HL7 Europe Laboratory Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.2.0-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/laboratory/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab | Version: 0.2.0-ci | |||
Standards status: Trial-use | Maturity Level: 2 | Computable Name: ObservationResultsLaboratoryEu | ||
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License |
This profile constrains the Observation resource to represent results produced by laboratory tests or panels/studies for the HL7 Europe project. This observation may represent the result of a simple laboratory test such as hematocrit or it may group the set of results produced by a multi-test study or panel such as a complete blood count, a dynamic function test, a urine specimen study. In the latter case, the observation carries the overall conclusion of the study and or a global interpretation by the producer of the study, in the comment element; and references the atomic results of the study as "has-member" child observations.
This profile constrains the Observation resource to represent a laboratory in vitro diagnostic test or panel/study. In case of a panel/study, the results of the panel appear as sub-observations. In this case this top-level Observation acts as a grouper of all the observations belonging to the panel or study. The top-level observation may carry a conclusion in the value element and or a global interpretation by the producer of the study, in the comment element.
This profile offers two options to indicate the Certified Reference Material used for the calibration (in general when the UCUM International Units are used for the results [IU]).
- The first to be used when the Certified Reference Material is represented by a coded concept
- The second when the Certified Reference Material is identified with an Identifier.
Adopters are invited to give their feedback about
- The most proper way to refer the Certified Reference Material, that is by using an Identifier or a CodeableConcept
- If a CodeableReference should be used
- If this information should be an extension of the Observation resource, or of other elements (e.g. DeviceMetric.calibration)
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | Observation | Laboratory result for a simple test or for a panel/study eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" |
Slices for extension | 0..* | Extension | Laboratory Test Kit Slice: Unordered, Open by value:url | |
supportingInfo | 0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |
triggeredBy-r5 | 0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |
Slices for extension | Content/Rules for all slices | |||
extension:observation | 0..* | Extension | Triggering observation. | |
extension:type | 0..* | Extension | The type of trigger | |
certifiedRefMaterialCodeable | 0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |
certifiedRefMaterialIdentifer | 0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |
labTestKit | 0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |
value[x] | 1..1 | Attachment | Value of extension | |
status | 1..1 | code | Status of this observation (e.g. preliminary, final,...) | |
Slices for category | 1..* | CodeableConceptIPS | Classification of type of observation Slice: Unordered, Open by pattern:$this | |
category:laboratory | 1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |
category:studyType | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) | |
category:specialty | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Laboratory Code (preferred) | |
subject | 1..1 | Reference(Patient: Animal | Patient: Person | Group | Device | Location) | Who and/or what the observation is about | |
reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
effective[x] | 1..1 | Clinically relevant time/time-period for observation | ||
effective[x]All Types | Content/Rules for all Types | |||
Slices for extension | Content/Rules for all slices | |||
data-absent-reason | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
issued | 0..1 | instant | Date/Time this result was made available | |
performer | 1..* | Reference(PractitionerRole: Laboratory Report | Practitioner: Laboratory Report | Organization (IPS) | CareTeam | Patient: Person | RelatedPerson) | Who is responsible for the observation | |
Slices for extension | Content/Rules for all slices | |||
performerFunction | 0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |
Slices for value[x] | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Closed by type:$this | |
value[x]:valueString | 0..1 | string | Actual result | |
value[x]:valueRange | 0..1 | RangeIPS | Set of values bounded by low and high | |
value[x]:valueRatio | 0..1 | RatioEuLab | A measured ratio using UCUM | |
value[x]:valueTime | 0..1 | time | Actual result | |
value[x]:valueDateTime | 0..1 | dateTime | Actual result | |
value[x]:valuePeriod | 0..1 | Period | Actual result | |
value[x]:valueQuantity | 0..1 | QuantityEuLab | A measured amount using UCUM | |
value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips (preferred) | |
dataAbsentReason | 0..1 | CodeableConcept | Provides a reason why the expected value is missing. | |
interpretation | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text | |
method | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Laboratory Techniques (preferred) | |
specimen | 0..1 | Reference(Specimen: Laboratory) | Specimen used for this observation | |
device | 0..1 | Reference(Device | DeviceMetric) | Measuring instrument | |
hasMember | 0..* | Reference(Observation Results: laboratory) | Related resource that belongs to the Observation group | |
component | 0..* | BackboneElement | Laboratory result | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |
value[x] | 1..1 | Attachment | Value of extension | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips (preferred) | |
Slices for value[x] | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result Slice: Unordered, Closed by type:$this | |
value[x]:valueString | 0..1 | string | Actual component result | |
value[x]:valueRange | 0..1 | RangeIPS | Set of values bounded by low and high | |
value[x]:valueRatio | 0..1 | RatioEuLab | A measured ratio using UCUM | |
value[x]:valueTime | 0..1 | time | Actual component result | |
value[x]:valueDateTime | 0..1 | dateTime | Actual component result | |
value[x]:valuePeriod | 0..1 | Period | Actual component result | |
value[x]:valueQuantity | 0..1 | QuantityEuLab | A measured amount using UCUM | |
value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips (preferred) | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab from this IG | |
Observation.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab from this IG | |
Observation.code | preferred | LaboratoryResultStandardEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab from this IG | |
Observation.value[x]:valueCodeableConcept | preferred | http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ipshttp://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | |
Observation.method | preferred | LabTechniqueEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-technique-eu-lab from this IG | |
Observation.component.code | preferred | http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ipshttp://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips | |
Observation.component.value[x]:valueCodeableConcept | preferred | http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ipshttp://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips |
Id | Grade | Path(s) | Details | Requirements |
eu-lab-1 | error | Observation | If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists() | |
eu-lab-2 | error | Observation | If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists() |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | Observation | Laboratory result for a simple test or for a panel/study obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 0..* | Extension | Laboratory Test Kit Slice: Unordered, Open by value:url | |
supportingInfo | 0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |
triggeredBy-r5 | 0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |
Slices for extension | Content/Rules for all slices | |||
extension:observation | 0..* | Extension | Triggering observation. | |
extension | 0..0 | |||
url | 1..1 | uri | "observation" | |
value[x] | 1..1 | Reference(Observation) | Value of extension | |
extension:type | 0..* | Extension | The type of trigger | |
extension | 0..0 | |||
url | 1..1 | uri | "type" | |
value[x] | 1..1 | code | Value of extension | |
extension:reason | 0..* | Extension | Extension | |
extension | 0..0 | |||
url | 1..1 | uri | "reason" | |
value[x] | 1..1 | string | Value of extension | |
url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |
certifiedRefMaterialCodeable | 0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |
certifiedRefMaterialIdentifer | 0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |
labTestKit | 0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |
extension | 0..0 | |||
url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |
value[x] | 1..1 | Attachment | Value of extension | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation. |
Slices for category | 1..* | CodeableConceptIPS | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
category:laboratory | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |
category:studyType | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) | |
category:specialty | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Laboratory Code (preferred) | |
subject | Σ | 1..1 | Reference(Patient: Animal | Patient: Person | Group | Device | Location) | Who and/or what the observation is about |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
effective[x] | Σ | 1..1 | Clinically relevant time/time-period for observation | |
effective[x]All Types | Content/Rules for all Types | |||
Slices for extension | Content/Rules for all slices | |||
data-absent-reason | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
issued | Σ | 0..1 | instant | Date/Time this result was made available |
performer | Σ | 1..* | Reference(PractitionerRole: Laboratory Report | Practitioner: Laboratory Report | Organization (IPS) | CareTeam | Patient: Person | RelatedPerson) | Who is responsible for the observation |
Slices for extension | Content/Rules for all slices | |||
performerFunction | 0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |
Slices for value[x] | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |
valueQuantity | Quantity | |||
valueCodeableConcept | CodeableConcept | |||
valueString | string | |||
valueBoolean | boolean | |||
valueInteger | integer | |||
valueRange | Range | |||
valueRatio | Ratio | |||
valueSampledData | SampledData | |||
valueTime | time | |||
valueDateTime | dateTime | |||
valuePeriod | Period | |||
value[x]:valueString | ΣC | 0..1 | string | Actual result |
value[x]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high |
value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
value[x]:valueTime | ΣC | 0..1 | time | Actual result |
value[x]:valueDateTime | ΣC | 0..1 | dateTime | Actual result |
value[x]:valuePeriod | ΣC | 0..1 | Period | Actual result |
value[x]:valueQuantity | C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present |
value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips (preferred) | |
dataAbsentReason | C | 0..1 | CodeableConcept | Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
interpretation | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |
method | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Laboratory Techniques (preferred) | |
specimen | 0..1 | Reference(Specimen: Laboratory) | Specimen used for this observation | |
device | 0..1 | Reference(Device | DeviceMetric) | Measuring instrument | |
hasMember | Σ | 0..* | Reference(Observation Results: laboratory) | Related resource that belongs to the Observation group |
component | Σ | 0..* | BackboneElement | Laboratory result |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |
extension | 0..0 | |||
url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |
value[x] | 1..1 | Attachment | Value of extension | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips (preferred) | |
Slices for value[x] | Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |
valueQuantity | Quantity | |||
valueCodeableConcept | CodeableConcept | |||
valueString | string | |||
valueBoolean | boolean | |||
valueInteger | integer | |||
valueRange | Range | |||
valueRatio | Ratio | |||
valueSampledData | SampledData | |||
valueTime | time | |||
valueDateTime | dateTime | |||
valuePeriod | Period | |||
value[x]:valueString | Σ | 0..1 | string | Actual component result |
value[x]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high |
value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
value[x]:valueTime | Σ | 0..1 | time | Actual component result |
value[x]:valueDateTime | Σ | 0..1 | dateTime | Actual component result |
value[x]:valuePeriod | Σ | 0..1 | Period | Actual component result |
value[x]:valueQuantity | C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present |
value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips (preferred) | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab from this IG | |
Observation.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab from this IG | |
Observation.code | preferred | LaboratoryResultStandardEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab from this IG | |
Observation.value[x]:valueCodeableConcept | preferred | http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ipshttp://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | |
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | |
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | |
Observation.method | preferred | LabTechniqueEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-technique-eu-lab from this IG | |
Observation.component.code | preferred | http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ipshttp://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips | |
Observation.component.value[x]:valueCodeableConcept | preferred | http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ipshttp://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
eu-lab-1 | error | Observation | If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists() | |
eu-lab-2 | error | Observation | If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists() | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
qty-3 | error | Observation.value[x]:valueQuantity, Observation.component.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
rat-1 | error | Observation.value[x]:valueRatio, Observation.component.value[x]:valueRatio | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
rng-2 | error | Observation.value[x]:valueRange, Observation.component.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | Observation | Laboratory result for a simple test or for a panel/study obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Laboratory Test Kit Slice: Unordered, Open by value:url | |||||
supportingInfo | 0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||
triggeredBy-r5 | 0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
extension:observation | 0..* | Extension | Triggering observation. | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "observation" | |||||
value[x] | 1..1 | Reference(Observation) | Value of extension | |||||
extension:type | 0..* | Extension | The type of trigger | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "type" | |||||
value[x] | 1..1 | code | Value of extension | |||||
extension:reason | 0..* | Extension | Extension | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "reason" | |||||
value[x] | 1..1 | string | Value of extension | |||||
url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||
certifiedRefMaterialCodeable | 0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||
certifiedRefMaterialIdentifer | 0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||
labTestKit | 0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||
value[x] | 1..1 | Attachment | Value of extension | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
status | ?!Σ | 1..1 | code | Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
Slices for category | 1..* | CodeableConceptIPS | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
category:laboratory | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
category:studyType | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) | |||||
category:specialty | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |||||
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Laboratory Code (preferred) | |||||
subject | Σ | 1..1 | Reference(Patient: Animal | Patient: Person | Group | Device | Location) | Who and/or what the observation is about | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
effective[x] | Σ | 1..1 | Clinically relevant time/time-period for observation | |||||
effective[x]All Types | Content/Rules for all Types | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
data-absent-reason | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
issued | Σ | 0..1 | instant | Date/Time this result was made available | ||||
performer | Σ | 1..* | Reference(PractitionerRole: Laboratory Report | Practitioner: Laboratory Report | Organization (IPS) | CareTeam | Patient: Person | 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 | |||||
performerFunction | 0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||
reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
Slices for value[x] | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
value[x]:valueString | ΣC | 0..1 | string | Actual result | ||||
value[x]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||
value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||
value[x]:valueTime | ΣC | 0..1 | time | Actual result | ||||
value[x]:valueDateTime | ΣC | 0..1 | dateTime | Actual result | ||||
value[x]:valuePeriod | ΣC | 0..1 | Period | Actual result | ||||
value[x]:valueQuantity | C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||
value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips (preferred) | |||||
dataAbsentReason | C | 0..1 | CodeableConcept | Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Laboratory Techniques (preferred) | |||||
specimen | 0..1 | Reference(Specimen: Laboratory) | Specimen used for this observation | |||||
device | 0..1 | Reference(Device | DeviceMetric) | Measuring instrument | |||||
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
age | 0..1 | Range | Applicable age range, if relevant | |||||
text | 0..1 | string | Text based reference range in an observation | |||||
hasMember | Σ | 0..* | Reference(Observation Results: laboratory) | Related resource that belongs to the Observation group | ||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
component | Σ | 0..* | BackboneElement | Laboratory result | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||
value[x] | 1..1 | Attachment | Value of extension | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips (preferred) | |||||
Slices for value[x] | Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
value[x]:valueString | Σ | 0..1 | string | Actual component result | ||||
value[x]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||
value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||
value[x]:valueTime | Σ | 0..1 | time | Actual component result | ||||
value[x]:valueDateTime | Σ | 0..1 | dateTime | Actual component result | ||||
value[x]:valuePeriod | Σ | 0..1 | Period | Actual component result | ||||
value[x]:valueQuantity | C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||
value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips (preferred) | |||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab from this IG | ||||
Observation.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab from this IG | ||||
Observation.code | preferred | LaboratoryResultStandardEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab from this IG | ||||
Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Observation.performer.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Observation.value[x]:valueCodeableConcept | preferred | http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ipshttp://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | preferred | LabTechniqueEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-technique-eu-lab from this IG | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | preferred | http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ipshttp://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips | ||||
Observation.component.value[x]:valueCodeableConcept | preferred | http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ipshttp://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
eu-lab-1 | error | Observation | If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists() | |
eu-lab-2 | error | Observation | If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists() | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
qty-3 | error | Observation.value[x]:valueQuantity, Observation.component.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
rat-1 | error | Observation.value[x]:valueRatio, Observation.component.value[x]:valueRatio | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
rng-2 | error | Observation.value[x]:valueRange, Observation.component.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
This structure is derived from Observation
Summary
Mandatory: 6 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 2
Differential View
This structure is derived from Observation
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | Observation | Laboratory result for a simple test or for a panel/study eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" |
Slices for extension | 0..* | Extension | Laboratory Test Kit Slice: Unordered, Open by value:url | |
supportingInfo | 0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |
triggeredBy-r5 | 0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |
Slices for extension | Content/Rules for all slices | |||
extension:observation | 0..* | Extension | Triggering observation. | |
extension:type | 0..* | Extension | The type of trigger | |
certifiedRefMaterialCodeable | 0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |
certifiedRefMaterialIdentifer | 0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |
labTestKit | 0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |
value[x] | 1..1 | Attachment | Value of extension | |
status | 1..1 | code | Status of this observation (e.g. preliminary, final,...) | |
Slices for category | 1..* | CodeableConceptIPS | Classification of type of observation Slice: Unordered, Open by pattern:$this | |
category:laboratory | 1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |
category:studyType | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) | |
category:specialty | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Laboratory Code (preferred) | |
subject | 1..1 | Reference(Patient: Animal | Patient: Person | Group | Device | Location) | Who and/or what the observation is about | |
reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
effective[x] | 1..1 | Clinically relevant time/time-period for observation | ||
effective[x]All Types | Content/Rules for all Types | |||
Slices for extension | Content/Rules for all slices | |||
data-absent-reason | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
issued | 0..1 | instant | Date/Time this result was made available | |
performer | 1..* | Reference(PractitionerRole: Laboratory Report | Practitioner: Laboratory Report | Organization (IPS) | CareTeam | Patient: Person | RelatedPerson) | Who is responsible for the observation | |
Slices for extension | Content/Rules for all slices | |||
performerFunction | 0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |
Slices for value[x] | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Closed by type:$this | |
value[x]:valueString | 0..1 | string | Actual result | |
value[x]:valueRange | 0..1 | RangeIPS | Set of values bounded by low and high | |
value[x]:valueRatio | 0..1 | RatioEuLab | A measured ratio using UCUM | |
value[x]:valueTime | 0..1 | time | Actual result | |
value[x]:valueDateTime | 0..1 | dateTime | Actual result | |
value[x]:valuePeriod | 0..1 | Period | Actual result | |
value[x]:valueQuantity | 0..1 | QuantityEuLab | A measured amount using UCUM | |
value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips (preferred) | |
dataAbsentReason | 0..1 | CodeableConcept | Provides a reason why the expected value is missing. | |
interpretation | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text | |
method | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Laboratory Techniques (preferred) | |
specimen | 0..1 | Reference(Specimen: Laboratory) | Specimen used for this observation | |
device | 0..1 | Reference(Device | DeviceMetric) | Measuring instrument | |
hasMember | 0..* | Reference(Observation Results: laboratory) | Related resource that belongs to the Observation group | |
component | 0..* | BackboneElement | Laboratory result | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |
value[x] | 1..1 | Attachment | Value of extension | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips (preferred) | |
Slices for value[x] | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result Slice: Unordered, Closed by type:$this | |
value[x]:valueString | 0..1 | string | Actual component result | |
value[x]:valueRange | 0..1 | RangeIPS | Set of values bounded by low and high | |
value[x]:valueRatio | 0..1 | RatioEuLab | A measured ratio using UCUM | |
value[x]:valueTime | 0..1 | time | Actual component result | |
value[x]:valueDateTime | 0..1 | dateTime | Actual component result | |
value[x]:valuePeriod | 0..1 | Period | Actual component result | |
value[x]:valueQuantity | 0..1 | QuantityEuLab | A measured amount using UCUM | |
value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips (preferred) | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.category:studyType | required | LabStudyTypesEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab from this IG | |
Observation.category:specialty | required | LabSpecialtyEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab from this IG | |
Observation.code | preferred | LaboratoryResultStandardEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab from this IG | |
Observation.value[x]:valueCodeableConcept | preferred | http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ipshttp://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | |
Observation.method | preferred | LabTechniqueEuVshttp://hl7.eu/fhir/laboratory/ValueSet/lab-technique-eu-lab from this IG | |
Observation.component.code | preferred | http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ipshttp://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips | |
Observation.component.value[x]:valueCodeableConcept | preferred | http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ipshttp://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips |
Id | Grade | Path(s) | Details | Requirements |
eu-lab-1 | error | Observation | If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists() | |
eu-lab-2 | error | Observation | If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | Observation | Laboratory result for a simple test or for a panel/study obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 0..* | Extension | Laboratory Test Kit Slice: Unordered, Open by value:url | |
supportingInfo | 0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |
triggeredBy-r5 | 0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |
Slices for extension | Content/Rules for all slices | |||
extension:observation | 0..* | Extension | Triggering observation. | |
extension | 0..0 | |||
url | 1..1 | uri | "observation" | |
value[x] | 1..1 | Reference(Observation) | Value of extension | |
extension:type | 0..* | Extension | The type of trigger | |
extension | 0..0 | |||
url | 1..1 | uri | "type" | |
value[x] | 1..1 | code | Value of extension | |
extension:reason | 0..* | Extension | Extension | |
extension | 0..0 | |||
url | 1..1 | uri | "reason" | |
value[x] | 1..1 | string | Value of extension | |
url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |
certifiedRefMaterialCodeable | 0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |
certifiedRefMaterialIdentifer | 0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |
labTestKit | 0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |
value-r5 | 0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |
extension | 0..0 | |||
url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |
value[x] | 1..1 | Attachment | Value of extension | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation. |
Slices for category | 1..* | CodeableConceptIPS | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
category:laboratory | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |
category:studyType | 0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) | |
category:specialty | 0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Laboratory Code (preferred) | |
subject | Σ | 1..1 | Reference(Patient: Animal | Patient: Person | Group | Device | Location) | Who and/or what the observation is about |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
effective[x] | Σ | 1..1 | Clinically relevant time/time-period for observation | |
effective[x]All Types | Content/Rules for all Types | |||
Slices for extension | Content/Rules for all slices | |||
data-absent-reason | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
issued | Σ | 0..1 | instant | Date/Time this result was made available |
performer | Σ | 1..* | Reference(PractitionerRole: Laboratory Report | Practitioner: Laboratory Report | Organization (IPS) | CareTeam | Patient: Person | RelatedPerson) | Who is responsible for the observation |
Slices for extension | Content/Rules for all slices | |||
performerFunction | 0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |
Slices for value[x] | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |
valueQuantity | Quantity | |||
valueCodeableConcept | CodeableConcept | |||
valueString | string | |||
valueBoolean | boolean | |||
valueInteger | integer | |||
valueRange | Range | |||
valueRatio | Ratio | |||
valueSampledData | SampledData | |||
valueTime | time | |||
valueDateTime | dateTime | |||
valuePeriod | Period | |||
value[x]:valueString | ΣC | 0..1 | string | Actual result |
value[x]:valueRange | C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high |
value[x]:valueRatio | C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
value[x]:valueTime | ΣC | 0..1 | time | Actual result |
value[x]:valueDateTime | ΣC | 0..1 | dateTime | Actual result |
value[x]:valuePeriod | ΣC | 0..1 | Period | Actual result |
value[x]:valueQuantity | C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present |
value[x]:valueCodeableConcept | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips (preferred) | |
dataAbsentReason | C | 0..1 | CodeableConcept | Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
interpretation | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |
method | 0..1 | CodeableConceptIPS |