International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/costateixeira/fhir-ips/ and changes regularly. See the Directory of published versions

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Resource Profile: Observation Results - Radiology (IPS)

This profile represents the constraints applied to the Observation resource by the IPS project, which specifies a radiology observation for the international patient summary based on the FHIR standard R4.

This observation may represent the conclusions of a diagnostic procedure such a Chest RX, or it may group the set of results produced by that single or multi-modality procedure.

In the latter case, the main observation (this one) carries the overall conclusion of the study and/or a global interpretation by the observer of the study as value of this observation; and may reference the atomic results of the study as "child observations".

It allows also providing details about the related study using the partOf element referring to an ImagingStudy resource.

Usages:

• Use this Profile: Bundle (IPS)
• Refer to this Profile: Composition (IPS), DiagnosticReport (IPS) and Observation Results - Radiology (IPS)
• CapabilityStatements using this Profile: IPS Server Capability Statement

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, hasMemberOrComponent
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	0..*	Reference(ImagingStudy (IPS))	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required)
Slices for category		1..*	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:radiology	SO	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SOΣ	1..1	CodeableConceptIPS	Type of observation (code / type) Binding: Results Radiology Observation - IPS (preferred) Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
subject	SOΣ	1..1	Reference(Patient (IPS))	Who and/or what the observation is about Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)
Slices for effective[x]	SOΣC	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: ips-1 Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SOΣ	0..1	dateTime	Clinically relevant time/time-period for observation Obligations Actor SHOULD:able-to-populate Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
performer	SOΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SOΣC	0..1	string	Actual result Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
device		0..1	Reference(Device - Performer or Observer (IPS))	(Measurement) Device
hasMember	Σ	0..*	Reference(Observation Results - Radiology (IPS))	Related resource that belongs to the Observation group
Slices for component	SOΣ	0..*	BackboneElement	Component results Slice: Unordered, Closed by type:value Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:observationCode	Σ	0..*	BackboneElement	Observation Code
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Results Radiology Observation - IPS (preferred)
value[x]	Σ	1..1	CodeableConcept	Actual component result
component:observationTextOrMeasurement	Σ	0..*	BackboneElement	Observation Text or Measurement Values
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Results Radiology Measurement Observation - IPS (preferred)
value[x]	Σ	1..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ResultsStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips From this IG
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.category:radiology	preferred	Pattern Value: imaging http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	preferred	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips From this IG
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:observationCode.code	preferred	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips From this IG
Observation.component:observationTextOrMeasurement.code	preferred	ResultsRadiologyMeasurementTextObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
hasMemberOrComponent	error	Observation	component and hasMember are mutually exclusive : hasMember.empty() or component.empty()
ips-1	error	Observation.effective[x]	Datetime must be at least to day. : $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
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 Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: hasMemberOrComponent
partOf		0..*	Reference(ImagingStudy (IPS))	Part of referenced event
status		1..1	code	registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required)
Slices for category		1..*	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by pattern:$this
category:radiology	SO	1..1	CodeableConcept	Classification of type of observation Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
code	SO	1..1	CodeableConceptIPS	Type of observation (code / type) Binding: Results Radiology Observation - IPS (preferred) Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
subject	SO	1..1	Reference(Patient (IPS))	Who and/or what the observation is about Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
reference	SO	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)
Slices for effective[x]	SOC	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: ips-1 Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SO	0..1	dateTime	Clinically relevant time/time-period for observation Obligations Actor SHOULD:able-to-populate Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
performer	SO	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Slice: Unordered, Open by type:$this
value[x]:valueString	SO	0..1	string	Actual result Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
bodySite		0..1	CodeableConcept	Observed body part
device		0..1	Reference(Device - Performer or Observer (IPS))	(Measurement) Device
hasMember		0..*	Reference(Observation Results - Radiology (IPS))	Related resource that belongs to the Observation group
Slices for component	SO	0..*	BackboneElement	Component results Slice: Unordered, Closed by type:value Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
component:observationCode		0..*	BackboneElement	Observation Code
code		1..1	CodeableConcept	Type of component observation (code / type) Binding: Results Radiology Observation - IPS (preferred)
value[x]		1..1	CodeableConcept	Actual component result
component:observationTextOrMeasurement		0..*	BackboneElement	Observation Text or Measurement Values
code		1..1	CodeableConcept	Type of component observation (code / type) Binding: Results Radiology Measurement Observation - IPS (preferred)
value[x]		1..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	ResultsStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips From this IG
Observation.code	preferred	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips From this IG
Observation.component:observationCode.code	preferred	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips From this IG
Observation.component:observationTextOrMeasurement.code	preferred	ResultsRadiologyMeasurementTextObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
hasMemberOrComponent	error	Observation	component and hasMember are mutually exclusive : hasMember.empty() or component.empty()
ips-1	error	Observation.effective[x]	Datetime must be at least to day. : $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, hasMemberOrComponent
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(ImagingStudy (IPS))	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required)
Slices for category		1..*	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:radiology	SO	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SOΣ	1..1	CodeableConceptIPS	Type of observation (code / type) Binding: Results Radiology Observation - IPS (preferred) Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
subject	SOΣ	1..1	Reference(Patient (IPS))	Who and/or what the observation is about Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Slices for effective[x]	SOΣC	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: ips-1 Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SOΣ	0..1	dateTime	Clinically relevant time/time-period for observation Obligations Actor SHOULD:able-to-populate Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SOΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SOΣC	0..1	string	Actual result Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device - Performer or Observer (IPS))	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation Results - Radiology (IPS))	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SOΣ	0..*	BackboneElement	Component results Slice: Unordered, Closed by type:value Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observationCode	Σ	0..*	BackboneElement	Observation Code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Results Radiology Observation - IPS (preferred)
value[x]	Σ	1..1	CodeableConcept	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observationTextOrMeasurement	Σ	0..*	BackboneElement	Observation Text or Measurement Values
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Results Radiology Measurement Observation - IPS (preferred)
value[x]	Σ	1..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ResultsStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips From this IG
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.category:radiology	preferred	Pattern Value: imaging http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	preferred	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips From this IG
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:observationCode.code	preferred	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips From this IG
Observation.component:observationCode.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:observationCode.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:observationTextOrMeasurement.code	preferred	ResultsRadiologyMeasurementTextObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips From this IG
Observation.component:observationTextOrMeasurement.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:observationTextOrMeasurement.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
hasMemberOrComponent	error	Observation	component and hasMember are mutually exclusive : hasMember.empty() or component.empty()
ips-1	error	Observation.effective[x]	Datetime must be at least to day. : $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 6 elements(2 nested mandatory elements)
Must-Support: 9 elements

Structures

This structure refers to these other structures:

• ImagingStudy (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/ImagingStudy-uv-ips)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Patient (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips)
• Practitioner (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips)
• PractitionerRole (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/PractitionerRole-uv-ips)
• Organization (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips)
• Device - Performer or Observer (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips)
• Observation Results - Radiology (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.category
• The element 1 is sliced based on the value of Observation.effective[x]
• The element 1 is sliced based on the value of Observation.value[x]
• The element 1 is sliced based on the value of Observation.component (Closed)

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, hasMemberOrComponent
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	0..*	Reference(ImagingStudy (IPS))	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required)
Slices for category		1..*	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:radiology	SO	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SOΣ	1..1	CodeableConceptIPS	Type of observation (code / type) Binding: Results Radiology Observation - IPS (preferred) Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
subject	SOΣ	1..1	Reference(Patient (IPS))	Who and/or what the observation is about Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)
Slices for effective[x]	SOΣC	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: ips-1 Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SOΣ	0..1	dateTime	Clinically relevant time/time-period for observation Obligations Actor SHOULD:able-to-populate Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
performer	SOΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SOΣC	0..1	string	Actual result Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
device		0..1	Reference(Device - Performer or Observer (IPS))	(Measurement) Device
hasMember	Σ	0..*	Reference(Observation Results - Radiology (IPS))	Related resource that belongs to the Observation group
Slices for component	SOΣ	0..*	BackboneElement	Component results Slice: Unordered, Closed by type:value Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:observationCode	Σ	0..*	BackboneElement	Observation Code
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Results Radiology Observation - IPS (preferred)
value[x]	Σ	1..1	CodeableConcept	Actual component result
component:observationTextOrMeasurement	Σ	0..*	BackboneElement	Observation Text or Measurement Values
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Results Radiology Measurement Observation - IPS (preferred)
value[x]	Σ	1..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ResultsStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips From this IG
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.category:radiology	preferred	Pattern Value: imaging http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	preferred	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips From this IG
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:observationCode.code	preferred	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips From this IG
Observation.component:observationTextOrMeasurement.code	preferred	ResultsRadiologyMeasurementTextObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
hasMemberOrComponent	error	Observation	component and hasMember are mutually exclusive : hasMember.empty() or component.empty()
ips-1	error	Observation.effective[x]	Datetime must be at least to day. : $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
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 Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: hasMemberOrComponent
partOf		0..*	Reference(ImagingStudy (IPS))	Part of referenced event
status		1..1	code	registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required)
Slices for category		1..*	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by pattern:$this
category:radiology	SO	1..1	CodeableConcept	Classification of type of observation Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
code	SO	1..1	CodeableConceptIPS	Type of observation (code / type) Binding: Results Radiology Observation - IPS (preferred) Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
subject	SO	1..1	Reference(Patient (IPS))	Who and/or what the observation is about Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
reference	SO	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)
Slices for effective[x]	SOC	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: ips-1 Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SO	0..1	dateTime	Clinically relevant time/time-period for observation Obligations Actor SHOULD:able-to-populate Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
performer	SO	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Slice: Unordered, Open by type:$this
value[x]:valueString	SO	0..1	string	Actual result Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
bodySite		0..1	CodeableConcept	Observed body part
device		0..1	Reference(Device - Performer or Observer (IPS))	(Measurement) Device
hasMember		0..*	Reference(Observation Results - Radiology (IPS))	Related resource that belongs to the Observation group
Slices for component	SO	0..*	BackboneElement	Component results Slice: Unordered, Closed by type:value Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
component:observationCode		0..*	BackboneElement	Observation Code
code		1..1	CodeableConcept	Type of component observation (code / type) Binding: Results Radiology Observation - IPS (preferred)
value[x]		1..1	CodeableConcept	Actual component result
component:observationTextOrMeasurement		0..*	BackboneElement	Observation Text or Measurement Values
code		1..1	CodeableConcept	Type of component observation (code / type) Binding: Results Radiology Measurement Observation - IPS (preferred)
value[x]		1..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	ResultsStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips From this IG
Observation.code	preferred	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips From this IG
Observation.component:observationCode.code	preferred	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips From this IG
Observation.component:observationTextOrMeasurement.code	preferred	ResultsRadiologyMeasurementTextObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
hasMemberOrComponent	error	Observation	component and hasMember are mutually exclusive : hasMember.empty() or component.empty()
ips-1	error	Observation.effective[x]	Datetime must be at least to day. : $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, hasMemberOrComponent
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(ImagingStudy (IPS))	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required)
Slices for category		1..*	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:radiology	SO	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SOΣ	1..1	CodeableConceptIPS	Type of observation (code / type) Binding: Results Radiology Observation - IPS (preferred) Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
subject	SOΣ	1..1	Reference(Patient (IPS))	Who and/or what the observation is about Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Slices for effective[x]	SOΣC	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: ips-1 Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SOΣ	0..1	dateTime	Clinically relevant time/time-period for observation Obligations Actor SHOULD:able-to-populate Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SOΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SOΣC	0..1	string	Actual result Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device - Performer or Observer (IPS))	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation Results - Radiology (IPS))	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SOΣ	0..*	BackboneElement	Component results Slice: Unordered, Closed by type:value Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observationCode	Σ	0..*	BackboneElement	Observation Code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Results Radiology Observation - IPS (preferred)
value[x]	Σ	1..1	CodeableConcept	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observationTextOrMeasurement	Σ	0..*	BackboneElement	Observation Text or Measurement Values
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Results Radiology Measurement Observation - IPS (preferred)
value[x]	Σ	1..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ResultsStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips From this IG
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.category:radiology	preferred	Pattern Value: imaging http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	preferred	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips From this IG
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:observationCode.code	preferred	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips From this IG
Observation.component:observationCode.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:observationCode.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:observationTextOrMeasurement.code	preferred	ResultsRadiologyMeasurementTextObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips From this IG
Observation.component:observationTextOrMeasurement.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:observationTextOrMeasurement.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
hasMemberOrComponent	error	Observation	component and hasMember are mutually exclusive : hasMember.empty() or component.empty()
ips-1	error	Observation.effective[x]	Datetime must be at least to day. : $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 6 elements(2 nested mandatory elements)
Must-Support: 9 elements

Structures

This structure refers to these other structures:

• ImagingStudy (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/ImagingStudy-uv-ips)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Patient (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips)
• Practitioner (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips)
• PractitionerRole (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/PractitionerRole-uv-ips)
• Organization (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips)
• Device - Performer or Observer (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips)
• Observation Results - Radiology (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.category
• The element 1 is sliced based on the value of Observation.effective[x]
• The element 1 is sliced based on the value of Observation.value[x]
• The element 1 is sliced based on the value of Observation.component (Closed)

Maturity: 2