AU Base Implementation Guide
7.0.0-ci-build - CI Build Australia flag

AU Base Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 7.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-base/ and changes regularly. See the Directory of published versions

Resource Profile: AU Base Pathology Result

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-pathologyresult Version: 7.0.0-ci-build
Standards status: Trial-use Maturity Level: 1 Computable Name: AUBasePathologyResult

Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

This profile defines an observation structure to represent a pathology test result issued by a diagnostic service provider in an Australian context. This profile is intended to be capable of supporting reporting for all pathology disciplines (e.g. including microbiology, histopathology, cytology, blood transfusion) with the exception of genomics. The observation may represent the result of a simple test such as haemoglobin or it may group the set of results produced by a multi-test study or panel such as a full blood count, or urine specimen study.

This profile does not provide full support for structured pathology reporting. It is expected that this support is best handled by a set of profiles that represent the structured reporting requirements for each specific protocol (see for example RCPA’s structured pathology reporting of cancer); this is not in the scope of this implementation guide at this time.

Usage Notes

Profile specific implementation guidance:

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 6.0.0:

  • No changes

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Observation C 0..* Observation A pathology test result in an Australian healthcare context
    Constraints: obs-6, obs-7, inv-obs-0
    Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    Observation.Slices for category 1..* CodeableConcept Classification of the service requested as laboratory + more specific discipline where available
    Slice: Unordered, Open by value:coding.system, value:coding.code
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Observation.Slices for category.category:lab 1..1 CodeableConcept Observation generated by laboratories
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
    Observation.Slices for category.category:lab.coding This element is included in summaries. 1..* Coding Code defined by a terminology system
    Observation.Slices for category.category:lab.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed)
    Observation.Slices for category.category:lab.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
    Fixed Value: laboratory (no extensions allowed)
    Observation.Slices for category.category:specificDiscipline 0..* CodeableConcept Specific discipline of pathology
    Binding: Pathology Diagnostic Service Category (extensible)
    Observation.code This element is included in summaries. 1..1 CodeableConcept Pathology test or test group
    Binding: RCPA SPIA Pathology Reporting (preferred)
    Additional BindingsPurpose
    RCPA - SPIA Chemical Pathology Value Set Component
    RCPA - SPIA Haematology Value Set Component
    RCPA - SPIA Immunopathology Value Set Component
    RCPA - SPIA Microbiology Serology Molecular Pathology Value Set Component
    Observation.subject This element is included in summaries. 1..1 Reference(Patient) Who and/or what the observation is about
    Observation.effective[x] This element is included in summaries. 1..1 Time of specimen collection
    Observation.effective[x].effectiveDateTime dateTime
    Observation.effective[x].effectivePeriod Period
    Observation.effective[x].effectiveTiming Timing
    Observation.effective[x].effectiveInstant instant
    Observation.value[x] This element is included in summaries. C 0..1 Actual result
    Observation.value[x].valueQuantity Quantity
    Observation.value[x].valueCodeableConcept CodeableConcept
    Observation.value[x].valueString string
    Observation.value[x].valueBoolean boolean
    Observation.value[x].valueInteger integer
    Observation.value[x].valueRange Range
    Observation.value[x].valueRatio Ratio
    Observation.value[x].valueSampledData SampledData
    Observation.value[x].valueTime time
    Observation.value[x].valueDateTime dateTime
    Observation.value[x].valuePeriod Period
    Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    Observation.specimen 0..1 Reference(AU Base Specimen) Specimen used for this observation
    Observation.hasMember This element is included in summaries. C 0..* Reference(AU Base Diagnostic Result | AU Base Pathology Result) Individual tests in a group or panel
    Observation.component This element is included in summaries. 0..* BackboneElement Individual tests in a group or panel
    Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    Observation.component.code This element is included in summaries. 1..1 CodeableConcept Individual pathology test
    Binding: RCPA SPIA Pathology Reporting (preferred)
    Observation.component.value[x] This element is included in summaries. C 0..1 Actual component result
    Observation.component.value[x].valueQuantity Quantity
    Observation.component.value[x].valueCodeableConcept CodeableConcept
    Observation.component.value[x].valueString string
    Observation.component.value[x].valueBoolean boolean
    Observation.component.value[x].valueInteger integer
    Observation.component.value[x].valueRange Range
    Observation.component.value[x].valueRatio Ratio
    Observation.component.value[x].valueSampledData SampledData
    Observation.component.value[x].valueTime time
    Observation.component.value[x].valueDateTime dateTime
    Observation.component.value[x].valuePeriod Period
    Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

    doco 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:lab Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
    Observation.category:specificDiscipline Base extensible Pathology Diagnostic Service Category ⏿1.0.0 tx.hl7.org.au
    Observation.code Base preferred RCPA SPIA Pathology Reporting ⏿1.0.0 tx.hl7.org.au
    Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
    Observation.component.​code Base preferred RCPA SPIA Pathology Reporting ⏿1.0.0 tx.hl7.org.au
    Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍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())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
    inv-obs-0 error Observation A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.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()

    This structure is derived from Observation

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Observation C 0..* Observation A pathology test result in an Australian healthcare context
    Constraints: inv-obs-0
    Observation.Slices for category 1..* CodeableConcept Classification of the service requested as laboratory + more specific discipline where available
    Slice: Unordered, Open by value:coding.system, value:coding.code
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Observation.Slices for category.category:lab 1..1 CodeableConcept Observation generated by laboratories
    Observation.Slices for category.category:lab.coding 1..* Coding Code defined by a terminology system
    Observation.Slices for category.category:lab.coding.system 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed)
    Observation.Slices for category.category:lab.coding.code 1..1 code Symbol in syntax defined by the system
    Fixed Value: laboratory (no extensions allowed)
    Observation.Slices for category.category:specificDiscipline 0..* CodeableConcept Specific discipline of pathology
    Binding: Pathology Diagnostic Service Category (extensible)
    Observation.Slices for category.category:specificDiscipline.coding
    Observation.Slices for category.category:specificDiscipline.coding.system 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 (no extensions allowed)
    Observation.code 1..1 CodeableConcept Pathology test or test group
    Binding: RCPA SPIA Pathology Reporting (preferred)
    Additional BindingsPurpose
    RCPA - SPIA Chemical Pathology Value Set Component
    RCPA - SPIA Haematology Value Set Component
    RCPA - SPIA Immunopathology Value Set Component
    RCPA - SPIA Microbiology Serology Molecular Pathology Value Set Component
    Observation.subject 1..1 Reference(Patient) Who and/or what the observation is about
    Observation.value[x] C 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
    Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Observation.specimen 0..1 Reference(AU Base Specimen) Specimen used for this observation
    Observation.hasMember C 0..* Reference(AU Base Diagnostic Result | AU Base Pathology Result) Individual tests in a group or panel
    Observation.component 0..* BackboneElement Individual tests in a group or panel
    Observation.component.code 1..1 CodeableConcept Individual pathology test
    Binding: RCPA SPIA Pathology Reporting (preferred)
    Observation.component.value[x] C 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
    Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Observation.category:specificDiscipline Base extensible Pathology Diagnostic Service Category ⏿1.0.0 tx.hl7.org.au
    Observation.code Base preferred RCPA SPIA Pathology Reporting ⏿1.0.0 tx.hl7.org.au
    Observation.component.​code Base preferred RCPA SPIA Pathology Reporting ⏿1.0.0 tx.hl7.org.au

    Constraints

    Id Grade Path(s) Description Expression
    inv-obs-0 error Observation A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.exists()
    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Observation C 0..* Observation A pathology test result in an Australian healthcare context
    Constraints: obs-6, obs-7, inv-obs-0
    Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
    Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
    Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    Observation.language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    Observation.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
    Observation.contained 0..* Resource Contained, inline Resources
    Observation.extension 0..* Extension Additional content defined by implementations
    Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
    Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
    Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
    Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    Observation.Slices for category 1..* CodeableConcept Classification of the service requested as laboratory + more specific discipline where available
    Slice: Unordered, Open by value:coding.system, value:coding.code
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Observation.Slices for category.category:lab 1..1 CodeableConcept Observation generated by laboratories
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
    Observation.Slices for category.category:lab.id 0..1 string Unique id for inter-element referencing
    Observation.Slices for category.category:lab.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Observation.Slices for category.category:lab.coding This element is included in summaries. 1..* Coding Code defined by a terminology system
    Observation.Slices for category.category:lab.coding.id 0..1 string Unique id for inter-element referencing
    Observation.Slices for category.category:lab.coding.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Observation.Slices for category.category:lab.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed)
    Observation.Slices for category.category:lab.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
    Observation.Slices for category.category:lab.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
    Fixed Value: laboratory (no extensions allowed)
    Observation.Slices for category.category:lab.coding.display This element is included in summaries. 0..1 string Representation defined by the system
    Observation.Slices for category.category:lab.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
    Observation.Slices for category.category:lab.text This element is included in summaries. 0..1 string Plain text representation of the concept
    Observation.Slices for category.category:specificDiscipline 0..* CodeableConcept Specific discipline of pathology
    Binding: Pathology Diagnostic Service Category (extensible)
    Observation.Slices for category.category:specificDiscipline.id 0..1 string Unique id for inter-element referencing
    Observation.Slices for category.category:specificDiscipline.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Observation.Slices for category.category:specificDiscipline.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
    Observation.Slices for category.category:specificDiscipline.coding.id 0..1 string Unique id for inter-element referencing
    Observation.Slices for category.category:specificDiscipline.coding.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Observation.Slices for category.category:specificDiscipline.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 (no extensions allowed)
    Observation.Slices for category.category:specificDiscipline.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
    Observation.Slices for category.category:specificDiscipline.coding.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
    Observation.Slices for category.category:specificDiscipline.coding.display This element is included in summaries. 0..1 string Representation defined by the system
    Observation.Slices for category.category:specificDiscipline.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
    Observation.Slices for category.category:specificDiscipline.text This element is included in summaries. 0..1 string Plain text representation of the concept
    Observation.code This element is included in summaries. 1..1 CodeableConcept Pathology test or test group
    Binding: RCPA SPIA Pathology Reporting (preferred)
    Additional BindingsPurpose
    RCPA - SPIA Chemical Pathology Value Set Component
    RCPA - SPIA Haematology Value Set Component
    RCPA - SPIA Immunopathology Value Set Component
    RCPA - SPIA Microbiology Serology Molecular Pathology Value Set Component
    Observation.subject This element is included in summaries. 1..1 Reference(Patient) Who and/or what the observation is about
    Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
    Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
    Observation.effective[x] This element is included in summaries. 1..1 Time of specimen collection
    Observation.effective[x].effectiveDateTime dateTime
    Observation.effective[x].effectivePeriod Period
    Observation.effective[x].effectiveTiming Timing
    Observation.effective[x].effectiveInstant instant
    Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
    Observation.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
    Observation.value[x] This element is included in summaries. C 0..1 Actual result
    Observation.value[x].valueQuantity Quantity
    Observation.value[x].valueCodeableConcept CodeableConcept
    Observation.value[x].valueString string
    Observation.value[x].valueBoolean boolean
    Observation.value[x].valueInteger integer
    Observation.value[x].valueRange Range
    Observation.value[x].valueRatio Ratio
    Observation.value[x].valueSampledData SampledData
    Observation.value[x].valueTime time
    Observation.value[x].valueDateTime dateTime
    Observation.value[x].valuePeriod Period
    Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
    Observation.note 0..* Annotation Comments about the observation
    Observation.bodySite 0..1 CodeableConcept Observed body part
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
    Observation.method 0..1 CodeableConcept How it was done
    Binding: ObservationMethods (example): Methods for simple observations.
    Observation.specimen 0..1 Reference(AU Base Specimen) Specimen used for this observation
    Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
    Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
    Constraints: obs-3
    Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
    Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
    Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
    Constraints: sqty-1
    Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
    Constraints: sqty-1
    Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
    Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
    Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
    Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
    Observation.referenceRange.text 0..1 string Text based reference range in an observation
    Observation.hasMember This element is included in summaries. C 0..* Reference(AU Base Diagnostic Result | AU Base Pathology Result) Individual tests in a group or panel
    Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
    Observation.component This element is included in summaries. 0..* BackboneElement Individual tests in a group or panel
    Observation.component.id 0..1 string Unique id for inter-element referencing
    Observation.component.extension 0..* Extension Additional content defined by implementations
    Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    Observation.component.code This element is included in summaries. 1..1 CodeableConcept Individual pathology test
    Binding: RCPA SPIA Pathology Reporting (preferred)
    Observation.component.value[x] This element is included in summaries. C 0..1 Actual component result
    Observation.component.value[x].valueQuantity Quantity
    Observation.component.value[x].valueCodeableConcept CodeableConcept
    Observation.component.value[x].valueString string
    Observation.component.value[x].valueBoolean boolean
    Observation.component.value[x].valueInteger integer
    Observation.component.value[x].valueRange Range
    Observation.component.value[x].valueRatio Ratio
    Observation.component.value[x].valueSampledData SampledData
    Observation.component.value[x].valueTime time
    Observation.component.value[x].valueDateTime dateTime
    Observation.component.value[x].valuePeriod Period
    Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
    Observation.component.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

    doco 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:lab Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
    Observation.category:specificDiscipline Base extensible Pathology Diagnostic Service Category ⏿1.0.0 tx.hl7.org.au
    Observation.code Base preferred RCPA SPIA Pathology Reporting ⏿1.0.0 tx.hl7.org.au
    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 example 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 RCPA SPIA Pathology Reporting ⏿1.0.0 tx.hl7.org.au
    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())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
    inv-obs-0 error Observation A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.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()
    sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

    This structure is derived from Observation

    Summary

    Mandatory: 7 elements(1 nested mandatory element)
    Fixed: 3 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Observation.category

    Maturity: 1

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Observation C 0..* Observation A pathology test result in an Australian healthcare context
    Constraints: obs-6, obs-7, inv-obs-0
    Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    Observation.Slices for category 1..* CodeableConcept Classification of the service requested as laboratory + more specific discipline where available
    Slice: Unordered, Open by value:coding.system, value:coding.code
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Observation.Slices for category.category:lab 1..1 CodeableConcept Observation generated by laboratories
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
    Observation.Slices for category.category:lab.coding This element is included in summaries. 1..* Coding Code defined by a terminology system
    Observation.Slices for category.category:lab.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed)
    Observation.Slices for category.category:lab.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
    Fixed Value: laboratory (no extensions allowed)
    Observation.Slices for category.category:specificDiscipline 0..* CodeableConcept Specific discipline of pathology
    Binding: Pathology Diagnostic Service Category (extensible)
    Observation.code This element is included in summaries. 1..1 CodeableConcept Pathology test or test group
    Binding: RCPA SPIA Pathology Reporting (preferred)
    Additional BindingsPurpose
    RCPA - SPIA Chemical Pathology Value Set Component
    RCPA - SPIA Haematology Value Set Component
    RCPA - SPIA Immunopathology Value Set Component
    RCPA - SPIA Microbiology Serology Molecular Pathology Value Set Component
    Observation.subject This element is included in summaries. 1..1 Reference(Patient) Who and/or what the observation is about
    Observation.effective[x] This element is included in summaries. 1..1 Time of specimen collection
    Observation.effective[x].effectiveDateTime dateTime
    Observation.effective[x].effectivePeriod Period
    Observation.effective[x].effectiveTiming Timing
    Observation.effective[x].effectiveInstant instant
    Observation.value[x] This element is included in summaries. C 0..1 Actual result
    Observation.value[x].valueQuantity Quantity
    Observation.value[x].valueCodeableConcept CodeableConcept
    Observation.value[x].valueString string
    Observation.value[x].valueBoolean boolean
    Observation.value[x].valueInteger integer
    Observation.value[x].valueRange Range
    Observation.value[x].valueRatio Ratio
    Observation.value[x].valueSampledData SampledData
    Observation.value[x].valueTime time
    Observation.value[x].valueDateTime dateTime
    Observation.value[x].valuePeriod Period
    Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    Observation.specimen 0..1 Reference(AU Base Specimen) Specimen used for this observation
    Observation.hasMember This element is included in summaries. C 0..* Reference(AU Base Diagnostic Result | AU Base Pathology Result) Individual tests in a group or panel
    Observation.component This element is included in summaries. 0..* BackboneElement Individual tests in a group or panel
    Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    Observation.component.code This element is included in summaries. 1..1 CodeableConcept Individual pathology test
    Binding: RCPA SPIA Pathology Reporting (preferred)
    Observation.component.value[x] This element is included in summaries. C 0..1 Actual component result
    Observation.component.value[x].valueQuantity Quantity
    Observation.component.value[x].valueCodeableConcept CodeableConcept
    Observation.component.value[x].valueString string
    Observation.component.value[x].valueBoolean boolean
    Observation.component.value[x].valueInteger integer
    Observation.component.value[x].valueRange Range
    Observation.component.value[x].valueRatio Ratio
    Observation.component.value[x].valueSampledData SampledData
    Observation.component.value[x].valueTime time
    Observation.component.value[x].valueDateTime dateTime
    Observation.component.value[x].valuePeriod Period
    Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

    doco 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:lab Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
    Observation.category:specificDiscipline Base extensible Pathology Diagnostic Service Category ⏿1.0.0 tx.hl7.org.au
    Observation.code Base preferred RCPA SPIA Pathology Reporting ⏿1.0.0 tx.hl7.org.au
    Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
    Observation.component.​code Base preferred RCPA SPIA Pathology Reporting ⏿1.0.0 tx.hl7.org.au
    Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍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())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
    inv-obs-0 error Observation A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.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()

    Differential View

    This structure is derived from Observation

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Observation C 0..* Observation A pathology test result in an Australian healthcare context
    Constraints: inv-obs-0
    Observation.Slices for category 1..* CodeableConcept Classification of the service requested as laboratory + more specific discipline where available
    Slice: Unordered, Open by value:coding.system, value:coding.code
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Observation.Slices for category.category:lab 1..1 CodeableConcept Observation generated by laboratories
    Observation.Slices for category.category:lab.coding 1..* Coding Code defined by a terminology system
    Observation.Slices for category.category:lab.coding.system 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed)
    Observation.Slices for category.category:lab.coding.code 1..1 code Symbol in syntax defined by the system
    Fixed Value: laboratory (no extensions allowed)
    Observation.Slices for category.category:specificDiscipline 0..* CodeableConcept Specific discipline of pathology
    Binding: Pathology Diagnostic Service Category (extensible)
    Observation.Slices for category.category:specificDiscipline.coding
    Observation.Slices for category.category:specificDiscipline.coding.system 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 (no extensions allowed)
    Observation.code 1..1 CodeableConcept Pathology test or test group
    Binding: RCPA SPIA Pathology Reporting (preferred)
    Additional BindingsPurpose
    RCPA - SPIA Chemical Pathology Value Set Component
    RCPA - SPIA Haematology Value Set Component
    RCPA - SPIA Immunopathology Value Set Component
    RCPA - SPIA Microbiology Serology Molecular Pathology Value Set Component
    Observation.subject 1..1 Reference(Patient) Who and/or what the observation is about
    Observation.effective[x] 1..1 dateTime, Period, Timing, instant Time of specimen collection
    Observation.value[x] C 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
    Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Observation.specimen 0..1 Reference(AU Base Specimen) Specimen used for this observation
    Observation.hasMember C 0..* Reference(AU Base Diagnostic Result | AU Base Pathology Result) Individual tests in a group or panel
    Observation.component 0..* BackboneElement Individual tests in a group or panel
    Observation.component.code 1..1 CodeableConcept Individual pathology test
    Binding: RCPA SPIA Pathology Reporting (preferred)
    Observation.component.value[x] C 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
    Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Observation.category:specificDiscipline Base extensible Pathology Diagnostic Service Category ⏿1.0.0 tx.hl7.org.au
    Observation.code Base preferred RCPA SPIA Pathology Reporting ⏿1.0.0 tx.hl7.org.au
    Observation.component.​code Base preferred RCPA SPIA Pathology Reporting ⏿1.0.0 tx.hl7.org.au

    Constraints

    Id Grade Path(s) Description Expression
    inv-obs-0 error Observation A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.exists()

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Observation C 0..* Observation A pathology test result in an Australian healthcare context
    Constraints: obs-6, obs-7, inv-obs-0
    Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
    Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
    Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    Observation.language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    Observation.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
    Observation.contained 0..* Resource Contained, inline Resources
    Observation.extension 0..* Extension Additional content defined by implementations
    Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
    Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
    Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
    Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    Observation.Slices for category 1..* CodeableConcept Classification of the service requested as laboratory + more specific discipline where available
    Slice: Unordered, Open by value:coding.system, value:coding.code
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Observation.Slices for category.category:lab 1..1 CodeableConcept Observation generated by laboratories
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
    Observation.Slices for category.category:lab.id 0..1 string Unique id for inter-element referencing
    Observation.Slices for category.category:lab.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Observation.Slices for category.category:lab.coding This element is included in summaries. 1..* Coding Code defined by a terminology system
    Observation.Slices for category.category:lab.coding.id 0..1 string Unique id for inter-element referencing
    Observation.Slices for category.category:lab.coding.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Observation.Slices for category.category:lab.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed)
    Observation.Slices for category.category:lab.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
    Observation.Slices for category.category:lab.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
    Fixed Value: laboratory (no extensions allowed)
    Observation.Slices for category.category:lab.coding.display This element is included in summaries. 0..1 string Representation defined by the system
    Observation.Slices for category.category:lab.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
    Observation.Slices for category.category:lab.text This element is included in summaries. 0..1 string Plain text representation of the concept
    Observation.Slices for category.category:specificDiscipline 0..* CodeableConcept Specific discipline of pathology
    Binding: Pathology Diagnostic Service Category (extensible)
    Observation.Slices for category.category:specificDiscipline.id 0..1 string Unique id for inter-element referencing
    Observation.Slices for category.category:specificDiscipline.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Observation.Slices for category.category:specificDiscipline.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
    Observation.Slices for category.category:specificDiscipline.coding.id 0..1 string Unique id for inter-element referencing
    Observation.Slices for category.category:specificDiscipline.coding.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Observation.Slices for category.category:specificDiscipline.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 (no extensions allowed)
    Observation.Slices for category.category:specificDiscipline.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
    Observation.Slices for category.category:specificDiscipline.coding.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
    Observation.Slices for category.category:specificDiscipline.coding.display This element is included in summaries. 0..1 string Representation defined by the system
    Observation.Slices for category.category:specificDiscipline.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
    Observation.Slices for category.category:specificDiscipline.text This element is included in summaries. 0..1 string Plain text representation of the concept
    Observation.code This element is included in summaries. 1..1 CodeableConcept Pathology test or test group
    Binding: RCPA SPIA Pathology Reporting (preferred)
    Additional BindingsPurpose
    RCPA - SPIA Chemical Pathology Value Set Component
    RCPA - SPIA Haematology Value Set Component
    RCPA - SPIA Immunopathology Value Set Component
    RCPA - SPIA Microbiology Serology Molecular Pathology Value Set Component
    Observation.subject This element is included in summaries. 1..1 Reference(Patient) Who and/or what the observation is about
    Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
    Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
    Observation.effective[x] This element is included in summaries. 1..1 Time of specimen collection
    Observation.effective[x].effectiveDateTime dateTime
    Observation.effective[x].effectivePeriod Period
    Observation.effective[x].effectiveTiming Timing
    Observation.effective[x].effectiveInstant instant
    Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
    Observation.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
    Observation.value[x] This element is included in summaries. C 0..1 Actual result
    Observation.value[x].valueQuantity Quantity
    Observation.value[x].valueCodeableConcept CodeableConcept
    Observation.value[x].valueString string
    Observation.value[x].valueBoolean boolean
    Observation.value[x].valueInteger integer
    Observation.value[x].valueRange Range
    Observation.value[x].valueRatio Ratio
    Observation.value[x].valueSampledData SampledData
    Observation.value[x].valueTime time
    Observation.value[x].valueDateTime dateTime
    Observation.value[x].valuePeriod Period
    Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
    Observation.note 0..* Annotation Comments about the observation
    Observation.bodySite 0..1 CodeableConcept Observed body part
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
    Observation.method 0..1 CodeableConcept How it was done
    Binding: ObservationMethods (example): Methods for simple observations.
    Observation.specimen 0..1 Reference(AU Base Specimen) Specimen used for this observation
    Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
    Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
    Constraints: obs-3
    Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
    Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
    Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
    Constraints: sqty-1
    Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
    Constraints: sqty-1
    Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
    Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
    Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
    Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
    Observation.referenceRange.text 0..1 string Text based reference range in an observation
    Observation.hasMember This element is included in summaries. C 0..* Reference(AU Base Diagnostic Result | AU Base Pathology Result) Individual tests in a group or panel
    Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
    Observation.component This element is included in summaries. 0..* BackboneElement Individual tests in a group or panel
    Observation.component.id 0..1 string Unique id for inter-element referencing
    Observation.component.extension 0..* Extension Additional content defined by implementations
    Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
    Observation.component.code This element is included in summaries. 1..1 CodeableConcept Individual pathology test
    Binding: RCPA SPIA Pathology Reporting (preferred)
    Observation.component.value[x] This element is included in summaries. C 0..1 Actual component result
    Observation.component.value[x].valueQuantity Quantity
    Observation.component.value[x].valueCodeableConcept CodeableConcept
    Observation.component.value[x].valueString string
    Observation.component.value[x].valueBoolean boolean
    Observation.component.value[x].valueInteger integer
    Observation.component.value[x].valueRange Range
    Observation.component.value[x].valueRatio Ratio
    Observation.component.value[x].valueSampledData SampledData
    Observation.component.value[x].valueTime time
    Observation.component.value[x].valueDateTime dateTime
    Observation.component.value[x].valuePeriod Period
    Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
    Observation.component.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

    doco 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:lab Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
    Observation.category:specificDiscipline Base extensible Pathology Diagnostic Service Category ⏿1.0.0 tx.hl7.org.au
    Observation.code Base preferred RCPA SPIA Pathology Reporting ⏿1.0.0 tx.hl7.org.au
    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 example 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 RCPA SPIA Pathology Reporting ⏿1.0.0 tx.hl7.org.au
    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())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
    inv-obs-0 error Observation A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.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()
    sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

    This structure is derived from Observation

    Summary

    Mandatory: 7 elements(1 nested mandatory element)
    Fixed: 3 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Observation.category

    Maturity: 1

     

    Other representations of profile: CSV, Excel, Schematron