AU Core Implementation Guide
1.0.0-ci-build - CI Build
AU Core Implementation Guide
1.0.0-ci-build - CI Build
AU Core Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 1.0.0-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-core/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult-path | Version: 1.0.0-ci-build | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: AUCorePathologyResult | ||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved. |
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This profile sets minimum expectations for an Observation resource to record, search, and fetch pathology results associated with a patient. It is based on the AU Base Pathology Result profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets that SHALL be present in the Observation when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context.
See Comparison with other national and international IGs for a comparison between AU Core profiles and profiles in other implementation guides.
The following are supported usage scenarios for this profile:
Observation.category provides an efficient way of supporting system interactions, e.g. restricting searches. Implementers need to understand that data categorisation is somewhat subjective. The categorisation applied by the source may not align with a receiver’s expectations.Observation.code.text and/or Observation.code.coding.display so that the requester can at least display the observation even if the requester does not recognise the code supplied.Observation.value, or can represent a set of results using either Observation.component.value or Observation.hasMember.
Observation.value, Observation.component.value, Observation.hasMember)Observation.identifier may contain the same identifier as in the order or report connecting the resources that are related to a single request fulfilment workflow.Usage:
Changes since version 1.0.0-ballot:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AUBasePathologyResult
| Name | Flags | Card. | Type | Description & Constraints | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
  Observation |
C | 0..* | AUBasePathologyResult | A pathology test result in an Australian healthcare context au-core-obs-02: If there is no component or hasMember element then at least value or data absent reason shall be present | ||||||
  status |
SO | 1..1 | code | preliminary | final | amended +
| ||||||
| category |
SO | 1..* | CodeableConcept | Classification of the service requested as laboratory + more specific discipline where available
| ||||||
| code |
SO | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting  (extensible)
| ||||||
 subject |
SO | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
| ||||||
| effective[x] |
SOC | 1..1 | dateTime, Period | Time of specimen collection au-core-obs-01: Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present
| ||||||
| performer |
SO | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who is responsible for the observation
| ||||||
| value[x] |
SOC | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result
| ||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the result is missing
| ||||||
| interpretation |
SO | 0..* | CodeableConcept | High, low, normal, etc.
| ||||||
| specimen |
SO | 0..1 | Reference(AU Base Specimen) | Specimen used for this observation
| ||||||
 referenceRange |
SO | 0..* | BackboneElement | Provides guide for interpretation
| ||||||
 low |
SO | 0..1 | SimpleQuantity | Low Range, if relevant
| ||||||
| high |
SO | 0..1 | SimpleQuantity | High Range, if relevant
| ||||||
| type |
SO | 0..1 | CodeableConcept | Reference range qualifier
| ||||||
 text |
SO | 0..1 | string | Text based reference range in an observation
| ||||||
| hasMember |
SO | 0..* | Reference(AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
| ||||||
 component |
SOC | 0..* | BackboneElement | Individual tests in a group or panel au-core-obs-03: The component shall at least have a value or a data absent reason
| ||||||
 code |
SO | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible)
| ||||||
| value[x] |
SOC | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result
| ||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the component result is missing
| ||||||
| Documentation for this format | ||||||||||
| Path | Conformance | ValueSet | URI |
| Observation.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | |
| Observation.component.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-obs-01 | error | Observation.effective[x] | Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present : (($this is dateTime implies $this.toString().length() >= 10) and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not()) xor ($this is dateTime implies ($this.hasValue().not() and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists())) | |
| au-core-obs-02 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| au-core-obs-03 | error | Observation.component | The component shall at least have a value or a data absent reason : value.exists() or dataAbsentReason.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | AUBasePathologyResult | A pathology test result in an Australian healthcare context obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason au-core-obs-02: If there is no component or hasMember element then at least value or data absent reason shall be present | ||||||||||||||||
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||
| status |
?!SOΣ | 1..1 | code | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||||||||||||
 Slices for category |
SO | 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.
| ||||||||||||||||
  category:lab |
1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||||||||||
   coding |
Σ | 1..* | Coding | Code defined by a terminology system | ||||||||||||||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||||||||||||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | ||||||||||||||||
 category:specificDiscipline |
0..* | CodeableConcept | Specific discipline of pathology Binding: Pathology Diagnostic Service Category (extensible) | |||||||||||||||||
| code |
SOΣ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible)
| ||||||||||||||||
| subject |
SOΣ | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
| ||||||||||||||||
 effective[x] |
SOΣC | 1..1 | Time of specimen collection au-core-obs-01: Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present
| |||||||||||||||||
| effectiveDateTime |
dateTime | |||||||||||||||||||
| effectivePeriod |
Period | |||||||||||||||||||
| performer |
SOΣ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who is responsible for the observation
| ||||||||||||||||
| value[x] |
SOΣC | 0..1 | Actual result
| |||||||||||||||||
| valueQuantity |
Quantity | |||||||||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||||||||
| valueString |
string | |||||||||||||||||||
| valueBoolean |
boolean | |||||||||||||||||||
| valueInteger |
integer | |||||||||||||||||||
| valueRange |
Range | |||||||||||||||||||
| valueRatio |
Ratio | |||||||||||||||||||
| valueSampledData |
SampledData | |||||||||||||||||||
| valueTime |
time | |||||||||||||||||||
| valueDateTime |
dateTime | |||||||||||||||||||
| valuePeriod |
Period | |||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||||||||||
| interpretation |
SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||||||||||
| specimen |
SO | 0..1 | Reference(AU Base Specimen) | Specimen used for this observation
| ||||||||||||||||
| referenceRange |
SOC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text
| ||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||
| low |
SOC | 0..1 | SimpleQuantity | Low Range, if relevant
| ||||||||||||||||
| high |
SOC | 0..1 | SimpleQuantity | High Range, if relevant
| ||||||||||||||||
| type |
SO | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| ||||||||||||||||
| text |
SO | 0..1 | string | Text based reference range in an observation
| ||||||||||||||||
| hasMember |
SOΣC | 0..* | Reference(AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
| ||||||||||||||||
| component |
SOΣC | 0..* | BackboneElement | Individual tests in a group or panel au-core-obs-03: The component shall at least have a value or a data absent reason
| ||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||
| code |
SOΣ | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible)
| ||||||||||||||||
| value[x] |
SOΣC | 0..1 | Actual component result
| |||||||||||||||||
| valueQuantity |
Quantity | |||||||||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||||||||
| valueString |
string | |||||||||||||||||||
| valueBoolean |
boolean | |||||||||||||||||||
| valueInteger |
integer | |||||||||||||||||||
| valueRange |
Range | |||||||||||||||||||
| valueRatio |
Ratio | |||||||||||||||||||
| valueSampledData |
SampledData | |||||||||||||||||||
| valueTime |
time | |||||||||||||||||||
| valueDateTime |
dateTime | |||||||||||||||||||
| valuePeriod |
Period | |||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||||||||||
| Documentation for this format | ||||||||||||||||||||
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:lab | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:specificDiscipline | extensible | PathologyDiagnosticServiceCategory https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1 | |
| Observation.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | |
| Observation.component.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-obs-01 | error | Observation.effective[x] | Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present : (($this is dateTime implies $this.toString().length() >= 10) and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not()) xor ($this is dateTime implies ($this.hasValue().not() and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists())) | |
| au-core-obs-02 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| au-core-obs-03 | error | Observation.component | The component shall at least have a value or a data absent reason : value.exists() or dataAbsentReason.exists() | |
| 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | AUBasePathologyResult | A pathology test result in an Australian healthcare context obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason au-core-obs-02: If there is no component or hasMember element then at least value or data absent reason shall be present | ||||||||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||||||
| 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 |
?!SOΣ | 1..1 | code | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||||||||||||
| Slices for category |
SO | 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.
| ||||||||||||||||
| category:lab |
1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||||||||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||
 coding |
Σ | 1..* | Coding | Code defined by a terminology system | ||||||||||||||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||||||||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||||||||||||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | ||||||||||||||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||||||||||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||||||||||||
 text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||||||||||
 category:specificDiscipline |
0..* | CodeableConcept | Specific discipline of pathology Binding: Pathology Diagnostic Service Category (extensible) | |||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | ||||||||||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||||||||||||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||||||||||||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||||||||||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||||||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||||||||||
| code |
SOΣ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible)
| ||||||||||||||||
| subject |
SOΣ | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
| ||||||||||||||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||||||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||||||||||||||
| effective[x] |
SOΣC | 1..1 | Time of specimen collection au-core-obs-01: Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present
| |||||||||||||||||
| effectiveDateTime |
dateTime | |||||||||||||||||||
| effectivePeriod |
Period | |||||||||||||||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||||||||||||||
| performer |
SOΣ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who is responsible for the observation
| ||||||||||||||||
| value[x] |
SOΣC | 0..1 | Actual result
| |||||||||||||||||
| valueQuantity |
Quantity | |||||||||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||||||||
| valueString |
string | |||||||||||||||||||
| valueBoolean |
boolean | |||||||||||||||||||
| valueInteger |
integer | |||||||||||||||||||
| valueRange |
Range | |||||||||||||||||||
| valueRatio |
Ratio | |||||||||||||||||||
| valueSampledData |
SampledData | |||||||||||||||||||
| valueTime |
time | |||||||||||||||||||
| valueDateTime |
dateTime | |||||||||||||||||||
| valuePeriod |
Period | |||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||||||||||
| interpretation |
SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||||||||||
| note |
0..* | Annotation | Comments about the observation | |||||||||||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||||||||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||||||||||||||
| specimen |
SO | 0..1 | Reference(AU Base Specimen) | Specimen used for this observation
| ||||||||||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||||||||||||||
| referenceRange |
SOC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text
| ||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||
| low |
SOC | 0..1 | SimpleQuantity | Low Range, if relevant
| ||||||||||||||||
| high |
SOC | 0..1 | SimpleQuantity | High Range, if relevant
| ||||||||||||||||
| type |
SO | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| ||||||||||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||||||||||||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||||||||||||||
| text |
SO | 0..1 | string | Text based reference range in an observation
| ||||||||||||||||
| hasMember |
SOΣC | 0..* | Reference(AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
| ||||||||||||||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||||||||||||||
| component |
SOΣC | 0..* | BackboneElement | Individual tests in a group or panel au-core-obs-03: The component shall at least have a value or a data absent reason
| ||||||||||||||||
| 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 | ||||||||||||||||
| code |
SOΣ | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible)
| ||||||||||||||||
| value[x] |
SOΣC | 0..1 | Actual component result
| |||||||||||||||||
| valueQuantity |
Quantity | |||||||||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||||||||
| valueString |
string | |||||||||||||||||||
| valueBoolean |
boolean | |||||||||||||||||||
| valueInteger |
integer | |||||||||||||||||||
| valueRange |
Range | |||||||||||||||||||
| valueRatio |
Ratio | |||||||||||||||||||
| valueSampledData |
SampledData | |||||||||||||||||||
| valueTime |
time | |||||||||||||||||||
| valueDateTime |
dateTime | |||||||||||||||||||
| valuePeriod |
Period | |||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||||||||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||||||||||
| Documentation for this format | ||||||||||||||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:lab | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:specificDiscipline | extensible | PathologyDiagnosticServiceCategory https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1 | ||||
| Observation.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-obs-01 | error | Observation.effective[x] | Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present : (($this is dateTime implies $this.toString().length() >= 10) and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not()) xor ($this is dateTime implies ($this.hasValue().not() and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists())) | |
| au-core-obs-02 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| au-core-obs-03 | error | Observation.component | The component shall at least have a value or a data absent reason : value.exists() or dataAbsentReason.exists() | |
| 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() |
This structure is derived from AUBasePathologyResult
Summary
Must-Support: 20 elements
Structures
This structure refers to these other structures:
Maturity: 1
Differential View
This structure is derived from AUBasePathologyResult
| Name | Flags | Card. | Type | Description & Constraints | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | AUBasePathologyResult | A pathology test result in an Australian healthcare context au-core-obs-02: If there is no component or hasMember element then at least value or data absent reason shall be present | ||||||
| status |
SO | 1..1 | code | preliminary | final | amended +
| ||||||
| category |
SO | 1..* | CodeableConcept | Classification of the service requested as laboratory + more specific discipline where available
| ||||||
| code |
SO | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible)
| ||||||
| subject |
SO | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
| ||||||
| effective[x] |
SOC | 1..1 | dateTime, Period | Time of specimen collection au-core-obs-01: Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present
| ||||||
| performer |
SO | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who is responsible for the observation
| ||||||
| value[x] |
SOC | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result
| ||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the result is missing
| ||||||
| interpretation |
SO | 0..* | CodeableConcept | High, low, normal, etc.
| ||||||
| specimen |
SO | 0..1 | Reference(AU Base Specimen) | Specimen used for this observation
| ||||||
| referenceRange |
SO | 0..* | BackboneElement | Provides guide for interpretation
| ||||||
| low |
SO | 0..1 | SimpleQuantity | Low Range, if relevant
| ||||||
| high |
SO | 0..1 | SimpleQuantity | High Range, if relevant
| ||||||
| type |
SO | 0..1 | CodeableConcept | Reference range qualifier
| ||||||
| text |
SO | 0..1 | string | Text based reference range in an observation
| ||||||
| hasMember |
SO | 0..* | Reference(AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
| ||||||
| component |
SOC | 0..* | BackboneElement | Individual tests in a group or panel au-core-obs-03: The component shall at least have a value or a data absent reason
| ||||||
| code |
SO | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible)
| ||||||
| value[x] |
SOC | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result
| ||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the component result is missing
| ||||||
| Documentation for this format | ||||||||||
| Path | Conformance | ValueSet | URI |
| Observation.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | |
| Observation.component.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-obs-01 | error | Observation.effective[x] | Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present : (($this is dateTime implies $this.toString().length() >= 10) and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not()) xor ($this is dateTime implies ($this.hasValue().not() and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists())) | |
| au-core-obs-02 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| au-core-obs-03 | error | Observation.component | The component shall at least have a value or a data absent reason : value.exists() or dataAbsentReason.exists() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | AUBasePathologyResult | A pathology test result in an Australian healthcare context obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason au-core-obs-02: If there is no component or hasMember element then at least value or data absent reason shall be present | ||||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||
| status |
?!SOΣ | 1..1 | code | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||||||||||||
| Slices for category |
SO | 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.
| ||||||||||||||||
| category:lab |
1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||||||||||
| coding |
Σ | 1..* | Coding | Code defined by a terminology system | ||||||||||||||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||||||||||||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | ||||||||||||||||
| category:specificDiscipline |
0..* | CodeableConcept | Specific discipline of pathology Binding: Pathology Diagnostic Service Category (extensible) | |||||||||||||||||
| code |
SOΣ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible)
| ||||||||||||||||
| subject |
SOΣ | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
| ||||||||||||||||
| effective[x] |
SOΣC | 1..1 | Time of specimen collection au-core-obs-01: Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present
| |||||||||||||||||
| effectiveDateTime |
dateTime | |||||||||||||||||||
| effectivePeriod |
Period | |||||||||||||||||||
| performer |
SOΣ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who is responsible for the observation
| ||||||||||||||||
| value[x] |
SOΣC | 0..1 | Actual result
| |||||||||||||||||
| valueQuantity |
Quantity | |||||||||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||||||||
| valueString |
string | |||||||||||||||||||
| valueBoolean |
boolean | |||||||||||||||||||
| valueInteger |
integer | |||||||||||||||||||
| valueRange |
Range | |||||||||||||||||||
| valueRatio |
Ratio | |||||||||||||||||||
| valueSampledData |
SampledData | |||||||||||||||||||
| valueTime |
time | |||||||||||||||||||
| valueDateTime |
dateTime | |||||||||||||||||||
| valuePeriod |
Period | |||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||||||||||
| interpretation |
SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||||||||||
| specimen |
SO | 0..1 | Reference(AU Base Specimen) | Specimen used for this observation
| ||||||||||||||||
| referenceRange |
SOC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text
| ||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||
| low |
SOC | 0..1 | SimpleQuantity | Low Range, if relevant
| ||||||||||||||||
| high |
SOC | 0..1 | SimpleQuantity | High Range, if relevant
| ||||||||||||||||
| type |
SO | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| ||||||||||||||||
| text |
SO | 0..1 | string | Text based reference range in an observation
| ||||||||||||||||
| hasMember |
SOΣC | 0..* | Reference(AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
| ||||||||||||||||
| component |
SOΣC | 0..* | BackboneElement | Individual tests in a group or panel au-core-obs-03: The component shall at least have a value or a data absent reason
| ||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||
| code |
SOΣ | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible)
| ||||||||||||||||
| value[x] |
SOΣC | 0..1 | Actual component result
| |||||||||||||||||
| valueQuantity |
Quantity | |||||||||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||||||||
| valueString |
string | |||||||||||||||||||
| valueBoolean |
boolean | |||||||||||||||||||
| valueInteger |
integer | |||||||||||||||||||
| valueRange |
Range | |||||||||||||||||||
| valueRatio |
Ratio | |||||||||||||||||||
| valueSampledData |
SampledData | |||||||||||||||||||
| valueTime |
time | |||||||||||||||||||
| valueDateTime |
dateTime | |||||||||||||||||||
| valuePeriod |
Period | |||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||||||||||
| Documentation for this format | ||||||||||||||||||||
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:lab | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:specificDiscipline | extensible | PathologyDiagnosticServiceCategory https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1 | |
| Observation.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | |
| Observation.component.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-obs-01 | error | Observation.effective[x] | Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present : (($this is dateTime implies $this.toString().length() >= 10) and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not()) xor ($this is dateTime implies ($this.hasValue().not() and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists())) | |
| au-core-obs-02 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| au-core-obs-03 | error | Observation.component | The component shall at least have a value or a data absent reason : value.exists() or dataAbsentReason.exists() | |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | AUBasePathologyResult | A pathology test result in an Australian healthcare context obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present inv-obs-0: A pathology result shall at least have value or data absent reason or a child observation with a value or data absent reason au-core-obs-02: If there is no component or hasMember element then at least value or data absent reason shall be present | ||||||||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||||||
| 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 |
?!SOΣ | 1..1 | code | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||||||||||||
| Slices for category |
SO | 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.
| ||||||||||||||||
| category:lab |
1..1 | CodeableConcept | Observation generated by laboratories Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||
| coding |
Σ | 1..* | Coding | Code defined by a terminology system | ||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||||||||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||||||||||||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | ||||||||||||||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||||||||||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||||||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||||||||||
| category:specificDiscipline |
0..* | CodeableConcept | Specific discipline of pathology Binding: Pathology Diagnostic Service Category (extensible) | |||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | ||||||||||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||||||||||||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||||||||||||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||||||||||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||||||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||||||||||
| code |
SOΣ | 1..1 | CodeableConcept | Pathology test or test group Binding: RCPA SPIA Pathology Reporting (extensible)
| ||||||||||||||||
| subject |
SOΣ | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
| ||||||||||||||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||||||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||||||||||||||
| effective[x] |
SOΣC | 1..1 | Time of specimen collection au-core-obs-01: Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present
| |||||||||||||||||
| effectiveDateTime |
dateTime | |||||||||||||||||||
| effectivePeriod |
Period | |||||||||||||||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||||||||||||||
| performer |
SOΣ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who is responsible for the observation
| ||||||||||||||||
| value[x] |
SOΣC | 0..1 | Actual result
| |||||||||||||||||
| valueQuantity |
Quantity | |||||||||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||||||||
| valueString |
string | |||||||||||||||||||
| valueBoolean |
boolean | |||||||||||||||||||
| valueInteger |
integer | |||||||||||||||||||
| valueRange |
Range | |||||||||||||||||||
| valueRatio |
Ratio | |||||||||||||||||||
| valueSampledData |
SampledData | |||||||||||||||||||
| valueTime |
time | |||||||||||||||||||
| valueDateTime |
dateTime | |||||||||||||||||||
| valuePeriod |
Period | |||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||||||||||
| interpretation |
SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||||||||||
| note |
0..* | Annotation | Comments about the observation | |||||||||||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||||||||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||||||||||||||
| specimen |
SO | 0..1 | Reference(AU Base Specimen) | Specimen used for this observation
| ||||||||||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||||||||||||||
| referenceRange |
SOC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text
| ||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||
| low |
SOC | 0..1 | SimpleQuantity | Low Range, if relevant
| ||||||||||||||||
| high |
SOC | 0..1 | SimpleQuantity | High Range, if relevant
| ||||||||||||||||
| type |
SO | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| ||||||||||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||||||||||||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||||||||||||||
| text |
SO | 0..1 | string | Text based reference range in an observation
| ||||||||||||||||
| hasMember |
SOΣC | 0..* | Reference(AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
| ||||||||||||||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||||||||||||||
| component |
SOΣC | 0..* | BackboneElement | Individual tests in a group or panel au-core-obs-03: The component shall at least have a value or a data absent reason
| ||||||||||||||||
| 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 | ||||||||||||||||
| code |
SOΣ | 1..1 | CodeableConcept | Individual pathology test Binding: RCPA SPIA Pathology Reporting (extensible)
| ||||||||||||||||
| value[x] |
SOΣC | 0..1 | Actual component result
| |||||||||||||||||
| valueQuantity |
Quantity | |||||||||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||||||||
| valueString |
string | |||||||||||||||||||
| valueBoolean |
boolean | |||||||||||||||||||
| valueInteger |
integer | |||||||||||||||||||
| valueRange |
Range | |||||||||||||||||||
| valueRatio |
Ratio | |||||||||||||||||||
| valueSampledData |
SampledData | |||||||||||||||||||
| valueTime |
time | |||||||||||||||||||
| valueDateTime |
dateTime | |||||||||||||||||||
| valuePeriod |
Period | |||||||||||||||||||
| dataAbsentReason |
SOC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||||||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||||||||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||||||||||
| Documentation for this format | ||||||||||||||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:lab | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:specificDiscipline | extensible | PathologyDiagnosticServiceCategory https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1 | ||||
| Observation.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | extensible | RCPASPIAPathologyReporting https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1 | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-obs-01 | error | Observation.effective[x] | Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present : (($this is dateTime implies $this.toString().length() >= 10) and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists().not()) xor ($this is dateTime implies ($this.hasValue().not() and extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').value.exists())) | |
| au-core-obs-02 | error | Observation | If there is no component or hasMember element then at least value or data absent reason shall be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| au-core-obs-03 | error | Observation.component | The component shall at least have a value or a data absent reason : value.exists() or dataAbsentReason.exists() | |
| 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() |
This structure is derived from AUBasePathologyResult
Summary
Must-Support: 20 elements
Structures
This structure refers to these other structures:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
Below is an overview of the mandatory and optional search parameters and combined search parameters. See the AU Core CapabilityStatements for a complete list of supported RESTful interactions for this IG.
FHIR search operations are described here and the syntax used to describe AU Core interactions is defined here.
Any search parameter defined in FHIR may be ‘allowed’ by the system unless explicitly marked as “SHALL NOT”. A few items are marked as MAY in this implementation guide to highlight their potential relevance.
| Parameter(s) | Conformance | Type(s) | Requirements (when used alone or in combination) |
|---|---|---|---|
| patient+category | SHALL | reference+token |
|
| patient+category+date | SHALL | reference+token+date |
|
| patient+code | SHALL | reference+token |
|
| patient+category+status | SHOULD | reference+token+token |
|
| patient+code+date | SHOULD | reference+token+date |
|
| patient.identifier | SHOULD | reference.token |
The requester SHALL provide both the system and code values. The responder SHALL support both. The requester SHOULD support search using IHI, Medicare Number, and DVA Number identifiers as defined in the AU Core Patient profile. The responder SHOULD support search using the using IHI, Medicare Number, and DVA Number identifiers as defined in the AU Core Patient profile. |
| patient | MAY | reference |
The requester SHALL provide at least an id value and MAY provide both the Type and id values. The responder SHALL support both. |
| category | MAY | token |
The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both. The requester SHALL support search using the category code defined in this profile. The responder SHALL support search using the category code defined in this profile. |
| code | MAY | token |
The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both. The requester SHALL support search using the LOINC codes defined in this profile. The responder SHALL support search using the LOINC codes defined in this profile. The requester SHALL support multipleOr. The responder SHALL support multipleOr. |
| date | MAY | date |
A requester SHALL provide a value precise to the second + time offset. A responder SHALL support a value precise to the second + time offset. The requester SHALL support these search comparators gt, lt, ge, le. The responder SHALL support these search comparators gt, lt, ge, le.The requester SHOULD support multipleAnd, and if multipleAnd is supported, SHALL support the search comparators gt, lt, ge, le. The responder SHOULD support multipleAnd, and if multipleAnd is supported, SHALL support the search comparators gt, lt, ge, le. |
| status | MAY | token |
The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both. The requester SHALL support multipleOr.The responder SHALL support multipleOr. |
The following search parameters and search parameter combinations SHALL be supported:
patient and category search parameters:
patient.identifier (e.g. patient.identifier=[system|][code])GET [base]/Observation?patient={Type/}[id]&category=http://terminology.hl7.org/CodeSystem/observation-category|laboratory
Example:
Implementation Notes: Fetches a bundle of all Observation resources for the specified patient and a category code = laboratory (how to search by reference and how to search by token)
patient and code search parameters:
patient.identifier (e.g. patient.identifier=[system|][code])code (e.g.code={system|}[code],{system|}[code],...)GET [base]/Observation?patient={Type/}[id]&code={system|}[code]{,{system|}[code],...}
Example:
Implementation Notes: Fetches a bundle of all Observation resources for the specified patient and observation code(s). The Observation code parameter searches Observation.code only. (how to search by reference and how to search by token)
patient and category and date search parameters:
patient.identifier (e.g. patient.identifier=[system|][code])date comparators: gt,lt,ge,ledate (e.g.date=[date]&date=[date]]&...), and if multipleAnd is supported, SHALL support the search comparators gt,lt,ge,leGET [base]/Observation?patient={Type/}[id]&category=http://terminology.hl7.org/CodeSystem/observation-category|laboratory&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}
Example:
Implementation Notes: Fetches a bundle of all Observation resources for the specified patient and date and a category code = laboratory (how to search by reference and how to search by token and how to search by date)
The following search parameters and search parameter combinations SHOULD be supported:
SHOULD support chained searching of patient canonical identifier patient.identifier (e.g. patient.identifier=[system|][code])
GET [base]/Observation?patient.identifier=[system|][code]
Example:
Implementation Notes: Fetches a bundle of all Observation resources for the specified patient (how to search by reference and how to search by token)
patient and category and status search parameters:
patient.identifier (e.g. patient.identifier=[system|][code])status (e.g.status={system|}[code],{system|}[code],...)GET [base]/Observation?patient={Type/}[id]&category=http://terminology.hl7.org/CodeSystem/observation-category|laboratory&status={system|}[code]{,{system|}[code],...}
Example:
Implementation Notes: Fetches a bundle of all Observation resources for the specified patient and category and status (how to search by reference and how to search by token)
patient and code and date search parameters:
patient.identifier (e.g. patient.identifier=[system|][code]code (e.g.code={system|}[code],{system|}[code],...)date comparators: gt,lt,ge,ledate (e.g.date=[date]&date=[date]]&...), and if multipleAnd is supported, SHALL support the search comparators gt,lt,ge,leGET [base]/Observation?patient={Type/}[id]&code={system|}[code]{,{system|}[code],...}&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}
Example:
Implementation Notes: Fetches a bundle of all Observation resources for the specified patient and date and observation code(s) (how to search by reference and how to search by token and how to search by date)
IG © 2022+ HL7 Australia. Package hl7.fhir.au.core#1.0.0-ci-build based on FHIR 4.0.1. Generated 2024-12-08
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