XpanDH Laboratory Report
0.1.0 - ci-build
150
XpanDH Laboratory Report
0.1.0 - ci-build
150
XpanDH Laboratory 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-lab/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/ig/xpandh/lab/StructureDefinition/Observation-results-lab-xpandh | Version: 0.1.0 | |||
| Draft as of 2025-10-10 | Computable Name: ObservationResultsLaboratoryXpandh | |||
This profile constrains the Observation resource to represent results produced by laboratory tests or panels/studies for the XPanDH 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.
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..* | ObservationResultsLaboratoryEu | Laboratory result for a simple test or for a panel/study Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2 | ||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
  Slices for extension |
Content/Rules for all slices | |||||||||||
   extension:supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
 extension: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" | |||||||||
| extension:certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| extension:certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| extension:labTestKit |
0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| extension: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 | |||||||||
| 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) | 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 | |||||||||||
| extension: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 | |||||||||||
| performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization (IPS) | CareTeam) | Who is responsible for the observation | ||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||
| extension: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 Constraints: rng-2 | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | A measured ratio using UCUM Constraints: rat-1 | ||||||||
| 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 Constraints: qty-3 | ||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - IPS (preferred)
| |||||||||
| hasMember |
Σ | 0..* | Reference(Observation Results: laboratory) | Related resource that belongs to the Observation group | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:laboratory | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:studyType | Base | required | Laboratory Study Types | 📦0.1.0 | HL7 Europe Laboratory Report v0.1 |
| Observation.category:specialty | Base | required | Laboratory Specialty | 📦0.1.0 | HL7 Europe Laboratory Report v0.1 |
| Observation.code | Base | preferred | Laboratory Code | 📦0.1.0 | HL7 Europe Laboratory Report v0.1 |
| Observation.value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| 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())
|
| 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 | 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 | 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 | If present, low SHALL have a lower value than high |
low.empty() or high.empty() or (low <= high)
|
This structure is derived from ObservationResultsLaboratoryEu
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | ObservationResultsLaboratoryEu | Laboratory result for a simple test or for a panel/study | |
| subject |
1..1 | Reference(Patient) | Who and/or what the observation is about | |
| performer |
1..* | Reference(Practitioner | PractitionerRole | Organization (IPS) | CareTeam) | Who is responsible for the observation | |
| hasMember |
0..* | Reference(Observation Results: laboratory) | Related resource that belongs to the Observation group | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ObservationResultsLaboratoryEu | Laboratory result for a simple test or for a panel/study Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2 | ||||||||
| 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 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 | Laboratory Test Kit Slice: Unordered, Open by value:url | |||||||||
| extension:supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
| extension: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" | |||||||||
| extension:certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| extension:certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| extension:labTestKit |
0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| extension: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) | 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 | |||||||||
| extension: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(Practitioner | PractitionerRole | Organization (IPS) | CareTeam) | 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..* | 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 Constraints: rng-2 | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | A measured ratio using UCUM Constraints: rat-1 | ||||||||
| 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 Constraints: qty-3 | ||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - 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 Constraints: obs-3 | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant | ||||||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||||||
| text |
0..1 | string | Text based reference range in an observation | |||||||||
| hasMember |
Σ | 0..* | Reference(Observation Results: 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 | |||||||||
| extension: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: Results Laboratory Observation - 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 Constraints: rng-2 | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | A measured ratio using UCUM Constraints: rat-1 | ||||||||
| 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 Constraints: qty-3 | ||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - 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 | ||||||||||||
| 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())
|
| 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 ObservationResultsLaboratoryEu
Summary
Structures
This structure refers to these other structures:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ObservationResultsLaboratoryEu | Laboratory result for a simple test or for a panel/study Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2 | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
| extension: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" | |||||||||
| extension:certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| extension:certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| extension:labTestKit |
0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| extension: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 | |||||||||
| 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) | 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 | |||||||||||
| extension: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 | |||||||||||
| performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization (IPS) | CareTeam) | Who is responsible for the observation | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension: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 Constraints: rng-2 | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | A measured ratio using UCUM Constraints: rat-1 | ||||||||
| 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 Constraints: qty-3 | ||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - IPS (preferred)
| |||||||||
| hasMember |
Σ | 0..* | Reference(Observation Results: laboratory) | Related resource that belongs to the Observation group | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:laboratory | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:studyType | Base | required | Laboratory Study Types | 📦0.1.0 | HL7 Europe Laboratory Report v0.1 |
| Observation.category:specialty | Base | required | Laboratory Specialty | 📦0.1.0 | HL7 Europe Laboratory Report v0.1 |
| Observation.code | Base | preferred | Laboratory Code | 📦0.1.0 | HL7 Europe Laboratory Report v0.1 |
| Observation.value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| 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())
|
| 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 | 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 | 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 | If present, low SHALL have a lower value than high |
low.empty() or high.empty() or (low <= high)
|
Differential View
This structure is derived from ObservationResultsLaboratoryEu
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | ObservationResultsLaboratoryEu | Laboratory result for a simple test or for a panel/study | |
| subject |
1..1 | Reference(Patient) | Who and/or what the observation is about | |
| performer |
1..* | Reference(Practitioner | PractitionerRole | Organization (IPS) | CareTeam) | Who is responsible for the observation | |
| hasMember |
0..* | Reference(Observation Results: laboratory) | Related resource that belongs to the Observation group | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ObservationResultsLaboratoryEu | Laboratory result for a simple test or for a panel/study Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2 | ||||||||
| 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 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 | Laboratory Test Kit Slice: Unordered, Open by value:url | |||||||||
| extension:supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
| extension: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" | |||||||||
| extension:certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| extension:certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| extension:labTestKit |
0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| extension: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) | 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 | |||||||||
| extension: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(Practitioner | PractitionerRole | Organization (IPS) | CareTeam) | 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..* | 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 Constraints: rng-2 | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | A measured ratio using UCUM Constraints: rat-1 | ||||||||
| 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 Constraints: qty-3 | ||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - 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 Constraints: obs-3 | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant | ||||||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||||||
| text |
0..1 | string | Text based reference range in an observation | |||||||||
| hasMember |
Σ | 0..* | Reference(Observation Results: 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 | |||||||||
| extension: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: Results Laboratory Observation - 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 Constraints: rng-2 | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | A measured ratio using UCUM Constraints: rat-1 | ||||||||
| 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 Constraints: qty-3 | ||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - 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 | ||||||||||||
| 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())
|
| 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 ObservationResultsLaboratoryEu
Summary
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ XpanDH Project. Package hl7.eu.fhir.xpandh.lab#0.1.0 based on FHIR 4.0.1. Generated 2025-10-10
