CH ELM Observation Results: Laboratory

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 1.16.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-elm/ and changes regularly. See the Directory of published versions

Resource Profile: CH ELM Observation Results: Laboratory

Official URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-laboratory	Version: 1.16.0	Highlight text changes?
Active as of 2026-10-22		Computable Name: ChElmObservationResultsLaboratory
Copyright/Legal: CC0-1.0

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

Usages:

Derived from this Profile: CH ELM Observation Results for HIV Recency Testing (strict), CH ELM Observation Results for Genotyping, CH ELM Observation Results for Microbiology studies (set) and CH ELM Observation Results for Microbial susceptibility tests
Use this Profile: CH ELM Document: Laboratory Report
Refer to this Profile: CH ELM DiagnosticReport: Laboratory Report

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	ChLabObservationResultsLaboratory	CH ELM Observation Results: Laboratory This profile also imposes the profile Observation Results: laboratory Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2, ch-elm-expecting-specimen-specification, ch-elm-patient-name-representation-initial-loinc, ch-elm-patient-name-representation-initial-snomedct, ch-elm-patient-name-representation-initial-or-vctcode-loinc, ch-elm-patient-name-representation-initial-or-vctcode-snomedct, ch-elm-patient-name-representation-hiv-code-loinc, ch-elm-patient-name-representation-hiv-code-snomedct
Observation.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.Slices for extension				Content/Rules for all slices
Observation.Slices for extension.extension:supportingInfo		0..*	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
Observation.Slices for extension.extension:triggeredBy-r5		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension				Content/Rules for all slices
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:observation		0..*	Extension	Triggering observation.
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:observation.extension		0..0		Extension Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:observation.url		1..1	uri	"observation"
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:observation.value[x]		1..1	Reference(Observation)	Value of extension
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:type		0..*	Extension	The type of trigger
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:type.extension		0..0		Extension Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:type.url		1..1	uri	"type"
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:type.value[x]		1..1	code	Value of extension
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:reason		0..*	Extension	Extension
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:reason.extension		0..0		Extension Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:reason.url		1..1	uri	"reason"
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:reason.value[x]		1..1	string	Value of extension
Observation.Slices for extension.extension:triggeredBy-r5.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
Observation.Slices for extension.extension:certifiedRefMaterialCodeable		0..*	CodeableConcept	Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example)
Observation.Slices for extension.extension:certifiedRefMaterialIdentifer		0..*	Identifier	Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
Observation.Slices for extension.extension:labTestKit		0..*	Reference(Device)	Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
Observation.Slices for extension.extension:value-r5		0..1	(Complex)	only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]
Observation.Slices for extension.extension:value-r5.extension		0..0		Extension Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:value-r5.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
Observation.Slices for extension.extension:value-r5.value[x]		1..1	Attachment	Value of extension
Observation.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	This element is a modifier element. This element is included in summaries.	1..1	code	Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final (extensions allowed)
Observation.Slices for category		1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:laboratory		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" } ] }`
Observation.Slices for category.category:studyType		0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required)
Observation.Slices for category.category:specialty		0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
Observation.code	This element is included in summaries.	1..1	ChElmCodeableConcept	Type of observation (code / type) Binding: CH ELM Results Laboratory Observation Complete (extensible)
Observation.subject	This element is included in summaries.	1..1	Reference(CH ELM Patient)	Who and/or what the observation is about
Observation.subject.reference	This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
Observation.Slices for effective[x]	This element is included in summaries.	1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:All Slices				Content/Rules for all slices
Observation.Slices for effective[x].effective[x]:All Slices.Slices for extension				Content/Rules for all slices
Observation.Slices for effective[x].effective[x]:All Slices.Slices for extension.extension:data-absent-reason		0..1	code	effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
Observation.Slices for effective[x].effective[x]:effectiveDateTime	This element is included in summaries. C	1..1	dateTime	Clinically relevant time/time-period for observation Constraints: ch-elm-dateTime
Observation.Slices for effective[x].effective[x]:effectiveDateTime.Slices for extension				Content/Rules for all slices
Observation.Slices for effective[x].effective[x]:effectiveDateTime.Slices for extension.extension:data-absent-reason		0..1	code	effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
Observation.performer	This element is included in summaries.	1..1	Reference(CH ELM Organization: Lab)	Who is responsible for the observation
Observation.performer.Slices for extension				Content/Rules for all slices
Observation.performer.Slices for extension.extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
Observation.Slices for value[x]	This element is included in summaries. C	0..1		Actual result Slice: Unordered, Closed by type:$this
Observation.Slices for value[x].valueString			string
Observation.Slices for value[x].valueRatio			Ratio
Observation.Slices for value[x].valueQuantity			Quantity
Observation.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for value[x].value[x]:valueString	This element is included in summaries. C	0..1	string	String if required by leading code, see also 'Guidance - Laboratory Result'
Observation.Slices for value[x].value[x]:valueRatio	This element is included in summaries. C	0..1	RatioEuLab	Ratio if required by leading code, see also 'Guidance - Laboratory Result'
Observation.Slices for value[x].value[x]:valueQuantity	This element is included in summaries. C	0..1	QuantityEuLab	Quantity if required by leading code, see also 'Guidance - Laboratory Result'
Observation.Slices for value[x].value[x]:valueCodeableConcept	This element is included in summaries. C	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)
Observation.Slices for value[x].value[x]:valueBoolean	This element is included in summaries. C	0..1	boolean	Actual result
Observation.Slices for value[x].value[x]:valueRange	This element is included in summaries. C	0..1	RangeIPS	Actual result
Observation.Slices for value[x].value[x]:valueTime	This element is included in summaries. C	0..1	time	Actual result
Observation.Slices for value[x].value[x]:valueDateTime	This element is included in summaries. C	0..1	dateTime	Actual result
Observation.Slices for value[x].value[x]:valuePeriod	This element is included in summaries. C	0..1	Period	Actual result
Observation.dataAbsentReason	C	0..1	CodeableConcept	see also 'Guidance - Laboratory Result' Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation		0..1	ChElmCodeableConcept	see also 'Guidance - Laboratory Result' Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.specimen		1..1	Reference(CH ELM Specimen: Laboratory)	Specimen used for this observation
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:laboratory	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:studyType	Base	required	Laboratory Study Types	📦0.1.1	HL7 Europe Laboratory Report v0.1
Observation.category:specialty	Base	required	Laboratory Specialty	📦0.1.1	HL7 Europe Laboratory Report v0.1
Observation.code	Base	extensible	CH ELM Results Laboratory Observation Complete	📦1.16.0	This IG
Observation.value[x]:valueCodeableConcept	Base	preferred	CH ELM Results Coded Values Laboratory	📦1.16.0	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-elm-dateTime	error	Observation.effective[x]:effectiveDateTime	At least the format YYYY-MM-DD is required.	`$this.toString().length() >= 10`
ch-elm-expecting-specimen-specification	error	Observation	If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification, then Specimen.type must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs	`code.memberOf('http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification') implies (specimen.resolve().exists() and specimen.resolve().type.exists() and specimen.resolve().type.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code))`
ch-elm-patient-name-representation-hiv-code-loinc	error	Observation	If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-hiv-code-snomedct	error	Observation	If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-initial-loinc	error	Observation	If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
ch-elm-patient-name-representation-initial-or-vctcode-loinc	error	Observation	If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line.	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-or-vctcode-snomedct	error	Observation	If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line.	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-snomedct	error	Observation	If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
eu-lab-1	error	Observation	If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component"	`(status in ('registered'\|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()`
eu-lab-2	error	Observation	If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason"	`component.exists() implies (status in ('registered'\|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists()`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	`dataAbsentReason.empty() or value.empty()`
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	`value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`

This structure is derived from ChLabObservationResultsLaboratory

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	ChLabObservationResultsLaboratory	CH ELM Observation Results: Laboratory This profile also imposes the profile Observation Results: laboratory Constraints: ch-elm-expecting-specimen-specification, ch-elm-patient-name-representation-initial-loinc, ch-elm-patient-name-representation-initial-snomedct, ch-elm-patient-name-representation-initial-or-vctcode-loinc, ch-elm-patient-name-representation-initial-or-vctcode-snomedct, ch-elm-patient-name-representation-hiv-code-loinc, ch-elm-patient-name-representation-hiv-code-snomedct
Observation.status		1..1	code	Status of this observation (e.g. preliminary, final,...) Required Pattern: final (extensions allowed)
Observation.code		1..1	ChElmCodeableConcept	Type of observation (code / type) Binding: CH ELM Results Laboratory Observation Complete (extensible)
Observation.subject		1..1	Reference(CH ELM Patient)	Who and/or what the observation is about
Observation.Slices for effective[x]		1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime	C	1..1	dateTime	Clinically relevant time/time-period for observation Constraints: ch-elm-dateTime
Observation.performer		1..1	Reference(CH ELM Organization: Lab)	Who is responsible for the observation
Observation.Slices for value[x]				Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueString		0..1	string	String if required by leading code, see also 'Guidance - Laboratory Result'
Observation.Slices for value[x].value[x]:valueRatio		0..1	RatioEuLab	Ratio if required by leading code, see also 'Guidance - Laboratory Result'
Observation.Slices for value[x].value[x]:valueQuantity		0..1	QuantityEuLab	Quantity if required by leading code, see also 'Guidance - Laboratory Result'
Observation.Slices for value[x].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)
Observation.dataAbsentReason		0..1	CodeableConcept	see also 'Guidance - Laboratory Result'
Observation.interpretation		0..1	ChElmCodeableConcept	see also 'Guidance - Laboratory Result'
Observation.specimen		1..1	Reference(CH ELM Specimen: Laboratory)	Specimen used for this observation
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.code	Base	extensible	CH ELM Results Laboratory Observation Complete	📦1.16.0	This IG
Observation.value[x]:valueCodeableConcept	Base	preferred	CH ELM Results Coded Values Laboratory	📦1.16.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ch-elm-dateTime	error	Observation.effective[x]:effectiveDateTime	At least the format YYYY-MM-DD is required.	`$this.toString().length() >= 10`
ch-elm-expecting-specimen-specification	error	Observation	If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification, then Specimen.type must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs	`code.memberOf('http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification') implies (specimen.resolve().exists() and specimen.resolve().type.exists() and specimen.resolve().type.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code))`
ch-elm-patient-name-representation-hiv-code-loinc	error	Observation	If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-hiv-code-snomedct	error	Observation	If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-initial-loinc	error	Observation	If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
ch-elm-patient-name-representation-initial-or-vctcode-loinc	error	Observation	If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line.	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-or-vctcode-snomedct	error	Observation	If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line.	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-snomedct	error	Observation	If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))

Description & Constraints Filter:

Observation C 0..* ChLabObservationResultsLaboratory CH ELM Observation Results: Laboratory
This profile also imposes the profile Observation Results: laboratory
Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2, ch-elm-expecting-specimen-specification, ch-elm-patient-name-representation-initial-loinc, ch-elm-patient-name-representation-initial-snomedct, ch-elm-patient-name-representation-initial-or-vctcode-loinc, ch-elm-patient-name-representation-initial-or-vctcode-snomedct, ch-elm-patient-name-representation-hiv-code-loinc, ch-elm-patient-name-representation-hiv-code-snomedct

Observation.id This element is included in summaries. 0..1 id Logical id of this artifact

Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Observation.contained 0..* Resource Contained, inline Resources

Observation.Slices for extension 0..* Extension Laboratory Test Kit
Slice: Unordered, Open by value:url

Observation.Slices for extension.extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo

Observation.Slices for extension.extension:triggeredBy-r5 0..* (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy

Observation.Slices for extension.extension:triggeredBy-r5.id 0..1 string Unique id for inter-element referencing

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension Content/Rules for all slices

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:observation 0..* Extension Triggering observation.

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:observation.id 0..1 string Unique id for inter-element referencing

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:observation.extension 0..0 Extension
Slice: Unordered, Open by value:url

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:observation.url 1..1 uri "observation"

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:observation.value[x] 1..1 Reference(Observation) Value of extension

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:type 0..* Extension The type of trigger

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:type.id 0..1 string Unique id for inter-element referencing

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:type.extension 0..0 Extension
Slice: Unordered, Open by value:url

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:type.url 1..1 uri "type"

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:type.value[x] 1..1 code Value of extension

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:reason 0..* Extension Extension

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:reason.id 0..1 string Unique id for inter-element referencing

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:reason.extension 0..0 Extension
Slice: Unordered, Open by value:url

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:reason.url 1..1 uri "reason"

Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:reason.value[x] 1..1 string Value of extension

Observation.Slices for extension.extension:triggeredBy-r5.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"

Observation.Slices for extension.extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)

Observation.Slices for extension.extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer

Observation.Slices for extension.extension:labTestKit 0..* Reference(Device) Device Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit

Observation.Slices for extension.extension:value-r5 0..1 (Complex) only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]

Observation.Slices for extension.extension:value-r5.id 0..1 string Unique id for inter-element referencing

Observation.Slices for extension.extension:value-r5.extension 0..0 Extension
Slice: Unordered, Open by value:url

Observation.Slices for extension.extension:value-r5.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"

Observation.Slices for extension.extension:value-r5.value[x] 1..1 Attachment Value of extension

Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation

Observation.status This element is a modifier element. This element is included in summaries. 1..1 code Status of this observation (e.g. preliminary, final,...)
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final (extensions allowed)

Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

category:laboratory

1..1

CodeableConcept

Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern:

{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }
  ]
}

Observation.Slices for category.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)

Observation.Slices for category.category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)

Observation.code This element is included in summaries. 1..1 ChElmCodeableConcept Type of observation (code / type)
Binding: CH ELM Results Laboratory Observation Complete (extensible)

Observation.subject This element is included in summaries. 1..1 Reference(CH ELM Patient) Who and/or what the observation is about

Observation.subject.id 0..1 string Unique id for inter-element referencing

Observation.subject.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Observation.subject.reference This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL

Observation.subject.type This element is included in summaries. 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).

Observation.subject.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known

Observation.subject.display This element is included in summaries. 0..1 string Text alternative for the resource

Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record

Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made

Observation.Slices for effective[x] This element is included in summaries. 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Observation.Slices for effective[x].effective[x]:All Slices Content/Rules for all slices

Observation.Slices for effective[x].effective[x]:All Slices.id 0..1 string Unique id for inter-element referencing

Observation.Slices for effective[x].effective[x]:All Slices.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Observation.Slices for effective[x].effective[x]:All Slices.Slices for extension.extension:data-absent-reason 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.

Observation.Slices for effective[x].effective[x]:effectiveDateTime This element is included in summaries. C 1..1 dateTime Clinically relevant time/time-period for observation
Constraints: ch-elm-dateTime

Observation.Slices for effective[x].effective[x]:effectiveDateTime.id 0..1 string Unique id for inter-element referencing

Observation.Slices for effective[x].effective[x]:effectiveDateTime.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Observation.Slices for effective[x].effective[x]:effectiveDateTime.Slices for extension Content/Rules for all slices

Observation.Slices for effective[x].effective[x]:effectiveDateTime.Slices for extension.extension:data-absent-reason 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.

Observation.issued This element is included in summaries. 0..1 instant Date/Time this result was made available

Observation.performer This element is included in summaries. 1..1 Reference(CH ELM Organization: Lab) Who is responsible for the observation

Observation.performer.id 0..1 string Unique id for inter-element referencing

Observation.performer.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Observation.performer.Slices for extension.extension:performerFunction 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)

Observation.performer.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL

Observation.performer.type This element is included in summaries. 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).

Observation.performer.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known

Observation.performer.display This element is included in summaries. 0..1 string Text alternative for the resource

Observation.Slices for value[x] This element is included in summaries. C 0..1 Actual result
Slice: Unordered, Closed by type:$this

Observation.Slices for value[x].valueString string

Observation.Slices for value[x].valueRatio Ratio

Observation.Slices for value[x].valueQuantity Quantity

Observation.Slices for value[x].valueCodeableConcept CodeableConcept

Observation.Slices for value[x].value[x]:valueString This element is included in summaries. C 0..1 string String if required by leading code, see also 'Guidance - Laboratory Result'

Observation.Slices for value[x].value[x]:valueRatio This element is included in summaries. C 0..1 RatioEuLab Ratio if required by leading code, see also 'Guidance - Laboratory Result'

Observation.Slices for value[x].value[x]:valueQuantity This element is included in summaries. C 0..1 QuantityEuLab Quantity if required by leading code, see also 'Guidance - Laboratory Result'

Observation.Slices for value[x].value[x]:valueCodeableConcept This element is included in summaries. C 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)

Observation.Slices for value[x].value[x]:valueBoolean This element is included in summaries. C 0..1 boolean Actual result

Observation.Slices for value[x].value[x]:valueRange This element is included in summaries. C 0..1 RangeIPS Actual result

Observation.Slices for value[x].value[x]:valueTime This element is included in summaries. C 0..1 time Actual result

Observation.Slices for value[x].value[x]:valueDateTime This element is included in summaries. C 0..1 dateTime Actual result

Observation.Slices for value[x].value[x]:valuePeriod This element is included in summaries. C 0..1 Period Actual result

Observation.dataAbsentReason C 0..1 CodeableConcept see also 'Guidance - Laboratory Result'
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

Observation.interpretation 0..1 ChElmCodeableConcept see also 'Guidance - Laboratory Result'
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

Observation.note 0..* Annotation Comments about the observation

Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

Observation.method 0..1 CodeableConcept How it was done
Binding: Laboratory Techniques (preferred)

Observation.specimen 1..1 Reference(CH ELM Specimen: Laboratory) Specimen used for this observation

Observation.device 0..1 Reference(Device | DeviceMetric) Measuring instrument

Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3

Observation.referenceRange.id 0..1 string Unique id for inter-element referencing

Observation.referenceRange.extension 0..* Extension Additional content defined by implementations

Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1

Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1

Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.

Observation.referenceRange.age 0..1 Range Applicable age range, if relevant

Observation.referenceRange.text 0..1 string Text based reference range in an observation

Observation.hasMember This element is included in summaries. 0..* Reference(CH LAB-Report Observation Results: Laboratory Report) Related resource that belongs to the Observation group

Observation.component This element is included in summaries. 0..* BackboneElement Laboratory result

Observation.component.id 0..1 string Unique id for inter-element referencing

Observation.component.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Observation.component.Slices for extension.extension:value-r5 0..1 (Complex) only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]

Observation.component.Slices for extension.extension:value-r5.id 0..1 string Unique id for inter-element referencing

Observation.component.Slices for extension.extension:value-r5.extension 0..0 Extension
Slice: Unordered, Open by value:url

Observation.component.Slices for extension.extension:value-r5.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"

Observation.component.Slices for extension.extension:value-r5.value[x] 1..1 Attachment Value of extension

Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Observation.component.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

Observation.component.Slices for value[x] This element is included in summaries. 0..1 Actual component result
Slice: Unordered, Open by type:$this

Observation.component.Slices for value[x].valueQuantity Quantity

Observation.component.Slices for value[x].valueCodeableConcept CodeableConcept

Observation.component.Slices for value[x].valueString string

Observation.component.Slices for value[x].valueBoolean boolean

Observation.component.Slices for value[x].valueInteger integer

Observation.component.Slices for value[x].valueRange Range

Observation.component.Slices for value[x].valueRatio Ratio

Observation.component.Slices for value[x].valueSampledData SampledData

Observation.component.Slices for value[x].valueTime time

Observation.component.Slices for value[x].valueDateTime dateTime

Observation.component.Slices for value[x].valuePeriod Period

Observation.component.Slices for value[x].value[x]:valueString This element is included in summaries. 0..1 string Actual component result

Observation.component.Slices for value[x].value[x]:valueBoolean This element is included in summaries. 0..1 boolean Actual component result

Observation.component.Slices for value[x].value[x]:valueRange This element is included in summaries. 0..1 RangeIPS Actual component result

Observation.component.Slices for value[x].value[x]:valueRatio This element is included in summaries. 0..1 RatioEuLab Actual component result

Observation.component.Slices for value[x].value[x]:valueTime This element is included in summaries. 0..1 time Actual component result

Observation.component.Slices for value[x].value[x]:valueDateTime This element is included in summaries. 0..1 dateTime Actual component result

Observation.component.Slices for value[x].value[x]:valuePeriod This element is included in summaries. 0..1 Period Actual component result

Observation.component.Slices for value[x].value[x]:valueQuantity This element is included in summaries. 0..1 QuantityEuLab Actual component result

Observation.component.Slices for value[x].value[x]:valueCodeableConcept This element is included in summaries. 0..1 CodeableConceptIPS(2.0.0) Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)

Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

Observation.component.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:laboratory	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:studyType	Base	required	Laboratory Study Types	📦0.1.1	HL7 Europe Laboratory Report v0.1
Observation.category:specialty	Base	required	Laboratory Specialty	📦0.1.1	HL7 Europe Laboratory Report v0.1
Observation.code	Base	extensible	CH ELM Results Laboratory Observation Complete	📦1.16.0	This IG
Observation.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.performer.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	preferred	CH ELM Results Coded Values Laboratory	📦1.16.0	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	preferred	Laboratory Techniques	📦0.1.1	HL7 Europe Laboratory Report v0.1
Observation.referenceRange.type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.value[x]:valueCodeableConcept	Base	preferred	Results Coded Values Laboratory - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
Observation.component.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-elm-dateTime	error	Observation.effective[x]:effectiveDateTime	At least the format YYYY-MM-DD is required.	`$this.toString().length() >= 10`
ch-elm-expecting-specimen-specification	error	Observation	If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification, then Specimen.type must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs	`code.memberOf('http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification') implies (specimen.resolve().exists() and specimen.resolve().type.exists() and specimen.resolve().type.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code))`
ch-elm-patient-name-representation-hiv-code-loinc	error	Observation	If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-hiv-code-snomedct	error	Observation	If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-initial-loinc	error	Observation	If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
ch-elm-patient-name-representation-initial-or-vctcode-loinc	error	Observation	If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line.	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-or-vctcode-snomedct	error	Observation	If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line.	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-snomedct	error	Observation	If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
eu-lab-1	error	Observation	If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component"	`(status in ('registered'\|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()`
eu-lab-2	error	Observation	If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason"	`component.exists() implies (status in ('registered'\|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists()`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	`low.exists() or high.exists() or text.exists()`
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	`dataAbsentReason.empty() or value.empty()`
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	`value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	`comparator.empty()`

This structure is derived from ChLabObservationResultsLaboratory

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	ChLabObservationResultsLaboratory	CH ELM Observation Results: Laboratory This profile also imposes the profile Observation Results: laboratory Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2, ch-elm-expecting-specimen-specification, ch-elm-patient-name-representation-initial-loinc, ch-elm-patient-name-representation-initial-snomedct, ch-elm-patient-name-representation-initial-or-vctcode-loinc, ch-elm-patient-name-representation-initial-or-vctcode-snomedct, ch-elm-patient-name-representation-hiv-code-loinc, ch-elm-patient-name-representation-hiv-code-snomedct
Observation.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.Slices for extension				Content/Rules for all slices
Observation.Slices for extension.extension:supportingInfo		0..*	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
Observation.Slices for extension.extension:triggeredBy-r5		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension				Content/Rules for all slices
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:observation		0..*	Extension	Triggering observation.
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:observation.extension		0..0		Extension Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:observation.url		1..1	uri	"observation"
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:observation.value[x]		1..1	Reference(Observation)	Value of extension
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:type		0..*	Extension	The type of trigger
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:type.extension		0..0		Extension Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:type.url		1..1	uri	"type"
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:type.value[x]		1..1	code	Value of extension
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:reason		0..*	Extension	Extension
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:reason.extension		0..0		Extension Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:reason.url		1..1	uri	"reason"
Observation.Slices for extension.extension:triggeredBy-r5.Slices for extension.extension:reason.value[x]		1..1	string	Value of extension
Observation.Slices for extension.extension:triggeredBy-r5.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
Observation.Slices for extension.extension:certifiedRefMaterialCodeable		0..*	CodeableConcept	Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example)
Observation.Slices for extension.extension:certifiedRefMaterialIdentifer		0..*	Identifier	Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
Observation.Slices for extension.extension:labTestKit		0..*	Reference(Device)	Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
Observation.Slices for extension.extension:value-r5		0..1	(Complex)	only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]
Observation.Slices for extension.extension:value-r5.extension		0..0		Extension Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:value-r5.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
Observation.Slices for extension.extension:value-r5.value[x]		1..1	Attachment	Value of extension
Observation.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	This element is a modifier element. This element is included in summaries.	1..1	code	Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final (extensions allowed)
Observation.Slices for category		1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:laboratory		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" } ] }`
Observation.Slices for category.category:studyType		0..*	CodeableConcept	The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required)
Observation.Slices for category.category:specialty		0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required)
Observation.code	This element is included in summaries.	1..1	ChElmCodeableConcept	Type of observation (code / type) Binding: CH ELM Results Laboratory Observation Complete (extensible)
Observation.subject	This element is included in summaries.	1..1	Reference(CH ELM Patient)	Who and/or what the observation is about
Observation.subject.reference	This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
Observation.Slices for effective[x]	This element is included in summaries.	1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:All Slices				Content/Rules for all slices
Observation.Slices for effective[x].effective[x]:All Slices.Slices for extension				Content/Rules for all slices
Observation.Slices for effective[x].effective[x]:All Slices.Slices for extension.extension:data-absent-reason		0..1	code	effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
Observation.Slices for effective[x].effective[x]:effectiveDateTime	This element is included in summaries. C	1..1	dateTime	Clinically relevant time/time-period for observation Constraints: ch-elm-dateTime
Observation.Slices for effective[x].effective[x]:effectiveDateTime.Slices for extension				Content/Rules for all slices
Observation.Slices for effective[x].effective[x]:effectiveDateTime.Slices for extension.extension:data-absent-reason		0..1	code	effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
Observation.performer	This element is included in summaries.	1..1	Reference(CH ELM Organization: Lab)	Who is responsible for the observation
Observation.performer.Slices for extension				Content/Rules for all slices
Observation.performer.Slices for extension.extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
Observation.Slices for value[x]	This element is included in summaries. C	0..1		Actual result Slice: Unordered, Closed by type:$this
Observation.Slices for value[x].valueString			string
Observation.Slices for value[x].valueRatio			Ratio
Observation.Slices for value[x].valueQuantity			Quantity
Observation.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for value[x].value[x]:valueString	This element is included in summaries. C	0..1	string	String if required by leading code, see also 'Guidance - Laboratory Result'
Observation.Slices for value[x].value[x]:valueRatio	This element is included in summaries. C	0..1	RatioEuLab	Ratio if required by leading code, see also 'Guidance - Laboratory Result'
Observation.Slices for value[x].value[x]:valueQuantity	This element is included in summaries. C	0..1	QuantityEuLab	Quantity if required by leading code, see also 'Guidance - Laboratory Result'
Observation.Slices for value[x].value[x]:valueCodeableConcept	This element is included in summaries. C	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)
Observation.Slices for value[x].value[x]:valueBoolean	This element is included in summaries. C	0..1	boolean	Actual result
Observation.Slices for value[x].value[x]:valueRange	This element is included in summaries. C	0..1	RangeIPS	Actual result
Observation.Slices for value[x].value[x]:valueTime	This element is included in summaries. C	0..1	time	Actual result
Observation.Slices for value[x].value[x]:valueDateTime	This element is included in summaries. C	0..1	dateTime	Actual result
Observation.Slices for value[x].value[x]:valuePeriod	This element is included in summaries. C	0..1	Period	Actual result
Observation.dataAbsentReason	C	0..1	CodeableConcept	see also 'Guidance - Laboratory Result' Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation		0..1	ChElmCodeableConcept	see also 'Guidance - Laboratory Result' Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.specimen		1..1	Reference(CH ELM Specimen: Laboratory)	Specimen used for this observation
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:laboratory	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:studyType	Base	required	Laboratory Study Types	📦0.1.1	HL7 Europe Laboratory Report v0.1
Observation.category:specialty	Base	required	Laboratory Specialty	📦0.1.1	HL7 Europe Laboratory Report v0.1
Observation.code	Base	extensible	CH ELM Results Laboratory Observation Complete	📦1.16.0	This IG
Observation.value[x]:valueCodeableConcept	Base	preferred	CH ELM Results Coded Values Laboratory	📦1.16.0	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-elm-dateTime	error	Observation.effective[x]:effectiveDateTime	At least the format YYYY-MM-DD is required.	`$this.toString().length() >= 10`
ch-elm-expecting-specimen-specification	error	Observation	If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification, then Specimen.type must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs	`code.memberOf('http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification') implies (specimen.resolve().exists() and specimen.resolve().type.exists() and specimen.resolve().type.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code))`
ch-elm-patient-name-representation-hiv-code-loinc	error	Observation	If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-hiv-code-snomedct	error	Observation	If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-initial-loinc	error	Observation	If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
ch-elm-patient-name-representation-initial-or-vctcode-loinc	error	Observation	If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line.	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-or-vctcode-snomedct	error	Observation	If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line.	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-snomedct	error	Observation	If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
eu-lab-1	error	Observation	If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component"	`(status in ('registered'\|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()`
eu-lab-2	error	Observation	If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason"	`component.exists() implies (status in ('registered'\|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists()`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	`dataAbsentReason.empty() or value.empty()`
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	`value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`

Differential View

This structure is derived from ChLabObservationResultsLaboratory

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	ChLabObservationResultsLaboratory	CH ELM Observation Results: Laboratory This profile also imposes the profile Observation Results: laboratory Constraints: ch-elm-expecting-specimen-specification, ch-elm-patient-name-representation-initial-loinc, ch-elm-patient-name-representation-initial-snomedct, ch-elm-patient-name-representation-initial-or-vctcode-loinc, ch-elm-patient-name-representation-initial-or-vctcode-snomedct, ch-elm-patient-name-representation-hiv-code-loinc, ch-elm-patient-name-representation-hiv-code-snomedct
Observation.status		1..1	code	Status of this observation (e.g. preliminary, final,...) Required Pattern: final (extensions allowed)
Observation.code		1..1	ChElmCodeableConcept	Type of observation (code / type) Binding: CH ELM Results Laboratory Observation Complete (extensible)
Observation.subject		1..1	Reference(CH ELM Patient)	Who and/or what the observation is about
Observation.Slices for effective[x]		1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime	C	1..1	dateTime	Clinically relevant time/time-period for observation Constraints: ch-elm-dateTime
Observation.performer		1..1	Reference(CH ELM Organization: Lab)	Who is responsible for the observation
Observation.Slices for value[x]				Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueString		0..1	string	String if required by leading code, see also 'Guidance - Laboratory Result'
Observation.Slices for value[x].value[x]:valueRatio		0..1	RatioEuLab	Ratio if required by leading code, see also 'Guidance - Laboratory Result'
Observation.Slices for value[x].value[x]:valueQuantity		0..1	QuantityEuLab	Quantity if required by leading code, see also 'Guidance - Laboratory Result'
Observation.Slices for value[x].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)
Observation.dataAbsentReason		0..1	CodeableConcept	see also 'Guidance - Laboratory Result'
Observation.interpretation		0..1	ChElmCodeableConcept	see also 'Guidance - Laboratory Result'
Observation.specimen		1..1	Reference(CH ELM Specimen: Laboratory)	Specimen used for this observation
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.code	Base	extensible	CH ELM Results Laboratory Observation Complete	📦1.16.0	This IG
Observation.value[x]:valueCodeableConcept	Base	preferred	CH ELM Results Coded Values Laboratory	📦1.16.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ch-elm-dateTime	error	Observation.effective[x]:effectiveDateTime	At least the format YYYY-MM-DD is required.	`$this.toString().length() >= 10`
ch-elm-expecting-specimen-specification	error	Observation	If Observation.code is a member of http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification, then Specimen.type must be a member of the mapped ValueSet in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs	`code.memberOf('http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-expecting-specimen-specification') implies (specimen.resolve().exists() and specimen.resolve().type.exists() and specimen.resolve().type.memberOf('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-expecting-specimen-specification-to-results-completion-vs'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code))`
ch-elm-patient-name-representation-hiv-code-loinc	error	Observation	If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-hiv-code-snomedct	error	Observation	If Observation.code is mapped to hiv-code in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient representation must follow profile resource profile: CH ELM Patient HIV	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'hiv-code' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientHIV')))
ch-elm-patient-name-representation-initial-loinc	error	Observation	If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))
ch-elm-patient-name-representation-initial-or-vctcode-loinc	error	Observation	If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line.	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://loinc.org').element.where(code=%context.code.coding.where(system='http://loinc.org').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-or-vctcode-snomedct	error	Observation	If Observation.code is mapped to initials or vctcode in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name family and given must have one character or - in case of a VCT patient - must be masked and the following elements must not be provided: patient.telecom, patient.address.line.	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials-or-vctcode' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials') or subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientVCT')))
ch-elm-patient-name-representation-initial-snomedct	error	Observation	If Observation.code is mapped to initials in http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation then patient.name.first and given must have one character and the following elements must not be provided: patient.telecom, patient.address.line	'http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).empty() or ('http://fhir.ch/ig/ch-elm/ConceptMap/ch-elm-results-to-foph-patient-name-representation'.resolve().group.where(source='http://snomed.info/sct').element.where(code=%context.code.coding.where(system='http://snomed.info/sct').first().code).target.first().code = 'initials' implies (subject.resolve().conformsTo('http://fhir.ch/ig/ch-elm/StructureDefinition/ChElmPatientInitials')))

Snapshot ViewView