HL7 Europe Hospital Discharge Report
1.0.0-ci - draft
150
HL7 Europe Hospital Discharge Report
1.0.0-ci - draft
150
HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/hdr/StructureDefinition/laboratoryObservation-obl-eu-hdr | Version: 1.0.0-ci | |||
| Standards status: Informative | Maturity Level: 0 | Computable Name: LaboratoryObservationEuHdrObligation | ||
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). |
||||
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 |
?!Σ | 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 |
OΣ | 0..* | Identifier | Business Identifier for observation
| ||||||||
| basedOn |
OΣ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| ||||||||
| status |
?!OΣ | 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 |
OΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Medical Test Result Code (example)
| ||||||||
 text |
OΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core) | Device | Group | Location) | Who and/or what the observation is about
| ||||||||
| focus |
OΣ | 0..* | Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core)) | What the observation is about, when it is not about the subject of record
| ||||||||
| Slices for effective[x] |
OΣ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation | ||||||||
 effective[x]:effectivePeriod |
OΣ | 0..1 | Period | Clinically relevant time/time-period for observation
| ||||||||
| performer |
OΣ | 0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) | Who is responsible for the observation
| ||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| Slices for value[x] |
OΣC | 0..1 | Actual result Slice: Unordered, Closed by type:$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]:valueQuantity |
OΣC | 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 |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||||||
| value[x]:valueString |
OΣC | 0..1 | string | Actual result
| ||||||||
| value[x]:valueRange |
OΣC | 0..1 | Range | Actual result
| ||||||||
| value[x]:valueRatio |
OΣC | 0..1 | Ratio | Actual result
| ||||||||
| value[x]:valueCodeableConcept |
OΣC | 0..1 | CodeableConcept | Actual result
| ||||||||
| dataAbsentReason |
OC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||
| interpretation |
O | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||
| note |
O | 0..* | Annotation | Comments about the observation
| ||||||||
| method |
O | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
| ||||||||
| specimen |
O | 0..1 | Reference(Specimen) | Specimen used for the observation
| ||||||||
| referenceRange |
OC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
OC | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| ||||||||
| high |
OC | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| ||||||||
| type |
O | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| ||||||||
| appliesTo |
O | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
| ||||||||
| age |
O | 0..1 | Range | Applicable age range, if relevant
| ||||||||
| text |
O | 0..1 | string | Text based reference range in an observation
| ||||||||
| hasMember |
OΣ | 0..* | Reference(Observation: Medical Test Result (EU core)) | Related resource that belongs to the Observation group
| ||||||||
| derivedFrom |
OΣ | 0..* | Reference(Observation: Medical Test Result (EU core) | ImagingStudy) | Related measurements the observation is made from
| ||||||||
| component |
OΣ | 0..* | BackboneElement | Component results
| ||||||||
| 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.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 |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| code |
OΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Medical Test Result Code (example)
| ||||||||
| text |
OΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| Slices for value[x] |
OΣ | 0..1 | Actual component result Slice: Unordered, Closed 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]:valueQuantity |
OΣ | 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 |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||||||
| value[x]:valueString |
OΣ | 0..1 | string | Actual component result
| ||||||||
| value[x]:valueRange |
OΣ | 0..1 | Range | Actual component result
| ||||||||
| value[x]:valueRatio |
OΣ | 0..1 | Ratio | Actual component result
| ||||||||
| value[x]:valueCodeableConcept |
OΣ | 0..1 | CodeableConcept | Actual component result
| ||||||||
| dataAbsentReason |
OC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||
| interpretation |
O | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||
| referenceRange |
O | 0..* | BackboneElement | Provides guide for interpretation of component result
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
OC | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| ||||||||
| high |
OC | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| ||||||||
| type |
O | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| ||||||||
| appliesTo |
O | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
| ||||||||
| age |
O | 0..1 | Range | Applicable age range, if relevant
| ||||||||
| text |
O | 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()
|
This structure is derived from MedicalTestResultEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
0..* | MedicalTestResultEuCore | Measurements and simple assertions | |||||||||
 identifier |
O | 0..* | Identifier | Business Identifier for observation
| ||||||||
| basedOn |
O | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| ||||||||
| status |
O | 1..1 | code | registered | preliminary | final | amended +
| ||||||||
| code |
O | 1..1 | CodeableConcept | Type of observation (code / type)
| ||||||||
| text |
O | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
O | 1..1 | Reference(Patient (EU core) | Device | Group | Location) | Who and/or what the observation is about
| ||||||||
| focus |
O | 0..* | Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core)) | What the observation is about, when it is not about the subject of record
| ||||||||
| Slices for effective[x] |
O | 1..1 | dateTime, Period | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
| ||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for observation | |||||||||
| effective[x]:effectivePeriod |
O | 0..1 | Period | Clinically relevant time/time-period for observation
| ||||||||
| performer |
O | 0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) | Who is responsible for the observation
| ||||||||
| value[x] |
O | 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 |
O | 0..1 | Quantity | Actual result
| ||||||||
| value[x]:valueString |
O | 0..1 | string | Actual result
| ||||||||
| value[x]:valueRange |
O | 0..1 | Range | Actual result
| ||||||||
| value[x]:valueRatio |
O | 0..1 | Ratio | Actual result
| ||||||||
| value[x]:valueCodeableConcept |
O | 0..1 | CodeableConcept | Actual result
| ||||||||
| dataAbsentReason |
O | 0..1 | CodeableConcept | Why the result is missing
| ||||||||
| interpretation |
O | 0..* | CodeableConcept | High, low, normal, etc.
| ||||||||
| note |
O | 0..* | Annotation | Comments about the observation
| ||||||||
| method |
O | 0..1 | CodeableConcept | How it was done
| ||||||||
| specimen |
O | 0..1 | Reference(Specimen) | Specimen used for the observation
| ||||||||
| referenceRange |
O | 0..* | BackboneElement | Provides guide for interpretation
| ||||||||
| low |
O | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| ||||||||
| high |
O | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| ||||||||
| type |
O | 0..1 | CodeableConcept | Reference range qualifier
| ||||||||
| appliesTo |
O | 0..* | CodeableConcept | Reference range population
| ||||||||
| age |
O | 0..1 | Range | Applicable age range, if relevant
| ||||||||
| text |
O | 0..1 | string | Text based reference range in an observation
| ||||||||
| hasMember |
O | 0..* | Reference(Observation: Medical Test Result (EU core)) | Related resource that belongs to the Observation group
| ||||||||
| derivedFrom |
O | 0..* | Reference(Observation: Medical Test Result (EU core) | ImagingStudy) | Related measurements the observation is made from
| ||||||||
| component |
O | 0..* | BackboneElement | Component results
| ||||||||
| code |
O | 1..1 | CodeableConcept | Type of component observation (code / type)
| ||||||||
| text |
O | 0..1 | string | Plain text representation of the concept
| ||||||||
| value[x] |
O | 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 |
O | 0..1 | Quantity | Actual component result
| ||||||||
| value[x]:valueString |
O | 0..1 | string | Actual component result
| ||||||||
| value[x]:valueRange |
O | 0..1 | Range | Actual component result
| ||||||||
| value[x]:valueRatio |
O | 0..1 | Ratio | Actual component result
| ||||||||
| value[x]:valueCodeableConcept |
O | 0..1 | CodeableConcept | Actual component result
| ||||||||
| dataAbsentReason |
O | 0..1 | CodeableConcept | Why the component result is missing
| ||||||||
| interpretation |
O | 0..* | CodeableConcept | High, low, normal, etc.
| ||||||||
| referenceRange |
O | 0..* | BackboneElement | Provides guide for interpretation of component result
| ||||||||
| low |
O | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| ||||||||
| high |
O | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| ||||||||
| type |
O | 0..1 | CodeableConcept | Reference range qualifier
| ||||||||
| appliesTo |
O | 0..* | CodeableConcept | Reference range population
| ||||||||
| age |
O | 0..1 | Range | Applicable age range, if relevant
| ||||||||
| text |
O | 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 |
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 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 |
OΣ | 0..* | Identifier | Business Identifier for observation
| ||||||||
| basedOn |
OΣ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| ||||||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||||||
| status |
?!OΣ | 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 |
OΣ | 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 |
Σ | 0..* | Coding | Code defined by a terminology system | ||||||||
| text |
OΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core) | Device | Group | Location) | Who and/or what the observation is about
| ||||||||
| focus |
OΣ | 0..* | Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core)) | 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] |
OΣ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation | ||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | Clinically relevant time/time-period for observation
| ||||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||||||
| performer |
OΣ | 0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) | Who is responsible for the observation
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| Slices for value[x] |
OΣC | 0..1 | Actual result Slice: Unordered, Closed by type:$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]:valueQuantity |
OΣC | 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 |
Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||||||
| unit |
Σ | 0..1 | string | Unit representation | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| value[x]:valueString |
OΣC | 0..1 | string | Actual result
| ||||||||
| value[x]:valueRange |
OΣC | 0..1 | Range | Actual result
| ||||||||
| value[x]:valueRatio |
OΣC | 0..1 | Ratio | Actual result
| ||||||||
| value[x]:valueCodeableConcept |
OΣC | 0..1 | CodeableConcept | Actual result
| ||||||||
| dataAbsentReason |
OC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||
| interpretation |
O | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||
| note |
O | 0..* | Annotation | Comments about the observation
| ||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
| method |
O | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
| ||||||||
| specimen |
O | 0..1 | Reference(Specimen) | Specimen used for the observation
| ||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||||||
| referenceRange |
OC | 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 |
OC | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| ||||||||
| high |
OC | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| ||||||||
| type |
O | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| ||||||||
| appliesTo |
O | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
| ||||||||
| age |
O | 0..1 | Range | Applicable age range, if relevant
| ||||||||
| text |
O | 0..1 | string | Text based reference range in an observation
| ||||||||
| hasMember |
OΣ | 0..* | Reference(Observation: Medical Test Result (EU core)) | Related resource that belongs to the Observation group
| ||||||||
| derivedFrom |
OΣ | 0..* | Reference(Observation: Medical Test Result (EU core) | ImagingStudy) | Related measurements the observation is made from
| ||||||||
| component |
OΣ | 0..* | BackboneElement | Component results
| ||||||||
| 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.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 |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| code |
OΣ | 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 |
Σ | 0..* | Coding | Code defined by a terminology system | ||||||||
| text |
OΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| Slices for value[x] |
OΣ | 0..1 | Actual component result Slice: Unordered, Closed 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]:valueQuantity |
OΣ | 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 |
Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||||||
| unit |
Σ | 0..1 | string | Unit representation | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| value[x]:valueString |
OΣ | 0..1 | string | Actual component result
| ||||||||
| value[x]:valueRange |
OΣ | 0..1 | Range | Actual component result
| ||||||||
| value[x]:valueRatio |
OΣ | 0..1 | Ratio | Actual component result
| ||||||||
| value[x]:valueCodeableConcept |
OΣ | 0..1 | CodeableConcept | Actual component result
| ||||||||
| dataAbsentReason |
OC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||
| interpretation |
O | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||
| referenceRange |
O | 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 |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
OC | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| ||||||||
| high |
OC | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| ||||||||
| type |
O | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| ||||||||
| appliesTo |
O | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
| ||||||||
| age |
O | 0..1 | Range | Applicable age range, if relevant
| ||||||||
| text |
O | 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()
|
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 |
?!Σ | 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 |
OΣ | 0..* | Identifier | Business Identifier for observation
| ||||||||
| basedOn |
OΣ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| ||||||||
| status |
?!OΣ | 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 |
OΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Medical Test Result Code (example)
| ||||||||
| text |
OΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core) | Device | Group | Location) | Who and/or what the observation is about
| ||||||||
| focus |
OΣ | 0..* | Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core)) | What the observation is about, when it is not about the subject of record
| ||||||||
| Slices for effective[x] |
OΣ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation | ||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | Clinically relevant time/time-period for observation
| ||||||||
| performer |
OΣ | 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] |
OΣC | 0..1 | Actual result Slice: Unordered, Closed 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]:valueQuantity |
OΣC | 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 |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||||||
| value[x]:valueString |
OΣC | 0..1 | string | Actual result
| ||||||||
| value[x]:valueRange |
OΣC | 0..1 | Range | Actual result
| ||||||||
| value[x]:valueRatio |
OΣC | 0..1 | Ratio | Actual result
| ||||||||
| value[x]:valueCodeableConcept |
OΣC | 0..1 | CodeableConcept | Actual result
| ||||||||
| dataAbsentReason |
OC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||
| interpretation |
O | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||
| note |
O | 0..* | Annotation | Comments about the observation
| ||||||||
| method |
O | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
| ||||||||
| specimen |
O | 0..1 | Reference(Specimen) | Specimen used for the observation
| ||||||||
| referenceRange |
OC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
OC | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| ||||||||
| high |
OC | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| ||||||||
| type |
O | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| ||||||||
| appliesTo |
O | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
| ||||||||
| age |
O | 0..1 | Range | Applicable age range, if relevant
| ||||||||
| text |
O | 0..1 | string | Text based reference range in an observation
| ||||||||
| hasMember |
OΣ | 0..* | Reference(Observation: Medical Test Result (EU core)) | Related resource that belongs to the Observation group
| ||||||||
| derivedFrom |
OΣ | 0..* | Reference(Observation: Medical Test Result (EU core) | ImagingStudy) | Related measurements the observation is made from
| ||||||||
| component |
OΣ | 0..* | BackboneElement | Component results
| ||||||||
| 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.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 |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| code |
OΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Medical Test Result Code (example)
| ||||||||
| text |
OΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| Slices for value[x] |
OΣ | 0..1 | Actual component result Slice: Unordered, Closed 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]:valueQuantity |
OΣ | 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 |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||||||
| value[x]:valueString |
OΣ | 0..1 | string | Actual component result
| ||||||||
| value[x]:valueRange |
OΣ | 0..1 | Range | Actual component result
| ||||||||
| value[x]:valueRatio |
OΣ | 0..1 | Ratio | Actual component result
| ||||||||
| value[x]:valueCodeableConcept |
OΣ | 0..1 | CodeableConcept | Actual component result
| ||||||||
| dataAbsentReason |
OC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||
| interpretation |
O | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||
| referenceRange |
O | 0..* | BackboneElement | Provides guide for interpretation of component result
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
OC | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| ||||||||
| high |
OC | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| ||||||||
| type |
O | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| ||||||||
| appliesTo |
O | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
| ||||||||
| age |
O | 0..1 | Range | Applicable age range, if relevant
| ||||||||
| text |
O | 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()
|
Differential View
This structure is derived from MedicalTestResultEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
0..* | MedicalTestResultEuCore | Measurements and simple assertions | |||||||||
| identifier |
O | 0..* | Identifier | Business Identifier for observation
| ||||||||
| basedOn |
O | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| ||||||||
| status |
O | 1..1 | code | registered | preliminary | final | amended +
| ||||||||
| code |
O | 1..1 | CodeableConcept | Type of observation (code / type)
| ||||||||
| text |
O | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
O | 1..1 | Reference(Patient (EU core) | Device | Group | Location) | Who and/or what the observation is about
| ||||||||
| focus |
O | 0..* | Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core)) | What the observation is about, when it is not about the subject of record
| ||||||||
| Slices for effective[x] |
O | 1..1 | dateTime, Period | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
| ||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for observation | |||||||||
| effective[x]:effectivePeriod |
O | 0..1 | Period | Clinically relevant time/time-period for observation
| ||||||||
| performer |
O | 0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) | Who is responsible for the observation
| ||||||||
| value[x] |
O | 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 |
O | 0..1 | Quantity | Actual result
| ||||||||
| value[x]:valueString |
O | 0..1 | string | Actual result
| ||||||||
| value[x]:valueRange |
O | 0..1 | Range | Actual result
| ||||||||
| value[x]:valueRatio |
O | 0..1 | Ratio | Actual result
| ||||||||
| value[x]:valueCodeableConcept |
O | 0..1 | CodeableConcept | Actual result
| ||||||||
| dataAbsentReason |
O | 0..1 | CodeableConcept | Why the result is missing
| ||||||||
| interpretation |
O | 0..* | CodeableConcept | High, low, normal, etc.
| ||||||||
| note |
O | 0..* | Annotation | Comments about the observation
| ||||||||
| method |
O | 0..1 | CodeableConcept | How it was done
| ||||||||
| specimen |
O | 0..1 | Reference(Specimen) | Specimen used for the observation
| ||||||||
| referenceRange |
O | 0..* | BackboneElement | Provides guide for interpretation
| ||||||||
| low |
O | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| ||||||||
| high |
O | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| ||||||||
| type |
O | 0..1 | CodeableConcept | Reference range qualifier
| ||||||||
| appliesTo |
O | 0..* | CodeableConcept | Reference range population
| ||||||||
| age |
O | 0..1 | Range | Applicable age range, if relevant
| ||||||||
| text |
O | 0..1 | string | Text based reference range in an observation
| ||||||||
| hasMember |
O | 0..* | Reference(Observation: Medical Test Result (EU core)) | Related resource that belongs to the Observation group
| ||||||||
| derivedFrom |
O | 0..* | Reference(Observation: Medical Test Result (EU core) | ImagingStudy) | Related measurements the observation is made from
| ||||||||
| component |
O | 0..* | BackboneElement | Component results
| ||||||||
| code |
O | 1..1 | CodeableConcept | Type of component observation (code / type)
| ||||||||
| text |
O | 0..1 | string | Plain text representation of the concept
| ||||||||
| value[x] |
O | 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 |
O | 0..1 | Quantity | Actual component result
| ||||||||
| value[x]:valueString |
O | 0..1 | string | Actual component result
| ||||||||
| value[x]:valueRange |
O | 0..1 | Range | Actual component result
| ||||||||
| value[x]:valueRatio |
O | 0..1 | Ratio | Actual component result
| ||||||||
| value[x]:valueCodeableConcept |
O | 0..1 | CodeableConcept | Actual component result
| ||||||||
| dataAbsentReason |
O | 0..1 | CodeableConcept | Why the component result is missing
| ||||||||
| interpretation |
O | 0..* | CodeableConcept | High, low, normal, etc.
| ||||||||
| referenceRange |
O | 0..* | BackboneElement | Provides guide for interpretation of component result
| ||||||||
| low |
O | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| ||||||||
| high |
O | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| ||||||||
| type |
O | 0..1 | CodeableConcept | Reference range qualifier
| ||||||||
| appliesTo |
O | 0..* | CodeableConcept | Reference range population
| ||||||||
| age |
O | 0..1 | Range | Applicable age range, if relevant
| ||||||||
| text |
O | 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 |
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 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 |
OΣ | 0..* | Identifier | Business Identifier for observation
| ||||||||
| basedOn |
OΣ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| ||||||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||||||
| status |
?!OΣ | 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 |
OΣ | 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 |
Σ | 0..* | Coding | Code defined by a terminology system | ||||||||
| text |
OΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core) | Device | Group | Location) | Who and/or what the observation is about
| ||||||||
| focus |
OΣ | 0..* | Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core)) | 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] |
OΣ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation | ||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | Clinically relevant time/time-period for observation
| ||||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||||||
| performer |
OΣ | 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 |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| Slices for value[x] |
OΣC | 0..1 | Actual result Slice: Unordered, Closed 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]:valueQuantity |
OΣC | 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 |
Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||||||
| unit |
Σ | 0..1 | string | Unit representation | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| value[x]:valueString |
OΣC | 0..1 | string | Actual result
| ||||||||
| value[x]:valueRange |
OΣC | 0..1 | Range | Actual result
| ||||||||
| value[x]:valueRatio |
OΣC | 0..1 | Ratio | Actual result
| ||||||||
| value[x]:valueCodeableConcept |
OΣC | 0..1 | CodeableConcept | Actual result
| ||||||||
| dataAbsentReason |
OC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||
| interpretation |
O | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||
| note |
O | 0..* | Annotation | Comments about the observation
| ||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
| method |
O | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
| ||||||||
| specimen |
O | 0..1 | Reference(Specimen) | Specimen used for the observation
| ||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||||||
| referenceRange |
OC | 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 |
OC | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| ||||||||
| high |
OC | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| ||||||||
| type |
O | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| ||||||||
| appliesTo |
O | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
| ||||||||
| age |
O | 0..1 | Range | Applicable age range, if relevant
| ||||||||
| text |
O | 0..1 | string | Text based reference range in an observation
| ||||||||
| hasMember |
OΣ | 0..* | Reference(Observation: Medical Test Result (EU core)) | Related resource that belongs to the Observation group
| ||||||||
| derivedFrom |
OΣ | 0..* | Reference(Observation: Medical Test Result (EU core) | ImagingStudy) | Related measurements the observation is made from
| ||||||||
| component |
OΣ | 0..* | BackboneElement | Component results
| ||||||||
| 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.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 |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| code |
OΣ | 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 |
Σ | 0..* | Coding | Code defined by a terminology system | ||||||||
| text |
OΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| Slices for value[x] |
OΣ | 0..1 | Actual component result Slice: Unordered, Closed 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]:valueQuantity |
OΣ | 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 |
Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||||||
| unit |
Σ | 0..1 | string | Unit representation | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| value[x]:valueString |
OΣ | 0..1 | string | Actual component result
| ||||||||
| value[x]:valueRange |
OΣ | 0..1 | Range | Actual component result
| ||||||||
| value[x]:valueRatio |
OΣ | 0..1 | Ratio | Actual component result
| ||||||||
| value[x]:valueCodeableConcept |
OΣ | 0..1 | CodeableConcept | Actual component result
| ||||||||
| dataAbsentReason |
OC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||
| interpretation |
O | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||
| referenceRange |
O | 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 |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
OC | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
| ||||||||
| high |
OC | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
| ||||||||
| type |
O | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| ||||||||
| appliesTo |
O | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
| ||||||||
| age |
O | 0..1 | Range | Applicable age range, if relevant
| ||||||||
| text |
O | 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()
|
This structure is derived from MedicalTestResultEuCore
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.hdr#1.0.0-ci based on FHIR 4.0.1. Generated 2026-06-26
