XpanDH Hospital Discharge Report
0.1.0 - ci-build 150

XpanDH Hospital Discharge Report, published by XpanDH Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/xpandh-hdr/ and changes regularly. See the Directory of published versions

Resource Profile: Observation Results: pathology

Official URL: http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Observation-results-pathology-eu-xpandh Version: 0.1.0
Draft as of 2025-01-06 Computable Name: ObservationResultsPathologyXpandh

Copyright/Legal: Used by permission of the XpanDH project, all rights reserved Creative Commons License

This profile constrains the Observation resource to represent results produced by pathology studies for the XpanDH project.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ObservationResultsPathologyUvIps Pathology result for a simple test or for a panel/study
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
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
ips-2: if no "hasMember" element is present then Observation must have a" value"
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


ele-1: All FHIR elements must have a @value or children
Fixed Value: final
.... category:laboratory S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


ele-1: All FHIR elements must have a @value or children

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
... code S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Pathology Observation - IPS (extensible)
ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(Patient (IPS)) Who and/or what the observation is about
ele-1: All FHIR elements must have a @value or children
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
ele-1: All FHIR elements must have a @value or children
.... effective[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... data-absent-reason S 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer SΣ 1..* Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson) Who is responsible for the observation
ele-1: All FHIR elements must have a @value or children
... Slices for value[x] SΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
ele-1: All FHIR elements must have a @value or children
.... 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 SΣC 0..1 string Actual result
ele-1: All FHIR elements must have a @value or children
.... value[x]:valueRange SC 0..1 RangeIPS Set of values bounded by low and high
ele-1: All FHIR elements must have a @value or children
rng-2: If present, low SHALL have a lower value than high
.... value[x]:valueRatio SC 0..1 RatioIPS A ratio of two Quantity values - a numerator and a denominator
ele-1: All FHIR elements must have a @value or children
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 SΣC 0..1 time Actual result
ele-1: All FHIR elements must have a @value or children
.... value[x]:valueDateTime SΣC 0..1 dateTime Actual result
ele-1: All FHIR elements must have a @value or children
.... value[x]:valuePeriod SΣC 0..1 Period Actual result
ele-1: All FHIR elements must have a @value or children
.... value[x]:valueQuantity SC 0..1 QuantityIPS A measured amount using UCUM
ele-1: All FHIR elements must have a @value or children
qty-3: If a code for the unit is present, the system SHALL also be present
.... value[x]:valueCodeableConcept S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Results Coded Values Pathology - IPS (preferred)
ele-1: All FHIR elements must have a @value or children
... component SΣ 0..* BackboneElement Component results
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:laboratorypreferredPattern: laboratory
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeextensibleResultsPathologyObservationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-pathology-observations-uv-ips
Observation.value[x]:valueCodeableConceptpreferredResultsCodedValuesPathologyUvIps
http://hl7.org/fhir/uv/ips/ValueSet/result-coded-value-pathology-uv-ips
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ips-2errorObservationif no "hasMember" element is present then Observation must have a" value"
: value.exists() or hasMember.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-3errorObservation.value[x]:valueQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.value[x]:valueRatioNumerator 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-2errorObservation.value[x]:valueRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)

 

Other representations of profile: CSV, Excel, Schematron