HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use

HL7 FHIR Implementation Guide Laboratory Report, published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/lab-report/ and changes regularly. See the Directory of published versions

## Resource Profile: Observation - Lab Report

Official URL: http://hl7.it/fhir/lab-report/StructureDefinition/observation-it-lab | Version: 0.2.0
Standards status: Trial-use | Maturity Level: 1 | Computable Name: ObservationRefertoLabIt

Descrizione delle rilevazioni cliniche tramite il profilo della risorsa Observation per il referto di laboratorio.

Usages:

- Derived from this Profile: Observation Document - Lab Report and Observation battery - Lab Report
- Refer to this Profile: Composition - Lab Report, DiagnosticReport - Lab Report and Observation - Lab Report
- Examples for this Profile: Observation/5ea6e05a-e271-4ef9-bcc1-0bd10e55c90c, Observation/9474efca-8c8a-436d-a1a4-5706a1dd057a, Observation/a7d1b3b0-9aee-4bc7-b0f2-46d441ba6244, Observation/a7d1b3b0-9aee-4bc7-b0f2-46d441ba6245... Show 2 more, Observation/a7d1b3b0-9aee-4bc7-b0f2-46d441ba6246 and Observation/a8a27a81-4543-45a9-8859-fa17053d963e

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | ObservationResultsLaboratoryEu | Observation Referto di Laboratorio 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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | code | Value of extension
extension:reason |  | 0..* | Extension | Extension
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 | Descrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category |  | 1..* | CodeableConceptIPS | Codice che classifica il tipo di osservazione. Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory |  | 1..1 | CodeableConcept | Indica genericamente che si riferisce ad un esame di Laboratorio 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 | Classificazione per tipo di studio Binding: Laboratory Study Types (required)
category:specialty |  | 0..* | CodeableConcept | Classificazione per specialità Binding: Laboratory Specialty (required)
code |  | 1..1 | CodeableConceptIPS | Tipo di osservazione tramite codice. Binding: Tipo Osservazione (preferred)
subject | Σ | 1..1 | Reference(Patient - Lab Report) | Soggetto della rilevazione clinica.
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
encounter | Σ | 0..1 | Reference(Encounter - Lab Report) | Contesto in cui è stata prodotta l'osservazione.
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 - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson) | Soggetto responsabile dell'osservazione.
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] | Σ C | 0..1 |  | Risultato dell'osservazione. Slice: Unordered, Closed by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | C | 0..1 | QuantityLab | Risultato misurabile tramite una quantità. Constraints: qty-3
value[x]:valueCodeableConcept |  | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Risultato osservazione codificato (preferred)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
value[x]:valueString | Σ C | 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 | Σ C | 0..1 | time | Actual result
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
value[x]:valuePeriod | Σ C | 0..1 | Period | Actual result
interpretation |  | 0..* | CodeableConceptIPS | Interpretazione del risultato (Alto, Basso, Normale, ecc.) Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
bodySite |  | 0..1 | CodeableConcept | Sito corporeo dell'osservazione. Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConceptIPS | Metodo di rilevazione dell'osservazione. Binding: ObservationMethods (preferred)
specimen |  | 0..1 | Reference(Specimen - Lab Report) | Reference al campione su cui si basa l'osservazione.
device |  | 0..1 | Reference(Device - Lab Report | DeviceMetric) | Dispositivo utilizzato per ottenere l'osservazione.
referenceRange | C | 0..* | BackboneElement | Range di riferimento per la caratterizzazione dell'osservazione sulla base di un criterio. Esempio: Range di normalità per uomo adulto. Constraints: obs-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity | Limite inferiore del range di riferimento, se rilevante.
high | C | 0..1 | SimpleQuantity | Limite superiore del range di riferimento, se rilevante.
type |  | 0..1 | CodeableConcept | Contesto del range di riferimento. Esempio: Un intervallo atteso in un individuo prima della pubertà. Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Categoria della popolazione a cui si applica il range di riferimento. Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Età a cui si applica, se rilevante.
text |  | 0..1 | string | Note testuali.
hasMember | Σ | 0..* | Reference(Observation - Lab Report) | Osservazioni correlate alla risorsa.
derivedFrom | Σ | 0..* | Reference(Observation - Lab Report | Media - Lab Report) | Reference dell'osservazione da cui deriva questo valore di osservazione. Ad esempio, un gap anionico calcolato o una misurazione fetale basata su un'immagine ecografica.
Documentation for this format

#### Terminology Bindings

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 | Tipo Osservazione | 📦0.2.0 | This IG
Observation.value[x]:valueCodeableConcept | Base | preferred | Risultato osservazione codificato | 📦0.2.0 | This IG
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Observation.method | Base | preferred | Observation Methods | 📦4.0.1 | FHIR Std.
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦4.0.1 | FHIR Std.

#### Constraints

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 | 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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | ObservationResultsLaboratoryEu | Observation Referto di Laboratorio
status |  | 1..1 | code | Descrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended + Binding: ObservationStatus (required)
category |  | 1..* | CodeableConceptIPS | Codice che classifica il tipo di osservazione.
Slices for category |  |  |  | Content/Rules for all slices
category:laboratory |  | 1..1 | CodeableConcept | Indica genericamente che si riferisce ad un esame di Laboratorio
category:studyType |  | 0..* | CodeableConcept | Classificazione per tipo di studio
category:specialty |  | 0..* | CodeableConcept | Classificazione per specialità
code |  | 1..1 | CodeableConceptIPS | Tipo di osservazione tramite codice. Binding: Tipo Osservazione (preferred)
subject |  | 1..1 | Reference(Patient - Lab Report) | Soggetto della rilevazione clinica.
encounter |  | 0..1 | Reference(Encounter - Lab Report) | Contesto in cui è stata prodotta l'osservazione.
performer |  | 1..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson) | Soggetto responsabile dell'osservazione.
value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Risultato dell'osservazione.
Slices for value[x] |  |  |  | Content/Rules for all slices
value[x]:valueQuantity |  | 0..1 | QuantityLab | Risultato misurabile tramite una quantità.
value[x]:valueCodeableConcept |  | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Risultato osservazione codificato (preferred)
interpretation |  | 0..* | CodeableConceptIPS | Interpretazione del risultato (Alto, Basso, Normale, ecc.)
bodySite |  | 0..1 | CodeableConcept | Sito corporeo dell'osservazione.
method |  | 0..1 | CodeableConceptIPS | Metodo di rilevazione dell'osservazione. Binding: ObservationMethods (preferred)
specimen |  | 0..1 | Reference(Specimen - Lab Report) | Reference al campione su cui si basa l'osservazione.
device |  | 0..1 | Reference(Device - Lab Report | DeviceMetric) | Dispositivo utilizzato per ottenere l'osservazione.
referenceRange |  | 0..* | BackboneElement | Range di riferimento per la caratterizzazione dell'osservazione sulla base di un criterio. Esempio: Range di normalità per uomo adulto.
low |  | 0..1 | SimpleQuantity | Limite inferiore del range di riferimento, se rilevante.
high |  | 0..1 | SimpleQuantity | Limite superiore del range di riferimento, se rilevante.
type |  | 0..1 | CodeableConcept | Contesto del range di riferimento. Esempio: Un intervallo atteso in un individuo prima della pubertà.
appliesTo |  | 0..* | CodeableConcept | Categoria della popolazione a cui si applica il range di riferimento.
age |  | 0..1 | Range | Età a cui si applica, se rilevante.
text |  | 0..1 | string | Note testuali.
hasMember |  | 0..* | Reference(Observation - Lab Report) | Osservazioni correlate alla risorsa.
derivedFrom |  | 0..* | Reference(Observation - Lab Report | Media - Lab Report) | Reference dell'osservazione da cui deriva questo valore di osservazione. Ad esempio, un gap anionico calcolato o una misurazione fetale basata su un'immagine ecografica.
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📦4.0.1 | FHIR Std.
Observation.code | Base | preferred | Tipo Osservazione | 📦0.2.0 | This IG
Observation.value[x]:valueCodeableConcept | Base | preferred | Risultato osservazione codificato | 📦0.2.0 | This IG
Observation.method | Base | preferred | Observation Methods | 📦4.0.1 | FHIR Std.

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | ObservationResultsLaboratoryEu | Observation Referto di Laboratorio 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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 | Descrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category |  | 1..* | CodeableConceptIPS | Codice che classifica il tipo di osservazione. Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory |  | 1..1 | CodeableConcept | Indica genericamente che si riferisce ad un esame di Laboratorio 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 | Classificazione per tipo di studio Binding: Laboratory Study Types (required)
category:specialty |  | 0..* | CodeableConcept | Classificazione per specialità Binding: Laboratory Specialty (required)
code |  | 1..1 | CodeableConceptIPS | Tipo di osservazione tramite codice. Binding: Tipo Osservazione (preferred)
subject | Σ | 1..1 | Reference(Patient - Lab Report) | Soggetto della rilevazione clinica.
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 | Σ C | 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 - Lab Report) | Contesto in cui è stata prodotta l'osservazione.
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 - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson) | Soggetto responsabile dell'osservazione.
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 | Σ C | 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] | Σ C | 0..1 |  | Risultato dell'osservazione. Slice: Unordered, Closed by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | C | 0..1 | QuantityLab | Risultato misurabile tramite una quantità. Constraints: qty-3
value[x]:valueCodeableConcept |  | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Risultato osservazione codificato (preferred)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
value[x]:valueString | Σ C | 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 | Σ C | 0..1 | time | Actual result
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
value[x]:valuePeriod | Σ C | 0..1 | Period | Actual result
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 | Interpretazione del risultato (Alto, Basso, Normale, ecc.) Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Sito corporeo dell'osservazione. Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConceptIPS | Metodo di rilevazione dell'osservazione. Binding: ObservationMethods (preferred)
specimen |  | 0..1 | Reference(Specimen - Lab Report) | Reference al campione su cui si basa l'osservazione.
device |  | 0..1 | Reference(Device - Lab Report | DeviceMetric) | Dispositivo utilizzato per ottenere l'osservazione.
referenceRange | C | 0..* | BackboneElement | Range di riferimento per la caratterizzazione dell'osservazione sulla base di un criterio. Esempio: Range di normalità per uomo adulto. 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 | Limite inferiore del range di riferimento, se rilevante.
high | C | 0..1 | SimpleQuantity | Limite superiore del range di riferimento, se rilevante.
type |  | 0..1 | CodeableConcept | Contesto del range di riferimento. Esempio: Un intervallo atteso in un individuo prima della pubertà. Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Categoria della popolazione a cui si applica il range di riferimento. Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Età a cui si applica, se rilevante.
text |  | 0..1 | string | Note testuali.
hasMember | Σ | 0..* | Reference(Observation - Lab Report) | Osservazioni correlate alla risorsa.
derivedFrom | Σ | 0..* | Reference(Observation - Lab Report | Media - Lab Report) | Reference dell'osservazione da cui deriva questo valore di osservazione. Ad esempio, un gap anionico calcolato o una misurazione fetale basata su un'immagine ecografica.
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 |  | Extension Slice: Unordered, Open by value:url
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)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
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

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
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 | Tipo Osservazione | 📦0.2.0 | This IG
Observation.subject.​type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
Observation.performer.​type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
Observation.value[x]:valueCodeableConcept | Base | preferred | Risultato osservazione codificato | 📦0.2.0 | This IG
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Observation.method | Base | preferred | Observation Methods | 📦4.0.1 | FHIR Std.
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦4.0.1 | FHIR Std.
Observation.component.​code | Base | preferred | Results Laboratory Observation - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Observation.component.​value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.

#### Constraints

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:

- Patient - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/patient-it-lab)
- Encounter - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/encounter-it-lab)
- Practitioner - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitioner-it-lab)
- PractitionerRole - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitionerrole-it-lab)
- Organization - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/organization-it-lab)
- Quantity - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/quantity-it-lab)
- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- Specimen - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/specimen-it-lab)
- Device - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/device-it-lab)
- Observation - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/observation-it-lab)
- Media - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/media-it-lab)

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | ObservationResultsLaboratoryEu | Observation Referto di Laboratorio 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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | code | Value of extension
extension:reason |  | 0..* | Extension | Extension
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 | Descrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category |  | 1..* | CodeableConceptIPS | Codice che classifica il tipo di osservazione. Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory |  | 1..1 | CodeableConcept | Indica genericamente che si riferisce ad un esame di Laboratorio 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 | Classificazione per tipo di studio Binding: Laboratory Study Types (required)
category:specialty |  | 0..* | CodeableConcept | Classificazione per specialità Binding: Laboratory Specialty (required)
code |  | 1..1 | CodeableConceptIPS | Tipo di osservazione tramite codice. Binding: Tipo Osservazione (preferred)
subject | Σ | 1..1 | Reference(Patient - Lab Report) | Soggetto della rilevazione clinica.
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
encounter | Σ | 0..1 | Reference(Encounter - Lab Report) | Contesto in cui è stata prodotta l'osservazione.
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 - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson) | Soggetto responsabile dell'osservazione.
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] | Σ C | 0..1 |  | Risultato dell'osservazione. Slice: Unordered, Closed by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | C | 0..1 | QuantityLab | Risultato misurabile tramite una quantità. Constraints: qty-3
value[x]:valueCodeableConcept |  | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Risultato osservazione codificato (preferred)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
value[x]:valueString | Σ C | 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 | Σ C | 0..1 | time | Actual result
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
value[x]:valuePeriod | Σ C | 0..1 | Period | Actual result
interpretation |  | 0..* | CodeableConceptIPS | Interpretazione del risultato (Alto, Basso, Normale, ecc.) Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
bodySite |  | 0..1 | CodeableConcept | Sito corporeo dell'osservazione. Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConceptIPS | Metodo di rilevazione dell'osservazione. Binding: ObservationMethods (preferred)
specimen |  | 0..1 | Reference(Specimen - Lab Report) | Reference al campione su cui si basa l'osservazione.
device |  | 0..1 | Reference(Device - Lab Report | DeviceMetric) | Dispositivo utilizzato per ottenere l'osservazione.
referenceRange | C | 0..* | BackboneElement | Range di riferimento per la caratterizzazione dell'osservazione sulla base di un criterio. Esempio: Range di normalità per uomo adulto. Constraints: obs-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity | Limite inferiore del range di riferimento, se rilevante.
high | C | 0..1 | SimpleQuantity | Limite superiore del range di riferimento, se rilevante.
type |  | 0..1 | CodeableConcept | Contesto del range di riferimento. Esempio: Un intervallo atteso in un individuo prima della pubertà. Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Categoria della popolazione a cui si applica il range di riferimento. Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Età a cui si applica, se rilevante.
text |  | 0..1 | string | Note testuali.
hasMember | Σ | 0..* | Reference(Observation - Lab Report) | Osservazioni correlate alla risorsa.
derivedFrom | Σ | 0..* | Reference(Observation - Lab Report | Media - Lab Report) | Reference dell'osservazione da cui deriva questo valore di osservazione. Ad esempio, un gap anionico calcolato o una misurazione fetale basata su un'immagine ecografica.
Documentation for this format

#### Terminology Bindings

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 | Tipo Osservazione | 📦0.2.0 | This IG
Observation.value[x]:valueCodeableConcept | Base | preferred | Risultato osservazione codificato | 📦0.2.0 | This IG
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Observation.method | Base | preferred | Observation Methods | 📦4.0.1 | FHIR Std.
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦4.0.1 | FHIR Std.

#### Constraints

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 | 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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | ObservationResultsLaboratoryEu | Observation Referto di Laboratorio
status |  | 1..1 | code | Descrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended + Binding: ObservationStatus (required)
category |  | 1..* | CodeableConceptIPS | Codice che classifica il tipo di osservazione.
Slices for category |  |  |  | Content/Rules for all slices
category:laboratory |  | 1..1 | CodeableConcept | Indica genericamente che si riferisce ad un esame di Laboratorio
category:studyType |  | 0..* | CodeableConcept | Classificazione per tipo di studio
category:specialty |  | 0..* | CodeableConcept | Classificazione per specialità
code |  | 1..1 | CodeableConceptIPS | Tipo di osservazione tramite codice. Binding: Tipo Osservazione (preferred)
subject |  | 1..1 | Reference(Patient - Lab Report) | Soggetto della rilevazione clinica.
encounter |  | 0..1 | Reference(Encounter - Lab Report) | Contesto in cui è stata prodotta l'osservazione.
performer |  | 1..* | Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson) | Soggetto responsabile dell'osservazione.
value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Risultato dell'osservazione.
Slices for value[x] |  |  |  | Content/Rules for all slices
value[x]:valueQuantity |  | 0..1 | QuantityLab | Risultato misurabile tramite una quantità.
value[x]:valueCodeableConcept |  | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Risultato osservazione codificato (preferred)
interpretation |  | 0..* | CodeableConceptIPS | Interpretazione del risultato (Alto, Basso, Normale, ecc.)
bodySite |  | 0..1 | CodeableConcept | Sito corporeo dell'osservazione.
method |  | 0..1 | CodeableConceptIPS | Metodo di rilevazione dell'osservazione. Binding: ObservationMethods (preferred)
specimen |  | 0..1 | Reference(Specimen - Lab Report) | Reference al campione su cui si basa l'osservazione.
device |  | 0..1 | Reference(Device - Lab Report | DeviceMetric) | Dispositivo utilizzato per ottenere l'osservazione.
referenceRange |  | 0..* | BackboneElement | Range di riferimento per la caratterizzazione dell'osservazione sulla base di un criterio. Esempio: Range di normalità per uomo adulto.
low |  | 0..1 | SimpleQuantity | Limite inferiore del range di riferimento, se rilevante.
high |  | 0..1 | SimpleQuantity | Limite superiore del range di riferimento, se rilevante.
type |  | 0..1 | CodeableConcept | Contesto del range di riferimento. Esempio: Un intervallo atteso in un individuo prima della pubertà.
appliesTo |  | 0..* | CodeableConcept | Categoria della popolazione a cui si applica il range di riferimento.
age |  | 0..1 | Range | Età a cui si applica, se rilevante.
text |  | 0..1 | string | Note testuali.
hasMember |  | 0..* | Reference(Observation - Lab Report) | Osservazioni correlate alla risorsa.
derivedFrom |  | 0..* | Reference(Observation - Lab Report | Media - Lab Report) | Reference dell'osservazione da cui deriva questo valore di osservazione. Ad esempio, un gap anionico calcolato o una misurazione fetale basata su un'immagine ecografica.
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📦4.0.1 | FHIR Std.
Observation.code | Base | preferred | Tipo Osservazione | 📦0.2.0 | This IG
Observation.value[x]:valueCodeableConcept | Base | preferred | Risultato osservazione codificato | 📦0.2.0 | This IG
Observation.method | Base | preferred | Observation Methods | 📦4.0.1 | FHIR Std.

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | ObservationResultsLaboratoryEu | Observation Referto di Laboratorio 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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 | Descrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category |  | 1..* | CodeableConceptIPS | Codice che classifica il tipo di osservazione. Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory |  | 1..1 | CodeableConcept | Indica genericamente che si riferisce ad un esame di Laboratorio 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 | Classificazione per tipo di studio Binding: Laboratory Study Types (required)
category:specialty |  | 0..* | CodeableConcept | Classificazione per specialità Binding: Laboratory Specialty (required)
code |  | 1..1 | CodeableConceptIPS | Tipo di osservazione tramite codice. Binding: Tipo Osservazione (preferred)
subject | Σ | 1..1 | Reference(Patient - Lab Report) | Soggetto della rilevazione clinica.
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 | Σ C | 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 - Lab Report) | Contesto in cui è stata prodotta l'osservazione.
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 - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson) | Soggetto responsabile dell'osservazione.
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 | Σ C | 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] | Σ C | 0..1 |  | Risultato dell'osservazione. Slice: Unordered, Closed by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | C | 0..1 | QuantityLab | Risultato misurabile tramite una quantità. Constraints: qty-3
value[x]:valueCodeableConcept |  | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Risultato osservazione codificato (preferred)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
value[x]:valueString | Σ C | 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 | Σ C | 0..1 | time | Actual result
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
value[x]:valuePeriod | Σ C | 0..1 | Period | Actual result
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 | Interpretazione del risultato (Alto, Basso, Normale, ecc.) Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Sito corporeo dell'osservazione. Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConceptIPS | Metodo di rilevazione dell'osservazione. Binding: ObservationMethods (preferred)
specimen |  | 0..1 | Reference(Specimen - Lab Report) | Reference al campione su cui si basa l'osservazione.
device |  | 0..1 | Reference(Device - Lab Report | DeviceMetric) | Dispositivo utilizzato per ottenere l'osservazione.
referenceRange | C | 0..* | BackboneElement | Range di riferimento per la caratterizzazione dell'osservazione sulla base di un criterio. Esempio: Range di normalità per uomo adulto. 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 | Limite inferiore del range di riferimento, se rilevante.
high | C | 0..1 | SimpleQuantity | Limite superiore del range di riferimento, se rilevante.
type |  | 0..1 | CodeableConcept | Contesto del range di riferimento. Esempio: Un intervallo atteso in un individuo prima della pubertà. Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Categoria della popolazione a cui si applica il range di riferimento. Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Età a cui si applica, se rilevante.
text |  | 0..1 | string | Note testuali.
hasMember | Σ | 0..* | Reference(Observation - Lab Report) | Osservazioni correlate alla risorsa.
derivedFrom | Σ | 0..* | Reference(Observation - Lab Report | Media - Lab Report) | Reference dell'osservazione da cui deriva questo valore di osservazione. Ad esempio, un gap anionico calcolato o una misurazione fetale basata su un'immagine ecografica.
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 |  | Extension Slice: Unordered, Open by value:url
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)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
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

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
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 | Tipo Osservazione | 📦0.2.0 | This IG
Observation.subject.​type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
Observation.performer.​type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
Observation.value[x]:valueCodeableConcept | Base | preferred | Risultato osservazione codificato | 📦0.2.0 | This IG
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Observation.method | Base | preferred | Observation Methods | 📦4.0.1 | FHIR Std.
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦4.0.1 | FHIR Std.
Observation.component.​code | Base | preferred | Results Laboratory Observation - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Observation.component.​value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.

#### Constraints

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:

- Patient - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/patient-it-lab)
- Encounter - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/encounter-it-lab)
- Practitioner - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitioner-it-lab)
- PractitionerRole - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitionerrole-it-lab)
- Organization - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/organization-it-lab)
- Quantity - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/quantity-it-lab)
- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- Specimen - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/specimen-it-lab)
- Device - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/device-it-lab)
- Observation - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/observation-it-lab)
- Media - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/media-it-lab)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron