HL7 Europe Discharge Report
1.0.0-ci-build - ci-build
150
HL7 Europe Discharge Report
1.0.0-ci-build - ci-build
150
HL7 Europe Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/discharge-report/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/discharge-report/StructureDefinition/laboratoryObservation-obl-eu-dr | Version: 1.0.0-ci-build | |||
| Standards status: Informative | Maturity Level: 0 | Computable Name: LaboratoryObservationEuDrObligation | ||
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). |
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This profile defines obligations for laboratory observations in the scope of this guide.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Observation |
C | 0..* | MedicalTestResultEuCore | Measurements and simple assertions Constraints: obs-6, obs-7, obs-value-1 | ||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
  Slices for extension |
Content/Rules for all slices | |||||||||||
   extension:bodyStructure |
0..1 | Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) | R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1 | |||||||||
 extension:triggeredBy |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |||||||||
   Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||
 extension:observation |
1..1 | Extension | Extension Constraints: ext-1 | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "observation" | |||||||||
  value[x] |
1..1 | Reference(Observation: Medical Test Result (EU core)) | Triggering observation | |||||||||
| extension:type |
1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation. | |||||||||
 extension:reason |
0..1 | Extension | R5: Reason that the observation was triggered (new) Constraints: ext-1 | |||||||||
 url |
1..1 | uri | "reason" | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| extension:value-r5 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
 identifier |
0..* | Identifier | Business Identifier for observation
| |||||||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| |||||||||
| status |
1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| |||||||||
| category |
1..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
| code |
1..1 | CodeableConcept | Type of observation (code / type) Binding: Medical Test Result Code (example)
| |||||||||
 text |
0..1 | string | Plain text representation of the concept
| |||||||||
| subject |
1..1 | Reference(Patient (EU core) | Device | Group | Location) | Who and/or what the observation is about
| |||||||||
| focus |
0..* | Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core) | Substance | BiologicallyDerivedProduct) | What the observation is about, when it is not about the subject of record
| |||||||||
| Slices for effective[x] |
1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for observation | |||||||||
 effective[x]:effectivePeriod |
0..1 | Period | Clinically relevant time/time-period for observation
| |||||||||
| performer |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) | Who is responsible for the observation
| |||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| Slices for value[x] |
C | 0..1 | Actual result Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueQuantity |
C | 0..1 | Quantity | Actual result
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| value[x]:valueString |
C | 0..1 | string | Actual result
| ||||||||
| value[x]:valueRange |
C | 0..1 | Range | Actual result
| ||||||||
| value[x]:valueRatio |
C | 0..1 | Ratio | Actual result
| ||||||||
| value[x]:valueCodeableConcept |
C | 0..1 | CodeableConcept | Actual result
| ||||||||
| 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
| |||||||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
| |||||||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for the observation
| |||||||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
| ||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1
| ||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1
| ||||||||
| 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 |
0..* | Reference(Observation: Medical Test Result (EU core)) | Related resource that belongs to the Observation group
| |||||||||
| derivedFrom |
0..* | Reference(Observation: Medical Test Result (EU core) | ImagingStudy) | Related measurements the observation is made from
| |||||||||
| component |
C | 0..* | BackboneElement | Component results Constraints: obs-value-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:value-r5 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value Constraints: ext-1 | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value" | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| code |
1..1 | CodeableConcept | Type of component observation (code / type) Binding: Medical Test Result Code (example)
| |||||||||
| text |
0..1 | string | Plain text representation of the concept
| |||||||||
| Slices for value[x] |
0..1 | Actual component result 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 Other type slices that contain no new information are not shown in this view | ||||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueQuantity |
0..1 | Quantity | Actual component result
| |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| value[x]:valueString |
0..1 | string | Actual component result
| |||||||||
| value[x]:valueRange |
0..1 | Range | Actual component result
| |||||||||
| value[x]:valueRatio |
0..1 | Ratio | Actual component result
| |||||||||
| value[x]:valueCodeableConcept |
0..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..* | BackboneElement | Provides guide for interpretation of component result
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1
| ||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1
| ||||||||
| 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
| |||||||||
| Documentation for this format | ||||||||||||
| Id | Grade | Path(s) | Description | Expression |
| 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 | Observation.extension:bodyStructure, Observation.extension:triggeredBy, Observation.extension:triggeredBy.extension, Observation.extension:triggeredBy.extension:observation, Observation.extension:triggeredBy.extension:type, Observation.extension:triggeredBy.extension:reason, Observation.extension:value-r5, Observation.modifierExtension, Observation.performer.extension:performerFunction, Observation.value[x]:valueQuantity.extension:uncertainty, Observation.referenceRange.modifierExtension, Observation.component.extension:value-r5, Observation.component.modifierExtension, Observation.component.value[x]:valueQuantity.extension:uncertainty, Observation.component.referenceRange.modifierExtension | 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()
|
| obs-value-1 | error | Observation | The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. |
value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()
|
| obs-value-2 | error | Observation.component | The elements Observation.component.extension:value-r5 and Observation.component.value[x] SHALL not be used simultaneously. |
value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value').empty()
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.referenceRange.low, Observation.component.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicalTestResultEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
0..* | MedicalTestResultEuCore | Measurements and simple assertions | |||||||||
 identifier |
0..* | Identifier | Business Identifier for observation
| |||||||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| |||||||||
| status |
1..1 | code | registered | preliminary | final | amended +
| |||||||||
| code |
1..1 | CodeableConcept | Type of observation (code / type)
| |||||||||
| text |
0..1 | string | Plain text representation of the concept
| |||||||||
| subject |
1..1 | Reference(Patient (EU core) | Device | Group | Location) | Who and/or what the observation is about
| |||||||||
| focus |
0..* | Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core) | Substance | BiologicallyDerivedProduct) | What the observation is about, when it is not about the subject of record
| |||||||||
| Slices for effective[x] |
1..1 | dateTime, Period | 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 | |||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for observation | |||||||||
| effective[x]:effectivePeriod |
0..1 | Period | Clinically relevant time/time-period for observation
| |||||||||
| performer |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) | Who is responsible for the observation
| |||||||||
| value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result
| |||||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||||||
| value[x]:valueQuantity |
0..1 | Quantity | Actual result
| |||||||||
| value[x]:valueString |
0..1 | string | Actual result
| |||||||||
| value[x]:valueRange |
0..1 | Range | Actual result
| |||||||||
| value[x]:valueRatio |
0..1 | Ratio | Actual result
| |||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConcept | Actual result
| |||||||||
| dataAbsentReason |
0..1 | CodeableConcept | Why the result is missing
| |||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc.
| |||||||||
| note |
0..* | Annotation | Comments about the observation
| |||||||||
| method |
0..1 | CodeableConcept | How it was done
| |||||||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for the observation
| |||||||||
| referenceRange |
0..* | BackboneElement | Provides guide for interpretation
| |||||||||
| low |
0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| |||||||||
| high |
0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| |||||||||
| type |
0..1 | CodeableConcept | Reference range qualifier
| |||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population
| |||||||||
| age |
0..1 | Range | Applicable age range, if relevant
| |||||||||
| text |
0..1 | string | Text based reference range in an observation
| |||||||||
| hasMember |
0..* | Reference(Observation: Medical Test Result (EU core)) | Related resource that belongs to the Observation group
| |||||||||
| derivedFrom |
0..* | Reference(Observation: Medical Test Result (EU core) | ImagingStudy) | Related measurements the observation is made from
| |||||||||
| component |
0..* | BackboneElement | Component results
| |||||||||
| code |
1..1 | CodeableConcept | Type of component observation (code / type)
| |||||||||
| text |
0..1 | string | Plain text representation of the concept
| |||||||||
| value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result
| |||||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||||||
| value[x]:valueQuantity |
0..1 | Quantity | Actual component result
| |||||||||
| value[x]:valueString |
0..1 | string | Actual component result
| |||||||||
| value[x]:valueRange |
0..1 | Range | Actual component result
| |||||||||
| value[x]:valueRatio |
0..1 | Ratio | Actual component result
| |||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConcept | Actual component result
| |||||||||
| dataAbsentReason |
0..1 | CodeableConcept | Why the component result is missing
| |||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc.
| |||||||||
| referenceRange |
0..* | BackboneElement | Provides guide for interpretation of component result
| |||||||||
| low |
0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| |||||||||
| high |
0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| |||||||||
| type |
0..1 | CodeableConcept | Reference range qualifier
| |||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population
| |||||||||
| age |
0..1 | Range | Applicable age range, if relevant
| |||||||||
| text |
0..1 | string | Text based reference range in an observation
| |||||||||
| Documentation for this format | ||||||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | MedicalTestResultEuCore | Measurements and simple assertions Constraints: obs-6, obs-7, obs-value-1 | ||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the observation Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:bodyStructure |
0..1 | Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) | R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1 | |||||||||
| extension:triggeredBy |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:observation |
1..1 | Extension | Extension Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "observation" | |||||||||
| value[x] |
1..1 | Reference(Observation: Medical Test Result (EU core)) | Triggering observation | |||||||||
| extension:type |
1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation. | |||||||||
| extension:reason |
0..1 | Extension | R5: Reason that the observation was triggered (new) Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "reason" | |||||||||
| value[x] |
0..1 | string | Reason that the observation was triggered | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| extension:value-r5 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||
| value[x] |
0..1 | Attachment | Actual result | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | Business Identifier for observation
| |||||||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| |||||||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | |||||||||
| status |
1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| |||||||||
| category |
1..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
| code |
1..1 | CodeableConcept | Type of observation (code / type) Binding: Medical Test Result Code (example)
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||||||
| text |
0..1 | string | Plain text representation of the concept
| |||||||||
| subject |
1..1 | Reference(Patient (EU core) | Device | Group | Location) | Who and/or what the observation is about
| |||||||||
| focus |
0..* | Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core) | Substance | BiologicallyDerivedProduct) | What the observation is about, when it is not about the subject of record
| |||||||||
| encounter |
0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||||||
| Slices for effective[x] |
1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for observation | |||||||||
| effective[x]:effectivePeriod |
0..1 | Period | Clinically relevant time/time-period for observation
| |||||||||
| issued |
0..1 | instant | Date/Time this version was made available | |||||||||
| performer |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) | Who is responsible for the observation
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| Slices for value[x] |
C | 0..1 | Actual result Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueQuantity |
C | 0..1 | Quantity | Actual result
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| value |
0..1 | decimal | Numerical value (with implicit precision) | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| unit |
0..1 | string | Unit representation | |||||||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
0..1 | code | Coded form of the unit | |||||||||
| value[x]:valueString |
C | 0..1 | string | Actual result
| ||||||||
| value[x]:valueRange |
C | 0..1 | Range | Actual result
| ||||||||
| value[x]:valueRatio |
C | 0..1 | Ratio | Actual result
| ||||||||
| value[x]:valueCodeableConcept |
C | 0..1 | CodeableConcept | Actual result
| ||||||||
| 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 the observation
| |||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | (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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1
| ||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1
| ||||||||
| 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 |
0..* | Reference(Observation: Medical Test Result (EU core)) | Related resource that belongs to the Observation group
| |||||||||
| derivedFrom |
0..* | Reference(Observation: Medical Test Result (EU core) | ImagingStudy) | Related measurements the observation is made from
| |||||||||
| component |
C | 0..* | BackboneElement | Component results Constraints: obs-value-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:value-r5 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value" | |||||||||
| value[x] |
0..1 | Attachment | Actual component result | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| code |
1..1 | CodeableConcept | Type of component observation (code / type) Binding: Medical Test Result Code (example)
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||||||
| text |
0..1 | string | Plain text representation of the concept
| |||||||||
| Slices for value[x] |
0..1 | Actual component result 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 Other type slices that contain no new information are not shown in this view | ||||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueQuantity |
0..1 | Quantity | Actual component result
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| value |
0..1 | decimal | Numerical value (with implicit precision) | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| unit |
0..1 | string | Unit representation | |||||||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
0..1 | code | Coded form of the unit | |||||||||
| value[x]:valueString |
0..1 | string | Actual component result
| |||||||||
| value[x]:valueRange |
0..1 | Range | Actual component result
| |||||||||
| value[x]:valueRatio |
0..1 | Ratio | Actual component result
| |||||||||
| value[x]:valueCodeableConcept |
0..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..* | BackboneElement | Provides guide for interpretation of component result
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1
| ||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1
| ||||||||
| 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
| |||||||||
| Documentation for this format | ||||||||||||
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
| 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()
|
| obs-value-1 | error | Observation | The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. |
value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()
|
| obs-value-2 | error | Observation.component | The elements Observation.component.extension:value-r5 and Observation.component.value[x] SHALL not be used simultaneously. |
value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value').empty()
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.referenceRange.low, Observation.component.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicalTestResultEuCore
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | MedicalTestResultEuCore | Measurements and simple assertions Constraints: obs-6, obs-7, obs-value-1 | ||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:bodyStructure |
0..1 | Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) | R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1 | |||||||||
| extension:triggeredBy |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |||||||||
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:observation |
1..1 | Extension | Extension Constraints: ext-1 | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "observation" | |||||||||
| value[x] |
1..1 | Reference(Observation: Medical Test Result (EU core)) | Triggering observation | |||||||||
| extension:type |
1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation. | |||||||||
| extension:reason |
0..1 | Extension | R5: Reason that the observation was triggered (new) Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "reason" | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| extension:value-r5 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | Business Identifier for observation
| |||||||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| |||||||||
| status |
1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| |||||||||
| category |
1..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
| code |
1..1 | CodeableConcept | Type of observation (code / type) Binding: Medical Test Result Code (example)
| |||||||||
| text |
0..1 | string | Plain text representation of the concept
| |||||||||
| subject |
1..1 | Reference(Patient (EU core) | Device | Group | Location) | Who and/or what the observation is about
| |||||||||
| focus |
0..* | Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core) | Substance | BiologicallyDerivedProduct) | What the observation is about, when it is not about the subject of record
| |||||||||
| Slices for effective[x] |
1..1 | 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 | ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for observation | |||||||||
| effective[x]:effectivePeriod |
0..1 | Period | Clinically relevant time/time-period for observation
| |||||||||
| performer |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) | Who is responsible for the observation
| |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| Slices for value[x] |
C | 0..1 | Actual result 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 Other type slices that contain no new information are not shown in this view | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueQuantity |
C | 0..1 | Quantity | Actual result
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| value[x]:valueString |
C | 0..1 | string | Actual result
| ||||||||
| value[x]:valueRange |
C | 0..1 | Range | Actual result
| ||||||||
| value[x]:valueRatio |
C | 0..1 | Ratio | Actual result
| ||||||||
| value[x]:valueCodeableConcept |
C | 0..1 | CodeableConcept | Actual result
| ||||||||
| 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
| |||||||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
| |||||||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for the observation
| |||||||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
| ||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1
| ||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1
| ||||||||
| 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 |
0..* | Reference(Observation: Medical Test Result (EU core)) | Related resource that belongs to the Observation group
| |||||||||
| derivedFrom |
0..* | Reference(Observation: Medical Test Result (EU core) | ImagingStudy) | Related measurements the observation is made from
| |||||||||
| component |
C | 0..* | BackboneElement | Component results Constraints: obs-value-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:value-r5 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value Constraints: ext-1 | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value" | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| code |
1..1 | CodeableConcept | Type of component observation (code / type) Binding: Medical Test Result Code (example)
| |||||||||
| text |
0..1 | string | Plain text representation of the concept
| |||||||||
| Slices for value[x] |
0..1 | Actual component result 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 Other type slices that contain no new information are not shown in this view | ||||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueQuantity |
0..1 | Quantity | Actual component result
| |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| value[x]:valueString |
0..1 | string | Actual component result
| |||||||||
| value[x]:valueRange |
0..1 | Range | Actual component result
| |||||||||
| value[x]:valueRatio |
0..1 | Ratio | Actual component result
| |||||||||
| value[x]:valueCodeableConcept |
0..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..* | BackboneElement | Provides guide for interpretation of component result
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1
| ||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1
| ||||||||
| 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
| |||||||||
| Documentation for this format | ||||||||||||
| Id | Grade | Path(s) | Description | Expression |
| 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 | Observation.extension:bodyStructure, Observation.extension:triggeredBy, Observation.extension:triggeredBy.extension, Observation.extension:triggeredBy.extension:observation, Observation.extension:triggeredBy.extension:type, Observation.extension:triggeredBy.extension:reason, Observation.extension:value-r5, Observation.modifierExtension, Observation.performer.extension:performerFunction, Observation.value[x]:valueQuantity.extension:uncertainty, Observation.referenceRange.modifierExtension, Observation.component.extension:value-r5, Observation.component.modifierExtension, Observation.component.value[x]:valueQuantity.extension:uncertainty, Observation.component.referenceRange.modifierExtension | 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()
|
| obs-value-1 | error | Observation | The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. |
value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()
|
| obs-value-2 | error | Observation.component | The elements Observation.component.extension:value-r5 and Observation.component.value[x] SHALL not be used simultaneously. |
value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value').empty()
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.referenceRange.low, Observation.component.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
Differential View
This structure is derived from MedicalTestResultEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
0..* | MedicalTestResultEuCore | Measurements and simple assertions | |||||||||
| identifier |
0..* | Identifier | Business Identifier for observation
| |||||||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| |||||||||
| status |
1..1 | code | registered | preliminary | final | amended +
| |||||||||
| code |
1..1 | CodeableConcept | Type of observation (code / type)
| |||||||||
| text |
0..1 | string | Plain text representation of the concept
| |||||||||
| subject |
1..1 | Reference(Patient (EU core) | Device | Group | Location) | Who and/or what the observation is about
| |||||||||
| focus |
0..* | Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core) | Substance | BiologicallyDerivedProduct) | What the observation is about, when it is not about the subject of record
| |||||||||
| Slices for effective[x] |
1..1 | dateTime, Period | 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 | |||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for observation | |||||||||
| effective[x]:effectivePeriod |
0..1 | Period | Clinically relevant time/time-period for observation
| |||||||||
| performer |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) | Who is responsible for the observation
| |||||||||
| value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result
| |||||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||||||
| value[x]:valueQuantity |
0..1 | Quantity | Actual result
| |||||||||
| value[x]:valueString |
0..1 | string | Actual result
| |||||||||
| value[x]:valueRange |
0..1 | Range | Actual result
| |||||||||
| value[x]:valueRatio |
0..1 | Ratio | Actual result
| |||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConcept | Actual result
| |||||||||
| dataAbsentReason |
0..1 | CodeableConcept | Why the result is missing
| |||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc.
| |||||||||
| note |
0..* | Annotation | Comments about the observation
| |||||||||
| method |
0..1 | CodeableConcept | How it was done
| |||||||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for the observation
| |||||||||
| referenceRange |
0..* | BackboneElement | Provides guide for interpretation
| |||||||||
| low |
0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| |||||||||
| high |
0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| |||||||||
| type |
0..1 | CodeableConcept | Reference range qualifier
| |||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population
| |||||||||
| age |
0..1 | Range | Applicable age range, if relevant
| |||||||||
| text |
0..1 | string | Text based reference range in an observation
| |||||||||
| hasMember |
0..* | Reference(Observation: Medical Test Result (EU core)) | Related resource that belongs to the Observation group
| |||||||||
| derivedFrom |
0..* | Reference(Observation: Medical Test Result (EU core) | ImagingStudy) | Related measurements the observation is made from
| |||||||||
| component |
0..* | BackboneElement | Component results
| |||||||||
| code |
1..1 | CodeableConcept | Type of component observation (code / type)
| |||||||||
| text |
0..1 | string | Plain text representation of the concept
| |||||||||
| value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result
| |||||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||||||
| value[x]:valueQuantity |
0..1 | Quantity | Actual component result
| |||||||||
| value[x]:valueString |
0..1 | string | Actual component result
| |||||||||
| value[x]:valueRange |
0..1 | Range | Actual component result
| |||||||||
| value[x]:valueRatio |
0..1 | Ratio | Actual component result
| |||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConcept | Actual component result
| |||||||||
| dataAbsentReason |
0..1 | CodeableConcept | Why the component result is missing
| |||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc.
| |||||||||
| referenceRange |
0..* | BackboneElement | Provides guide for interpretation of component result
| |||||||||
| low |
0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| |||||||||
| high |
0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| |||||||||
| type |
0..1 | CodeableConcept | Reference range qualifier
| |||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population
| |||||||||
| age |
0..1 | Range | Applicable age range, if relevant
| |||||||||
| text |
0..1 | string | Text based reference range in an observation
| |||||||||
| Documentation for this format | ||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | MedicalTestResultEuCore | Measurements and simple assertions Constraints: obs-6, obs-7, obs-value-1 | ||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the observation Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:bodyStructure |
0..1 | Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) | R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1 | |||||||||
| extension:triggeredBy |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:observation |
1..1 | Extension | Extension Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "observation" | |||||||||
| value[x] |
1..1 | Reference(Observation: Medical Test Result (EU core)) | Triggering observation | |||||||||
| extension:type |
1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation. | |||||||||
| extension:reason |
0..1 | Extension | R5: Reason that the observation was triggered (new) Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "reason" | |||||||||
| value[x] |
0..1 | string | Reason that the observation was triggered | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| extension:value-r5 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||
| value[x] |
0..1 | Attachment | Actual result | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | Business Identifier for observation
| |||||||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| |||||||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | |||||||||
| status |
1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| |||||||||
| category |
1..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
| code |
1..1 | CodeableConcept | Type of observation (code / type) Binding: Medical Test Result Code (example)
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||||||
| text |
0..1 | string | Plain text representation of the concept
| |||||||||
| subject |
1..1 | Reference(Patient (EU core) | Device | Group | Location) | Who and/or what the observation is about
| |||||||||
| focus |
0..* | Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core) | Substance | BiologicallyDerivedProduct) | What the observation is about, when it is not about the subject of record
| |||||||||
| encounter |
0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||||||
| Slices for effective[x] |
1..1 | 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 | ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for observation | |||||||||
| effective[x]:effectivePeriod |
0..1 | Period | Clinically relevant time/time-period for observation
| |||||||||
| issued |
0..1 | instant | Date/Time this version was made available | |||||||||
| performer |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) | Who is responsible for the observation
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| Slices for value[x] |
C | 0..1 | Actual result 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 Other type slices that contain no new information are not shown in this view | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueQuantity |
C | 0..1 | Quantity | Actual result
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| value |
0..1 | decimal | Numerical value (with implicit precision) | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| unit |
0..1 | string | Unit representation | |||||||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
0..1 | code | Coded form of the unit | |||||||||
| value[x]:valueString |
C | 0..1 | string | Actual result
| ||||||||
| value[x]:valueRange |
C | 0..1 | Range | Actual result
| ||||||||
| value[x]:valueRatio |
C | 0..1 | Ratio | Actual result
| ||||||||
| value[x]:valueCodeableConcept |
C | 0..1 | CodeableConcept | Actual result
| ||||||||
| 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 the observation
| |||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | (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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1
| ||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1
| ||||||||
| 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 |
0..* | Reference(Observation: Medical Test Result (EU core)) | Related resource that belongs to the Observation group
| |||||||||
| derivedFrom |
0..* | Reference(Observation: Medical Test Result (EU core) | ImagingStudy) | Related measurements the observation is made from
| |||||||||
| component |
C | 0..* | BackboneElement | Component results Constraints: obs-value-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:value-r5 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value" | |||||||||
| value[x] |
0..1 | Attachment | Actual component result | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| code |
1..1 | CodeableConcept | Type of component observation (code / type) Binding: Medical Test Result Code (example)
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||||||
| text |
0..1 | string | Plain text representation of the concept
| |||||||||
| Slices for value[x] |
0..1 | Actual component result 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 Other type slices that contain no new information are not shown in this view | ||||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueQuantity |
0..1 | Quantity | Actual component result
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| value |
0..1 | decimal | Numerical value (with implicit precision) | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| unit |
0..1 | string | Unit representation | |||||||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
0..1 | code | Coded form of the unit | |||||||||
| value[x]:valueString |
0..1 | string | Actual component result
| |||||||||
| value[x]:valueRange |
0..1 | Range | Actual component result
| |||||||||
| value[x]:valueRatio |
0..1 | Ratio | Actual component result
| |||||||||
| value[x]:valueCodeableConcept |
0..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..* | BackboneElement | Provides guide for interpretation of component result
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1
| ||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1
| ||||||||
| 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
| |||||||||
| Documentation for this format | ||||||||||||
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
| 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()
|
| obs-value-1 | error | Observation | The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. |
value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()
|
| obs-value-2 | error | Observation.component | The elements Observation.component.extension:value-r5 and Observation.component.value[x] SHALL not be used simultaneously. |
value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value').empty()
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.referenceRange.low, Observation.component.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicalTestResultEuCore
Other representations of profile: CSV, Excel, Schematron
IG © 2026+ HL7 Europe. Package hl7.fhir.eu.discharge-report#1.0.0-ci-build based on FHIR 4.0.1. Generated 2026-10-06
