CH ELM (R4)
1.6.0 - release
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 1.6.0 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
Official URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-laboratory-strict | Version: 1.6.0 | |||
Active as of 2024-10-31 | Computable Name: ChElmObservationResultsLaboratoryStrict | |||
Copyright/Legal: CC0-1.0 |
CH ELM profile for the Observation resource with a stricter validation mechanism than the base profile via binding strength reinforcement for the leading code element.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ChElmObservationResultsLaboratory
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | ChElmObservationResultsLaboratory | This profile also imposes the profile Observation Results: laboratory | ||
code | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Laboratory Observation (required) | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.code | required | ChElmResultsLaboratoryObservationhttp://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-laboratory-observation from this IG |
Name | Flags | Card. | Type | Description & Constraints | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | ChElmObservationResultsLaboratory | CH ELM Observation Results: Laboratory This profile also imposes the profile Observation Results: laboratory obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: 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" ch-elm-expecting-specimen-specification: 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 ch-elm-expecting-organism-specification: If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-organism-specification, then Observation.valueCodeableConcept must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-organism-specification-to-results-completion-vs ch-elm-interpretation-code-loinc: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet ch-elm-interpretation-code-snomedct: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet ch-elm-patient-name-representation-initial-loinc: 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 ch-elm-patient-name-representation-initial-snomedct: 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 ch-elm-patient-name-representation-initial-or-vctcode-loinc: 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. ch-elm-patient-name-representation-initial-or-vctcode-snomedct: 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. ch-elm-observation-profile-loinc: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile ch-elm-observation-profile-snomedct: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile | ||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
Slices for extension | Content/Rules for all slices | |||||||||||
supportingInfo | 0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
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" | |||||||||
certifiedRefMaterialCodeable | 0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
certifiedRefMaterialIdentifer | 0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
labTestKit | 0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
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 | ||||||||
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 pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
category:laboratory | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |||||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |||||||||
category:studyType | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) | |||||||||
category:specialty | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |||||||||
code | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Laboratory Observation (required) | |||||||||
subject | Σ | 1..1 | Reference(CH ELM Patient) | Who and/or what the observation is about | ||||||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
Slices for effective[x] | Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | ||||||||
effective[x]:All Slices | Content/Rules for all slices | |||||||||||
Slices for extension | Content/Rules for all slices | |||||||||||
data-absent-reason | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
effective[x]:effectiveDateTime | ΣC | 1..1 | dateTime | Clinically relevant time/time-period for observation ch-elm-dateTime: At least the format YYYY-MM-DD is required. | ||||||||
Slices for extension | Content/Rules for all slices | |||||||||||
data-absent-reason | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
performer | Σ | 1..1 | Reference(CH ELM Organization: Lab) | Who is responsible for the observation | ||||||||
Slices for extension | Content/Rules for all slices | |||||||||||
performerFunction | 0..* | 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 | |||||||||||
valueQuantity | Quantity | |||||||||||
valueCodeableConcept | CodeableConcept | |||||||||||
value[x]:valueString | ΣC | 0..1 | string | String if required by leading code, see also 'Guidance - Laboratory Result' | ||||||||
value[x]:valueQuantity | C | 0..1 | QuantityEuLab | Quantity if required by leading code, see also 'Guidance - Laboratory Result' qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
value[x]:valueCodeableConcept | 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]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
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 | 1..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 | |||||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | |
Observation.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | |
Observation.code | required | ChElmResultsLaboratoryObservationhttp://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-laboratory-observation from this IG | |
Observation.value[x]:valueCodeableConcept | preferred | ChElmResultsCodedValuesLaboratoryhttp://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-coded-values-laboratory from this IG | |
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ch-elm-dateTime | error | Observation.effective[x]:effectiveDateTime | At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10 | |
ch-elm-expecting-organism-specification | error | Observation | If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-organism-specification, then Observation.valueCodeableConcept must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-organism-specification-to-results-completion-vs : code.memberOf('http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-organism-specification') implies (value.exists() and (value as CodeableConcept).exists() and (value as CodeableConcept).memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-organism-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-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-interpretation-code-loinc | error | Observation | If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet : 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).exists() implies interpretation.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code'.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-interpretation-code-snomedct | error | Observation | If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet : 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).exists() implies interpretation.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code'.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) | |
ch-elm-observation-profile-loinc | error | Observation | If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile : 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).exists() implies conformsTo('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile'.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-observation-profile-snomedct | error | Observation | If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile : 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).exists() implies conformsTo('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile'.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) | |
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() | |
qty-3 | error | Observation.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
rat-1 | error | Observation.value[x]:valueRatio | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
rng-2 | error | Observation.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
Name | Flags | Card. | Type | Description & Constraints | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | ChElmObservationResultsLaboratory | CH ELM Observation Results: Laboratory This profile also imposes the profile Observation Results: laboratory obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: 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" ch-elm-expecting-specimen-specification: 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 ch-elm-expecting-organism-specification: If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-organism-specification, then Observation.valueCodeableConcept must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-organism-specification-to-results-completion-vs ch-elm-interpretation-code-loinc: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet ch-elm-interpretation-code-snomedct: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet ch-elm-patient-name-representation-initial-loinc: 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 ch-elm-patient-name-representation-initial-snomedct: 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 ch-elm-patient-name-representation-initial-or-vctcode-loinc: 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. ch-elm-patient-name-representation-initial-or-vctcode-snomedct: 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. ch-elm-observation-profile-loinc: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile ch-elm-observation-profile-snomedct: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile | ||||||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||
contained | 0..* | Resource | Contained, inline Resources | |||||||||
Slices for extension | 0..* | Extension | Laboratory Test Kit Slice: Unordered, Open by value:url | |||||||||
supportingInfo | 0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
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" | |||||||||
certifiedRefMaterialCodeable | 0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
certifiedRefMaterialIdentifer | 0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
labTestKit | 0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
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 pattern:$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 | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Laboratory Observation (required) | |||||||||
subject | Σ | 1..1 | Reference(CH ELM Patient) | 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 | |||||||||
data-absent-reason | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
effective[x]:effectiveDateTime | ΣC | 1..1 | dateTime | Clinically relevant time/time-period for observation ch-elm-dateTime: At least the format YYYY-MM-DD is required. | ||||||||
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 | |||||||||
data-absent-reason | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
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 | |||||||||
performerFunction | 0..* | 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 | |||||||||||
valueQuantity | Quantity | |||||||||||
valueCodeableConcept | CodeableConcept | |||||||||||
value[x]:valueString | ΣC | 0..1 | string | String if required by leading code, see also 'Guidance - Laboratory Result' | ||||||||
value[x]:valueQuantity | C | 0..1 | QuantityEuLab | Quantity if required by leading code, see also 'Guidance - Laboratory Result' qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
value[x]:valueCodeableConcept | 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]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
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 | 1..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 obs-3: Must have at least a low or a high or text | ||||||||
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 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 | ||||||||
component | Σ | 0..* | 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 | |||||||||
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
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 | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||
Slices for value[x] | Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||||||
valueQuantity | Quantity | |||||||||||
valueCodeableConcept | CodeableConcept | |||||||||||
valueString | string | |||||||||||
valueBoolean | boolean | |||||||||||
valueInteger | integer | |||||||||||
valueRange | Range | |||||||||||
valueRatio | Ratio | |||||||||||
valueSampledData | SampledData | |||||||||||
valueTime | time | |||||||||||
valueDateTime | dateTime | |||||||||||
valuePeriod | Period | |||||||||||
value[x]:valueString | Σ | 0..1 | string | Actual component result | ||||||||
value[x]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
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]:valueQuantity | C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
value[x]:valueCodeableConcept | Σ | 0..1 | CodeableConcept | 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 | |||||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Observation.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | ||||
Observation.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | ||||
Observation.code | required | ChElmResultsLaboratoryObservationhttp://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-laboratory-observation from this IG | ||||
Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Observation.performer.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Observation.value[x]:valueCodeableConcept | preferred | ChElmResultsCodedValuesLaboratoryhttp://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-coded-values-laboratory from this IG | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | preferred | LabTechniqueEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-technique-eu-lab | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component.value[x]:valueCodeableConcept | preferred | ResultsCodedValuesLaboratoryUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ch-elm-dateTime | error | Observation.effective[x]:effectiveDateTime | At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10 | |
ch-elm-expecting-organism-specification | error | Observation | If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-organism-specification, then Observation.valueCodeableConcept must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-organism-specification-to-results-completion-vs : code.memberOf('http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-organism-specification') implies (value.exists() and (value as CodeableConcept).exists() and (value as CodeableConcept).memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-organism-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-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-interpretation-code-loinc | error | Observation | If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet : 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).exists() implies interpretation.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code'.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-interpretation-code-snomedct | error | Observation | If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet : 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).exists() implies interpretation.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code'.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) | |
ch-elm-observation-profile-loinc | error | Observation | If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile : 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).exists() implies conformsTo('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile'.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-observation-profile-snomedct | error | Observation | If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile : 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).exists() implies conformsTo('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile'.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) | |
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() | |
qty-3 | error | Observation.value[x]:valueQuantity, Observation.component.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
rat-1 | error | Observation.value[x]:valueRatio, Observation.component.value[x]:valueRatio | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
rng-2 | error | Observation.value[x]:valueRange, Observation.component.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
This structure is derived from ChElmObservationResultsLaboratory
Differential View
This structure is derived from ChElmObservationResultsLaboratory
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | ChElmObservationResultsLaboratory | This profile also imposes the profile Observation Results: laboratory | ||
code | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Laboratory Observation (required) | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.code | required | ChElmResultsLaboratoryObservationhttp://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-laboratory-observation from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | ChElmObservationResultsLaboratory | CH ELM Observation Results: Laboratory This profile also imposes the profile Observation Results: laboratory obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: 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" ch-elm-expecting-specimen-specification: 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 ch-elm-expecting-organism-specification: If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-organism-specification, then Observation.valueCodeableConcept must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-organism-specification-to-results-completion-vs ch-elm-interpretation-code-loinc: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet ch-elm-interpretation-code-snomedct: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet ch-elm-patient-name-representation-initial-loinc: 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 ch-elm-patient-name-representation-initial-snomedct: 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 ch-elm-patient-name-representation-initial-or-vctcode-loinc: 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. ch-elm-patient-name-representation-initial-or-vctcode-snomedct: 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. ch-elm-observation-profile-loinc: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile ch-elm-observation-profile-snomedct: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile | ||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
Slices for extension | Content/Rules for all slices | |||||||||||
supportingInfo | 0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
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" | |||||||||
certifiedRefMaterialCodeable | 0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
certifiedRefMaterialIdentifer | 0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
labTestKit | 0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
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 | ||||||||
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 pattern:$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 | |||||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |||||||||
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 | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Laboratory Observation (required) | |||||||||
subject | Σ | 1..1 | Reference(CH ELM Patient) | 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:$this | ||||||||
effective[x]:All Slices | Content/Rules for all slices | |||||||||||
Slices for extension | Content/Rules for all slices | |||||||||||
data-absent-reason | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
effective[x]:effectiveDateTime | ΣC | 1..1 | dateTime | Clinically relevant time/time-period for observation ch-elm-dateTime: At least the format YYYY-MM-DD is required. | ||||||||
Slices for extension | Content/Rules for all slices | |||||||||||
data-absent-reason | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
performer | Σ | 1..1 | Reference(CH ELM Organization: Lab) | Who is responsible for the observation | ||||||||
Slices for extension | Content/Rules for all slices | |||||||||||
performerFunction | 0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
Slices for value[x] | ΣC | 0..1 | Actual result Slice: Unordered, Closed by type:$this | |||||||||
valueString | string | |||||||||||
valueQuantity | Quantity | |||||||||||
valueCodeableConcept | CodeableConcept | |||||||||||
value[x]:valueString | ΣC | 0..1 | string | String if required by leading code, see also 'Guidance - Laboratory Result' | ||||||||
value[x]:valueQuantity | C | 0..1 | QuantityEuLab | Quantity if required by leading code, see also 'Guidance - Laboratory Result' qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
value[x]:valueCodeableConcept | 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]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
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 | 1..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 | |||||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | |
Observation.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | |
Observation.code | required | ChElmResultsLaboratoryObservationhttp://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-laboratory-observation from this IG | |
Observation.value[x]:valueCodeableConcept | preferred | ChElmResultsCodedValuesLaboratoryhttp://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-coded-values-laboratory from this IG | |
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ch-elm-dateTime | error | Observation.effective[x]:effectiveDateTime | At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10 | |
ch-elm-expecting-organism-specification | error | Observation | If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-organism-specification, then Observation.valueCodeableConcept must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-organism-specification-to-results-completion-vs : code.memberOf('http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-organism-specification') implies (value.exists() and (value as CodeableConcept).exists() and (value as CodeableConcept).memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-organism-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-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-interpretation-code-loinc | error | Observation | If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet : 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).exists() implies interpretation.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code'.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-interpretation-code-snomedct | error | Observation | If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet : 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).exists() implies interpretation.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code'.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) | |
ch-elm-observation-profile-loinc | error | Observation | If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile : 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).exists() implies conformsTo('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile'.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-observation-profile-snomedct | error | Observation | If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile : 'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).exists() implies conformsTo('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile'.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) | |
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() | |
qty-3 | error | Observation.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
rat-1 | error | Observation.value[x]:valueRatio | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
rng-2 | error | Observation.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | ChElmObservationResultsLaboratory | CH ELM Observation Results: Laboratory This profile also imposes the profile Observation Results: laboratory obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: 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" ch-elm-expecting-specimen-specification: 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 ch-elm-expecting-organism-specification: If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-organism-specification, then Observation.valueCodeableConcept must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-organism-specification-to-results-completion-vs ch-elm-interpretation-code-loinc: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet ch-elm-interpretation-code-snomedct: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-interpretation-code', then the interpretation code must be a member of the mapped ValueSet ch-elm-patient-name-representation-initial-loinc: 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 ch-elm-patient-name-representation-initial-snomedct: 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 ch-elm-patient-name-representation-initial-or-vctcode-loinc: 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. ch-elm-patient-name-representation-initial-or-vctcode-snomedct: 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. ch-elm-observation-profile-loinc: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile ch-elm-observation-profile-snomedct: If Observation.code is mapped in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-observation-profile', then the observation must be conform to the mapped profile | ||||||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||
contained | 0..* | Resource | Contained, inline Resources | |||||||||
Slices for extension | 0..* | Extension | Laboratory Test Kit Slice: Unordered, Open by value:url | |||||||||
supportingInfo | 0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
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" | |||||||||
certifiedRefMaterialCodeable | 0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
certifiedRefMaterialIdentifer | 0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
labTestKit | 0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
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 pattern:$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 | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Laboratory Observation (required) | |||||||||
subject | Σ | 1..1 | Reference(CH ELM Patient) | 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 | |||||||||
data-absent-reason | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
effective[x]:effectiveDateTime | ΣC | 1..1 | dateTime | Clinically relevant time/time-period for observation ch-elm-dateTime: At least the format YYYY-MM-DD is required. | ||||||||
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 | |||||||||
data-absent-reason | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
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 | |||||||||
performerFunction | 0..* | 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 | |||||||||||
valueQuantity | Quantity | |||||||||||
valueCodeableConcept | CodeableConcept | |||||||||||
value[x]:valueString | ΣC | 0..1 | string | String if required by leading code, see also 'Guidance - Laboratory Result' | ||||||||
value[x]:valueQuantity | C | 0..1 | QuantityEuLab | Quantity if required by leading code, see also 'Guidance - Laboratory Result' qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
value[x]:valueCodeableConcept | 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]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
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 | 1..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 obs-3: Must have at least a low or a high or text | ||||||||
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 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 | ||||||||
component | Σ | 0..* | 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 | |||||||||
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
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 | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||
Slices for value[x] | Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||||||
valueQuantity | Quantity | |||||||||||
valueCodeableConcept | CodeableConcept | |||||||||||
valueString | string | |||||||||||
valueBoolean | boolean | |||||||||||
valueInteger | integer | |||||||||||
valueRange | Range | |||||||||||
valueRatio | Ratio | |||||||||||
valueSampledData | SampledData | |||||||||||
valueTime | time | |||||||||||
valueDateTime | dateTime | |||||||||||
valuePeriod | Period | |||||||||||
value[x]:valueString | Σ | 0..1 | string | Actual component result | ||||||||
value[x]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
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]:valueQuantity | C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
value[x]:valueCodeableConcept |