||||||||
| effectivePeriod |
Period | ||||||||||||||||||||||||
| effectiveTiming |
Timing | ||||||||||||||||||||||||
| effectiveInstant |
instant | ||||||||||||||||||||||||
| effective[x]:effectiveDateTime |
SOΣC | 0..1 | dateTime | Time of specimen collection Constraints: au-core-obs-02
| |||||||||||||||||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | |||||||||||||||||||||
| performer |
SOΣ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Core RelatedPerson) | Who is responsible for the observation
| |||||||||||||||||||||
| Slices for value[x] |
SOΣC | 0..1 | Actual result 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]:valueQuantity |
SOΣC | 0..1 | Quantity | Actual result
| |||||||||||||||||||||
| 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 |
SOΣ | 0..1 | decimal | Numerical value (with implicit precision)
| |||||||||||||||||||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||||||||||||||
| unit |
Σ | 0..1 | string | Unit representation | |||||||||||||||||||||
| system |
SOΣC | 0..1 | uri | System that defines coded unit form
| |||||||||||||||||||||
| code |
SOΣ | 0..1 | code | Coded form of the unit
| |||||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| |||||||||||||||||||||
| interpretation |
SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| |||||||||||||||||||||
| 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
| |||||||||||||||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | ||||||||||||||||||||||
| referenceRange |
SOC | 0..* | BackboneElement | Provides guide for interpretation 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 |
SOC | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| |||||||||||||||||||||
| high |
SOC | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| |||||||||||||||||||||
| type |
SO | 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 |
SO | 0..1 | string | Text based reference range in an observation
| |||||||||||||||||||||
| hasMember |
SOΣC | 0..* | Reference(AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
| |||||||||||||||||||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | |||||||||||||||||||||
| component |
SOΣC | 0..* | BackboneElement | Individual tests in a group or panel Constraints: au-core-obs-03
| |||||||||||||||||||||
| 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 |
SOΣ | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible)
| |||||||||||||||||||||
 value[x] |
SOΣC | 0..1 | Actual component result
| ||||||||||||||||||||||
| valueQuantity |
Quantity | ||||||||||||||||||||||||
| valueCodeableConcept |
CodeableConcept | ||||||||||||||||||||||||
| valueString |
string | ||||||||||||||||||||||||
| valueBoolean |
boolean | ||||||||||||||||||||||||
| valueInteger |
integer | ||||||||||||||||||||||||
| valueRange |
Range | ||||||||||||||||||||||||
| valueRatio |
Ratio | ||||||||||||||||||||||||
| valueSampledData |
SampledData | ||||||||||||||||||||||||
| valueTime |
time | ||||||||||||||||||||||||
| valueDateTime |
dateTime | ||||||||||||||||||||||||
| valuePeriod |
Period | ||||||||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| |||||||||||||||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||||||||||||||||||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | ||||||||||||||||||||||
| Documentation for this format | |||||||||||||||||||||||||
| 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.hl7.org.au |
| Observation.code | Base | extensible |
RCPA SPIA Pathology Reporting
|
⏿1.0.0 | tx.hl7.org.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.hl7.org.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. |
| 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:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
?!SOΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| |||||||||||||||||||||
| 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.
| |||||||||||||||||||||
| category:lab |
SO | 1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| |||||||||||||||||||||
 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)
| |||||||||||||||||||||
| code |
SOΣ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible)
| |||||||||||||||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| |||||||||||||||||||||
| subject |
SOΣ | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
| |||||||||||||||||||||
| Slices for effective[x] |
SOΣC | 1..1 | Time of specimen collection Slice: Unordered, Open by type:$this Constraints: au-core-obs-02
| ||||||||||||||||||||||
| effectiveDateTime |
dateTime | ||||||||||||||||||||||||
| effectivePeriod |
Period | ||||||||||||||||||||||||
| effectiveTiming |
Timing | ||||||||||||||||||||||||
| effectiveInstant |
instant | ||||||||||||||||||||||||
| effective[x]:effectiveDateTime |
SOΣC | 0..1 | dateTime | Time of specimen collection Constraints: au-core-obs-02
| |||||||||||||||||||||
| performer |
SOΣ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Core RelatedPerson) | Who is responsible for the observation
| |||||||||||||||||||||
| Slices for value[x] |
SOΣC | 0..1 | Actual result 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]:valueQuantity |
SOΣC | 0..1 | Quantity | Actual result
| |||||||||||||||||||||
| value |
SOΣ | 0..1 | decimal | Numerical value (with implicit precision)
| |||||||||||||||||||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||||||||||||||
| system |
SOΣC | 0..1 | uri | System that defines coded unit form
| |||||||||||||||||||||
| code |
SOΣ | 0..1 | code | Coded form of the unit
| |||||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| |||||||||||||||||||||
| interpretation |
SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| |||||||||||||||||||||
| specimen |
SO | 0..1 | Reference(AU Base Specimen) | Specimen used for this observation
| |||||||||||||||||||||
| referenceRange |
SOC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
| |||||||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||||||||||
| low |
SOC | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| |||||||||||||||||||||
| high |
SOC | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| |||||||||||||||||||||
| type |
SO | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| |||||||||||||||||||||
| text |
SO | 0..1 | string | Text based reference range in an observation
| |||||||||||||||||||||
| hasMember |
SOΣC | 0..* | Reference(AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
| |||||||||||||||||||||
| component |
SOΣC | 0..* | BackboneElement | Individual tests in a group or panel Constraints: au-core-obs-03
| |||||||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||||||||||
| code |
SOΣ | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible)
| |||||||||||||||||||||
| value[x] |
SOΣC | 0..1 | Actual component result
| ||||||||||||||||||||||
| valueQuantity |
Quantity | ||||||||||||||||||||||||
| valueCodeableConcept |
CodeableConcept | ||||||||||||||||||||||||
| valueString |
string | ||||||||||||||||||||||||
| valueBoolean |
boolean | ||||||||||||||||||||||||
| valueInteger |
integer | ||||||||||||||||||||||||
| valueRange |
Range | ||||||||||||||||||||||||
| valueRatio |
Ratio | ||||||||||||||||||||||||
| valueSampledData |
SampledData | ||||||||||||||||||||||||
| valueTime |
time | ||||||||||||||||||||||||
| valueDateTime |
dateTime | ||||||||||||||||||||||||
| valuePeriod |
Period | ||||||||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| |||||||||||||||||||||
| Documentation for this format | |||||||||||||||||||||||||
| 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.hl7.org.au |
| Observation.code | Base | extensible |
RCPA SPIA Pathology Reporting
|
⏿1.0.0 | tx.hl7.org.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.hl7.org.au |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| 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: | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
0..* | AUCorePathologyResult | A pathology test result in an Australian healthcare context | ||||||||||||||||
| status |
O | 1..1 | code | registered | preliminary | final | amended +
| |||||||||||||||
| code |
|||||||||||||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| |||||||||||||||
| subject |
O | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
| |||||||||||||||
| 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
| |||||||||||||||
| 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
| |||||||||||||||
| value |
SO | 0..1 | decimal | Numerical value (with implicit precision)
| |||||||||||||||
| system |
SO | 0..1 | uri | System that defines coded unit form
| |||||||||||||||
| code |
SO | 0..1 | code | Coded form of the unit
| |||||||||||||||
| Documentation for this format | |||||||||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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.
| ||||||||||||||||||||||
| 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 |
?!SOΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| |||||||||||||||||||||
| 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.
| |||||||||||||||||||||
| category:lab |
SO | 1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| |||||||||||||||||||||
| 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)
| |||||||||||||||||||||
| 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 |
SOΣ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible)
| |||||||||||||||||||||
| 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 |
SOΣ | 0..* | Coding | Code defined by a terminology system
| |||||||||||||||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | |||||||||||||||||||||
| subject |
SOΣ | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
| |||||||||||||||||||||
| 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] |
SOΣC | 1..1 | Time of specimen collection Slice: Unordered, Open by type:$this Constraints: au-core-obs-02
| ||||||||||||||||||||||
| effectiveDateTime |
dateTime | ||||||||||||||||||||||||
| effectivePeriod |
Period | ||||||||||||||||||||||||
| effectiveTiming |
Timing | ||||||||||||||||||||||||
| effectiveInstant |
instant | ||||||||||||||||||||||||
| effective[x]:effectiveDateTime |
SOΣC | 0..1 | dateTime | Time of specimen collection Constraints: au-core-obs-02
| |||||||||||||||||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | |||||||||||||||||||||
| performer |
SOΣ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Core RelatedPerson) | Who is responsible for the observation
| |||||||||||||||||||||
| Slices for value[x] |
SOΣC | 0..1 | Actual result 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]:valueQuantity |
SOΣC | 0..1 | Quantity | Actual result
| |||||||||||||||||||||
| 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 |
SOΣ | 0..1 | decimal | Numerical value (with implicit precision)
| |||||||||||||||||||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||||||||||||||
| unit |
Σ | 0..1 | string | Unit representation | |||||||||||||||||||||
| system |
SOΣC | 0..1 | uri | System that defines coded unit form
| |||||||||||||||||||||
| code |
SOΣ | 0..1 | code | Coded form of the unit
| |||||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| |||||||||||||||||||||
| interpretation |
SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| |||||||||||||||||||||
| 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
| |||||||||||||||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | ||||||||||||||||||||||
| referenceRange |
SOC | 0..* | BackboneElement | Provides guide for interpretation 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 |
SOC | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| |||||||||||||||||||||
| high |
SOC | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| |||||||||||||||||||||
| type |
SO | 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 |
SO | 0..1 | string | Text based reference range in an observation
| |||||||||||||||||||||
| hasMember |
SOΣC | 0..* | Reference(AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
| |||||||||||||||||||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | |||||||||||||||||||||
| component |
SOΣC | 0..* | BackboneElement | Individual tests in a group or panel Constraints: au-core-obs-03
| |||||||||||||||||||||
| 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 |
SOΣ | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible)
| |||||||||||||||||||||
| value[x] |
SOΣC | 0..1 | Actual component result
| ||||||||||||||||||||||
| valueQuantity |
Quantity | ||||||||||||||||||||||||
| valueCodeableConcept |
CodeableConcept | ||||||||||||||||||||||||
| valueString |
string | ||||||||||||||||||||||||
| valueBoolean |
boolean | ||||||||||||||||||||||||
| valueInteger |
integer | ||||||||||||||||||||||||
| valueRange |
Range | ||||||||||||||||||||||||
| valueRatio |
Ratio | ||||||||||||||||||||||||
| valueSampledData |
SampledData | ||||||||||||||||||||||||
| valueTime |
time | ||||||||||||||||||||||||
| valueDateTime |
dateTime | ||||||||||||||||||||||||
| valuePeriod |
Period | ||||||||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| |||||||||||||||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||||||||||||||||||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | ||||||||||||||||||||||
| Documentation for this format | |||||||||||||||||||||||||
| 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.hl7.org.au |
| Observation.code | Base | extensible |
RCPA SPIA Pathology Reporting
|
⏿1.0.0 | tx.hl7.org.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.hl7.org.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. |
| 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:
Other representations of profile: CSV, Excel, Schematron