CH ELM (R4)
1.12.0 - ci-build Switzerland flag

CH ELM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 1.12.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-elm/ and changes regularly. See the Directory of published versions

Resource Profile: CH ELM Observation Results for HIV Recency Testing (strict)

Official URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-hiv-recency-strict Version: 1.12.0
Active as of 2025-10-03 Computable Name: ChElmObservationResultsLaboratoryHivRecencyStrict

Copyright/Legal: CC0-1.0

This CH ELM profile constrains the Observation resource for the purpose of laboratory test reports for hiv recency.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ChElmObservationResultsLaboratory CH ELM Observation Results: Laboratory
This profile also imposes the profile Observation Results: laboratory
Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2, ch-elm-expecting-specimen-specification, ch-elm-patient-name-representation-initial-loinc, ch-elm-patient-name-representation-initial-snomedct, ch-elm-patient-name-representation-initial-or-vctcode-loinc, ch-elm-patient-name-representation-initial-or-vctcode-snomedct, ch-elm-patient-name-representation-hiv-code-loinc, ch-elm-patient-name-representation-hiv-code-snomedct
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:triggeredBy-r5 0..* (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... Slices for extension Content/Rules for all slices
...... extension:observation 0..* Extension Triggering observation.
....... extension 0..0
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation) Value of extension
...... extension:type 0..* Extension The type of trigger
....... extension 0..0
....... url 1..1 uri "type"
....... value[x] 1..1 code Value of extension
...... extension:reason 0..* Extension Extension
....... extension 0..0
....... url 1..1 uri "reason"
....... value[x] 1..1 string Value of extension
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:labTestKit 0..* Reference(Device) Device Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
..... value[x] 1..1 Attachment Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:laboratory 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code Σ 1..1 ChElmCodeableConcept Type of observation (code / type)
Binding: CH ELM Results Laboratory Observation Complete (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77685-6
..... display 1..1 string Representation defined by the system
Fixed Value: HIV 1 and 2 IgG Ab [Identifier] in Serum or Plasma by Immunoblot
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(CH ELM Patient HIV) Who and/or what the observation is about
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:All Slices Content/Rules for all slices
..... Slices for extension Content/Rules for all slices
...... extension:data-absent-reason 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
.... effective[x]:effectiveDateTime ΣC 1..1 dateTime Clinically relevant time/time-period for observation
Constraints: ch-elm-dateTime
..... Slices for extension Content/Rules for all slices
...... extension:data-absent-reason 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
... performer Σ 1..1 Reference(CH ELM Organization: Lab) Who is responsible for the observation
.... Slices for extension Content/Rules for all slices
..... extension:performerFunction 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueString string
.... valueRatio Ratio
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... value[x]:valueString ΣC 0..1 string String if required by leading code, see also 'Guidance - Laboratory Result'
.... value[x]:valueRatio ΣC 0..1 RatioEuLab Ratio if required by leading code, see also 'Guidance - Laboratory Result'
.... value[x]:valueQuantity ΣC 0..1 QuantityEuLab Quantity if required by leading code, see also 'Guidance - Laboratory Result'
.... value[x]:valueCodeableConcept ΣC 0..1 ChElmCodeableConcept Positive/Negative or code for an additional organism specification, see also 'Guidance - Laboratory Result'
Binding: CH ELM Results Coded Values Laboratory (preferred)
.... value[x]:valueBoolean ΣC 0..1 boolean Actual result
.... value[x]:valueRange ΣC 0..1 RangeIPS Actual result
.... value[x]:valueTime ΣC 0..1 time Actual result
.... value[x]:valueDateTime ΣC 0..1 dateTime Actual result
.... value[x]:valuePeriod ΣC 0..1 Period Actual result
... interpretation 0..1 ChElmCodeableConcept see also 'Guidance - Laboratory Result'
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... specimen 1..1 Reference(CH ELM Specimen: Laboratory) Specimen used for this observation
... Slices for component Σ 7..7 BackboneElement Laboratory result
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:gp120 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118040000
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 glycoprotein 120 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:gp41 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118044009
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 glycoprotein 41 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:p31 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118052007
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 31 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:p24 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 117749009
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 24 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:p17 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118047002
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 17 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:gp105 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118062000
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 2 glycoprotein 105 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:gp36 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118067006
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 2 glycoprotein 36 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)

doco 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:laboratory Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:studyType Base required Laboratory Study Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
Observation.category:specialty Base required Laboratory Specialty 📦0.1.1 HL7 Europe Laboratory Report v0.1
Observation.code Base extensible CH ELM Results Laboratory Observation Complete 📦1.12.0 This IG
Observation.value[x]:valueCodeableConcept Base preferred CH ELM Results Coded Values Laboratory 📦1.12.0 This IG
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp120.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp120.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp41.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp41.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:p31.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:p31.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:p24.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:p24.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:p17.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:p17.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp105.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp105.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp36.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp36.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1

Constraints

Id Grade Path(s) Description Expression
ch-elm-dateTime error Observation.effective[x]:effectiveDateTime At least the format YYYY-MM-DD is required. $this.toString().length() >= 10
ch-elm-expecting-specimen-specification error Observation If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification, then Specimen.type must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs code.memberOf('http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification') implies (specimen.resolve().exists() and specimen.resolve().type.exists() and specimen.resolve().type.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code))
ch-elm-patient-name-representation-hiv-code-loinc error Observation If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-hiv-code-snomedct error Observation If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-initial-loinc error Observation If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
ch-elm-patient-name-representation-initial-or-vctcode-loinc error Observation If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line. 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-or-vctcode-snomedct error Observation If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line. 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-snomedct error Observation If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
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())
eu-lab-1 error Observation If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2 error Observation If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.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 ChElmObservationResultsLaboratory

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* ChElmObservationResultsLaboratory CH ELM Observation Results: Laboratory
This profile also imposes the profile Observation Results: laboratory
... code 1..1 ChElmCodeableConcept Type of observation (code / type)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77685-6
..... display 1..1 string Representation defined by the system
Fixed Value: HIV 1 and 2 IgG Ab [Identifier] in Serum or Plasma by Immunoblot
... subject 1..1 Reference(CH ELM Patient HIV) Who and/or what the observation is about
... Slices for component 7..7 BackboneElement Laboratory result
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
..... value[x] 1..1 Quantity Actual component result
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity 1..1 ChElmQuantityArbU contains the band intensity value
.... component:gp120 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118040000
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 glycoprotein 120 antibody (procedure)
.... component:gp41 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118044009
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 glycoprotein 41 antibody (procedure)
.... component:p31 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118052007
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 31 antibody (procedure)
.... component:p24 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 117749009
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 24 antibody (procedure)
.... component:p17 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118047002
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 17 antibody (procedure)
.... component:gp105 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118062000
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 2 glycoprotein 105 antibody (procedure)
.... component:gp36 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118067006
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 2 glycoprotein 36 antibody (procedure)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ChElmObservationResultsLaboratory CH ELM Observation Results: Laboratory
This profile also imposes the profile Observation Results: laboratory
Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2, ch-elm-expecting-specimen-specification, ch-elm-patient-name-representation-initial-loinc, ch-elm-patient-name-representation-initial-snomedct, ch-elm-patient-name-representation-initial-or-vctcode-loinc, ch-elm-patient-name-representation-initial-or-vctcode-snomedct, ch-elm-patient-name-representation-hiv-code-loinc, ch-elm-patient-name-representation-hiv-code-snomedct
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Laboratory Test Kit
Slice: Unordered, Open by value:url
.... extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:triggeredBy-r5 0..* (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:observation 0..* Extension Triggering observation.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation) Value of extension
...... extension:type 0..* Extension The type of trigger
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "type"
....... value[x] 1..1 code Value of extension
...... extension:reason 0..* Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "reason"
....... value[x] 1..1 string Value of extension
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:labTestKit 0..* Reference(Device) Device Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
..... value[x] 1..1 Attachment Value of extension
... 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 ?!Σ 1..1 code Status of this observation (e.g. preliminary, final,...)
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:laboratory 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code Σ 1..1 ChElmCodeableConcept Type of observation (code / type)
Binding: CH ELM Results Laboratory Observation Complete (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77685-6
..... display 1..1 string Representation defined by the system
Fixed Value: HIV 1 and 2 IgG Ab [Identifier] in Serum or Plasma by Immunoblot
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(CH ELM Patient HIV) Who and/or what the observation is about
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... 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] Σ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:data-absent-reason 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
.... effective[x]:effectiveDateTime ΣC 1..1 dateTime Clinically relevant time/time-period for observation
Constraints: ch-elm-dateTime
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:data-absent-reason 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
... issued Σ 0..1 instant Date/Time this result was made available
... performer Σ 1..1 Reference(CH ELM Organization: Lab) Who is responsible for the observation
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:performerFunction 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueString string
.... valueRatio Ratio
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... value[x]:valueString ΣC 0..1 string String if required by leading code, see also 'Guidance - Laboratory Result'
.... value[x]:valueRatio ΣC 0..1 RatioEuLab Ratio if required by leading code, see also 'Guidance - Laboratory Result'
.... value[x]:valueQuantity ΣC 0..1 QuantityEuLab Quantity if required by leading code, see also 'Guidance - Laboratory Result'
.... value[x]:valueCodeableConcept ΣC 0..1 ChElmCodeableConcept Positive/Negative or code for an additional organism specification, see also 'Guidance - Laboratory Result'
Binding: CH ELM Results Coded Values Laboratory (preferred)
.... value[x]:valueBoolean ΣC 0..1 boolean Actual result
.... value[x]:valueRange ΣC 0..1 RangeIPS Actual result
.... value[x]:valueTime ΣC 0..1 time Actual result
.... value[x]:valueDateTime ΣC 0..1 dateTime Actual result
.... value[x]:valuePeriod ΣC 0..1 Period Actual result
... dataAbsentReason C 0..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..1 ChElmCodeableConcept see also 'Guidance - Laboratory Result'
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: Laboratory Techniques (preferred)
... specimen 1..1 Reference(CH ELM Specimen: Laboratory) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) Measuring instrument
... referenceRange C 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 C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(CH LAB-Report Observation Results: Laboratory Report) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component Σ 7..7 BackboneElement Laboratory result
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:gp120 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118040000
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 glycoprotein 120 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:gp41 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118044009
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 glycoprotein 41 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:p31 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118052007
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 31 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:p24 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 117749009
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 24 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:p17 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118047002
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 17 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:gp105 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118062000
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 2 glycoprotein 105 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:gp36 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118067006
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 2 glycoprotein 36 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratory Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:studyType Base required Laboratory Study Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
Observation.category:specialty Base required Laboratory Specialty 📦0.1.1 HL7 Europe Laboratory Report v0.1
Observation.code Base extensible CH ELM Results Laboratory Observation Complete 📦1.12.0 This IG
Observation.subject.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Observation.performer.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred CH ELM Results Coded Values Laboratory 📦1.12.0 This IG
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 preferred Laboratory Techniques 📦0.1.1 HL7 Europe Laboratory Report v0.1
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 required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:gp120.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp120.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp120.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:gp120.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:gp41.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp41.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp41.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:gp41.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:p31.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:p31.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:p31.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:p31.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:p24.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:p24.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:p24.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:p24.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:p17.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:p17.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:p17.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:p17.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:gp105.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp105.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp105.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:gp105.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:gp36.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp36.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp36.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:gp36.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ch-elm-dateTime error Observation.effective[x]:effectiveDateTime At least the format YYYY-MM-DD is required. $this.toString().length() >= 10
ch-elm-expecting-specimen-specification error Observation If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification, then Specimen.type must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs code.memberOf('http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification') implies (specimen.resolve().exists() and specimen.resolve().type.exists() and specimen.resolve().type.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code))
ch-elm-patient-name-representation-hiv-code-loinc error Observation If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-hiv-code-snomedct error Observation If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-initial-loinc error Observation If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
ch-elm-patient-name-representation-initial-or-vctcode-loinc error Observation If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line. 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-or-vctcode-snomedct error Observation If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line. 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-snomedct error Observation If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
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())
eu-lab-1 error Observation If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2 error Observation If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ChElmObservationResultsLaboratory

Summary

Mandatory: 9 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component (Closed)

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ChElmObservationResultsLaboratory CH ELM Observation Results: Laboratory
This profile also imposes the profile Observation Results: laboratory
Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2, ch-elm-expecting-specimen-specification, ch-elm-patient-name-representation-initial-loinc, ch-elm-patient-name-representation-initial-snomedct, ch-elm-patient-name-representation-initial-or-vctcode-loinc, ch-elm-patient-name-representation-initial-or-vctcode-snomedct, ch-elm-patient-name-representation-hiv-code-loinc, ch-elm-patient-name-representation-hiv-code-snomedct
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:triggeredBy-r5 0..* (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... Slices for extension Content/Rules for all slices
...... extension:observation 0..* Extension Triggering observation.
....... extension 0..0
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation) Value of extension
...... extension:type 0..* Extension The type of trigger
....... extension 0..0
....... url 1..1 uri "type"
....... value[x] 1..1 code Value of extension
...... extension:reason 0..* Extension Extension
....... extension 0..0
....... url 1..1 uri "reason"
....... value[x] 1..1 string Value of extension
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:labTestKit 0..* Reference(Device) Device Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
..... value[x] 1..1 Attachment Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:laboratory 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code Σ 1..1 ChElmCodeableConcept Type of observation (code / type)
Binding: CH ELM Results Laboratory Observation Complete (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77685-6
..... display 1..1 string Representation defined by the system
Fixed Value: HIV 1 and 2 IgG Ab [Identifier] in Serum or Plasma by Immunoblot
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(CH ELM Patient HIV) Who and/or what the observation is about
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:All Slices Content/Rules for all slices
..... Slices for extension Content/Rules for all slices
...... extension:data-absent-reason 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
.... effective[x]:effectiveDateTime ΣC 1..1 dateTime Clinically relevant time/time-period for observation
Constraints: ch-elm-dateTime
..... Slices for extension Content/Rules for all slices
...... extension:data-absent-reason 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
... performer Σ 1..1 Reference(CH ELM Organization: Lab) Who is responsible for the observation
.... Slices for extension Content/Rules for all slices
..... extension:performerFunction 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueString string
.... valueRatio Ratio
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... value[x]:valueString ΣC 0..1 string String if required by leading code, see also 'Guidance - Laboratory Result'
.... value[x]:valueRatio ΣC 0..1 RatioEuLab Ratio if required by leading code, see also 'Guidance - Laboratory Result'
.... value[x]:valueQuantity ΣC 0..1 QuantityEuLab Quantity if required by leading code, see also 'Guidance - Laboratory Result'
.... value[x]:valueCodeableConcept ΣC 0..1 ChElmCodeableConcept Positive/Negative or code for an additional organism specification, see also 'Guidance - Laboratory Result'
Binding: CH ELM Results Coded Values Laboratory (preferred)
.... value[x]:valueBoolean ΣC 0..1 boolean Actual result
.... value[x]:valueRange ΣC 0..1 RangeIPS Actual result
.... value[x]:valueTime ΣC 0..1 time Actual result
.... value[x]:valueDateTime ΣC 0..1 dateTime Actual result
.... value[x]:valuePeriod ΣC 0..1 Period Actual result
... interpretation 0..1 ChElmCodeableConcept see also 'Guidance - Laboratory Result'
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... specimen 1..1 Reference(CH ELM Specimen: Laboratory) Specimen used for this observation
... Slices for component Σ 7..7 BackboneElement Laboratory result
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:gp120 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118040000
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 glycoprotein 120 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:gp41 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118044009
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 glycoprotein 41 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:p31 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118052007
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 31 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:p24 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 117749009
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 24 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:p17 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118047002
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 17 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:gp105 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118062000
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 2 glycoprotein 105 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
.... component:gp36 Σ 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118067006
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 2 glycoprotein 36 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)

doco 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:laboratory Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:studyType Base required Laboratory Study Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
Observation.category:specialty Base required Laboratory Specialty 📦0.1.1 HL7 Europe Laboratory Report v0.1
Observation.code Base extensible CH ELM Results Laboratory Observation Complete 📦1.12.0 This IG
Observation.value[x]:valueCodeableConcept Base preferred CH ELM Results Coded Values Laboratory 📦1.12.0 This IG
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp120.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp120.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp41.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp41.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:p31.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:p31.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:p24.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:p24.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:p17.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:p17.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp105.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp105.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp36.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp36.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1

Constraints

Id Grade Path(s) Description Expression
ch-elm-dateTime error Observation.effective[x]:effectiveDateTime At least the format YYYY-MM-DD is required. $this.toString().length() >= 10
ch-elm-expecting-specimen-specification error Observation If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification, then Specimen.type must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs code.memberOf('http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification') implies (specimen.resolve().exists() and specimen.resolve().type.exists() and specimen.resolve().type.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code))
ch-elm-patient-name-representation-hiv-code-loinc error Observation If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-hiv-code-snomedct error Observation If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-initial-loinc error Observation If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
ch-elm-patient-name-representation-initial-or-vctcode-loinc error Observation If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line. 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-or-vctcode-snomedct error Observation If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line. 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-snomedct error Observation If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
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())
eu-lab-1 error Observation If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2 error Observation If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.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 ChElmObservationResultsLaboratory

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* ChElmObservationResultsLaboratory CH ELM Observation Results: Laboratory
This profile also imposes the profile Observation Results: laboratory
... code 1..1 ChElmCodeableConcept Type of observation (code / type)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77685-6
..... display 1..1 string Representation defined by the system
Fixed Value: HIV 1 and 2 IgG Ab [Identifier] in Serum or Plasma by Immunoblot
... subject 1..1 Reference(CH ELM Patient HIV) Who and/or what the observation is about
... Slices for component 7..7 BackboneElement Laboratory result
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
..... value[x] 1..1 Quantity Actual component result
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity 1..1 ChElmQuantityArbU contains the band intensity value
.... component:gp120 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118040000
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 glycoprotein 120 antibody (procedure)
.... component:gp41 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118044009
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 glycoprotein 41 antibody (procedure)
.... component:p31 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118052007
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 31 antibody (procedure)
.... component:p24 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 117749009
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 24 antibody (procedure)
.... component:p17 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118047002
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 17 antibody (procedure)
.... component:gp105 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118062000
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 2 glycoprotein 105 antibody (procedure)
.... component:gp36 1..1 BackboneElement Laboratory result
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value%5Bx%5D Extension
..... code 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118067006
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 2 glycoprotein 36 antibody (procedure)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ChElmObservationResultsLaboratory CH ELM Observation Results: Laboratory
This profile also imposes the profile Observation Results: laboratory
Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2, ch-elm-expecting-specimen-specification, ch-elm-patient-name-representation-initial-loinc, ch-elm-patient-name-representation-initial-snomedct, ch-elm-patient-name-representation-initial-or-vctcode-loinc, ch-elm-patient-name-representation-initial-or-vctcode-snomedct, ch-elm-patient-name-representation-hiv-code-loinc, ch-elm-patient-name-representation-hiv-code-snomedct
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Laboratory Test Kit
Slice: Unordered, Open by value:url
.... extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:triggeredBy-r5 0..* (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:observation 0..* Extension Triggering observation.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation) Value of extension
...... extension:type 0..* Extension The type of trigger
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "type"
....... value[x] 1..1 code Value of extension
...... extension:reason 0..* Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "reason"
....... value[x] 1..1 string Value of extension
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:labTestKit 0..* Reference(Device) Device Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
..... value[x] 1..1 Attachment Value of extension
... 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 ?!Σ 1..1 code Status of this observation (e.g. preliminary, final,...)
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:laboratory 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code Σ 1..1 ChElmCodeableConcept Type of observation (code / type)
Binding: CH ELM Results Laboratory Observation Complete (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77685-6
..... display 1..1 string Representation defined by the system
Fixed Value: HIV 1 and 2 IgG Ab [Identifier] in Serum or Plasma by Immunoblot
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(CH ELM Patient HIV) Who and/or what the observation is about
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... 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] Σ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:data-absent-reason 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
.... effective[x]:effectiveDateTime ΣC 1..1 dateTime Clinically relevant time/time-period for observation
Constraints: ch-elm-dateTime
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:data-absent-reason 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
... issued Σ 0..1 instant Date/Time this result was made available
... performer Σ 1..1 Reference(CH ELM Organization: Lab) Who is responsible for the observation
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:performerFunction 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueString string
.... valueRatio Ratio
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... value[x]:valueString ΣC 0..1 string String if required by leading code, see also 'Guidance - Laboratory Result'
.... value[x]:valueRatio ΣC 0..1 RatioEuLab Ratio if required by leading code, see also 'Guidance - Laboratory Result'
.... value[x]:valueQuantity ΣC 0..1 QuantityEuLab Quantity if required by leading code, see also 'Guidance - Laboratory Result'
.... value[x]:valueCodeableConcept ΣC 0..1 ChElmCodeableConcept Positive/Negative or code for an additional organism specification, see also 'Guidance - Laboratory Result'
Binding: CH ELM Results Coded Values Laboratory (preferred)
.... value[x]:valueBoolean ΣC 0..1 boolean Actual result
.... value[x]:valueRange ΣC 0..1 RangeIPS Actual result
.... value[x]:valueTime ΣC 0..1 time Actual result
.... value[x]:valueDateTime ΣC 0..1 dateTime Actual result
.... value[x]:valuePeriod ΣC 0..1 Period Actual result
... dataAbsentReason C 0..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..1 ChElmCodeableConcept see also 'Guidance - Laboratory Result'
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: Laboratory Techniques (preferred)
... specimen 1..1 Reference(CH ELM Specimen: Laboratory) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) Measuring instrument
... referenceRange C 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 C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(CH LAB-Report Observation Results: Laboratory Report) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component Σ 7..7 BackboneElement Laboratory result
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:gp120 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118040000
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 glycoprotein 120 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:gp41 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118044009
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 glycoprotein 41 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:p31 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118052007
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 31 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:p24 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 117749009
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 24 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:p17 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118047002
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 1 protein 17 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:gp105 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118062000
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 2 glycoprotein 105 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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
.... component:gp36 Σ 1..1 BackboneElement Laboratory result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:value-r5 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
....... value[x] 1..1 Attachment Value of extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: CH ELM Results HIV Recency (required)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 118067006
....... display 1..1 string Representation defined by the system
Fixed Value: Measurement of Human immunodeficiency virus 2 glycoprotein 36 antibody (procedure)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ 1..1 ChElmQuantityArbU contains the band intensity value
...... value[x]:valueString Σ 0..1 string Actual component result
...... value[x]:valueBoolean Σ 0..1 boolean Actual component result
...... value[x]:valueRange Σ 0..1 RangeIPS Actual component result
...... value[x]:valueRatio Σ 0..1 RatioEuLab Actual component result
...... value[x]:valueTime Σ 0..1 time Actual component result
...... value[x]:valueDateTime Σ 0..1 dateTime Actual component result
...... value[x]:valuePeriod Σ 0..1 Period Actual component result
...... value[x]:valueCodeableConcept Σ 0..1 CodeableConceptIPS Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratory Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:studyType Base required Laboratory Study Types 📦0.1.1 HL7 Europe Laboratory Report v0.1
Observation.category:specialty Base required Laboratory Specialty 📦0.1.1 HL7 Europe Laboratory Report v0.1
Observation.code Base extensible CH ELM Results Laboratory Observation Complete 📦1.12.0 This IG
Observation.subject.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Observation.performer.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred CH ELM Results Coded Values Laboratory 📦1.12.0 This IG
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 preferred Laboratory Techniques 📦0.1.1 HL7 Europe Laboratory Report v0.1
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 required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:gp120.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp120.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp120.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:gp120.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:gp41.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp41.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp41.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:gp41.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:p31.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:p31.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:p31.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:p31.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:p24.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:p24.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:p24.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:p24.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:p17.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:p17.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:p17.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:p17.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:gp105.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp105.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp105.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:gp105.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:gp36.​code Base required CH ELM Results HIV Recency 📦1.12.0 This IG
Observation.component:gp36.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Observation.component:gp36.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:gp36.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ch-elm-dateTime error Observation.effective[x]:effectiveDateTime At least the format YYYY-MM-DD is required. $this.toString().length() >= 10
ch-elm-expecting-specimen-specification error Observation If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification, then Specimen.type must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs code.memberOf('http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification') implies (specimen.resolve().exists() and specimen.resolve().type.exists() and specimen.resolve().type.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code))
ch-elm-patient-name-representation-hiv-code-loinc error Observation If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-hiv-code-snomedct error Observation If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-initial-loinc error Observation If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
ch-elm-patient-name-representation-initial-or-vctcode-loinc error Observation If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line. 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-or-vctcode-snomedct error Observation If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line. 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-snomedct error Observation If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
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())
eu-lab-1 error Observation If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2 error Observation If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ChElmObservationResultsLaboratory

Summary

Mandatory: 9 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component (Closed)

 

Other representations of profile: CSV, Excel, Schematron