AU Patient Summary Implementation Guide
0.5.0-cibuild - CI Build Australia flag

AU Patient Summary Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 0.5.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-ps/ and changes regularly. See the Directory of published versions

Resource Profile: AU PS Pathology Result Observation

Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-diagnosticresult-path Version: 0.5.0-cibuild
Standards status: Draft Maturity Level: 0 Computable Name: AUPSPathologyResult

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.

This profile sets minimum expectations for an Observation resource that represents a pathology result associated with a patient in the context of a patient summary in an Australian context. It is based on the AU Core Pathology Result Observation profile, and applies the additional requirements from Observation Results - Laboratory/Pathology (IPS).

See Comparison With Other National and International IGs for a comparison between AU Patient Summary (AU PS) profiles and profiles in other implementation guides.

Profile Specific Implementation Guidance

  1. The additional obligation on Observation.effectiveDateTime for AU PS Producer is SHOULD:able-to-populate. This obligation is in addition to the obligation of SHALL:populate-if-known. There is no additional obligation for AU PS Consumer, the obligations of SHALL:handle and SHOULD:display apply. This additional obligation is present in the underlying structure but due to a tooling limitation is not currently rendered in the profile view. See Zulip discussion for more information.

  2. There is a current tool limitation that prevents the Observation.specimen element referencing the intended target profile: Specimen (IPS).

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

This structure is derived from AUCorePathologyResult

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* AUCorePathologyResult A pathology test result in an Australian healthcare context
This profile also complies with the profile Observation Results - Laboratory/Pathology (IPS)
... status O 1..1 code registered | preliminary | final | amended +
Binding: Results Status Codes - IPS (required)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... category O 1..* CodeableConceptIPS Classification of the service requested as laboratory + more specific discipline where available
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for category Content/Rules for all slices
.... category:lab O 1..1 CodeableConcept Observation generated by laboratories
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... category:specificDiscipline O 0..* CodeableConcept Specific discipline of pathology
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... subject O 1..1 Reference(AU PS Patient) Who and/or what the observation is about
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... effective[x] O 1..1 Time of specimen collection
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer O 1..* Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) Who is responsible for the observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for value[x] O 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
Slice: Unordered, Open by type:$this
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... value[x]:valueCodeableConcept O 0..1 CodeableConceptIPS Actual result
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... dataAbsentReason O 0..1 CodeableConcept Why the result is missing
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... interpretation O 0..* CodeableConcept High, low, normal, etc.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... specimen O 0..1 Reference(AU Base Specimen) Specimen used for this observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... referenceRange O 0..* BackboneElement Provides guide for interpretation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... low O 0..1 SimpleQuantity Low Range, if relevant
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... high O 0..1 SimpleQuantity High Range, if relevant
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... type O 0..1 CodeableConcept Reference range qualifier
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... text O 0..1 string Text based reference range in an observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... hasMember O 0..* Reference(AU PS Pathology Result Observation) Individual observations in a group, study, or panel
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... component O 0..* BackboneElement Individual tests in a group or panel
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... code O 1..1 CodeableConcept Individual pathology test
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... value[x] O 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... dataAbsentReason O 0..1 CodeableConcept Why the component result is missing
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.statusrequiredResultsStatusUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips
Observation.value[x]:valueCodeableConceptpreferredResultsCodedValuesLaboratoryPathologyUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* AUCorePathologyResult A pathology test result in an Australian healthcare context
This profile also complies with the profile Observation Results - Laboratory/Pathology (IPS)
Constraints: obs-6, obs-7, inv-obs-0, au-core-obs-01
... 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 registered | preliminary | final | amended +
Binding: Results Status Codes - IPS (required)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... category:lab SO 1..1 CodeableConcept Observation generated by laboratories
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... 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 SO 0..* CodeableConcept Specific discipline of pathology
Binding: Pathology Diagnostic Service Category . (extensible)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... code SOΣ 1..1 CodeableConceptIPS Pathology test or test group
Binding: RCPA SPIA Pathology Reporting . (extensible)
Additional BindingsPurpose
RCPA - SPIA Chemical Pathology Terminology Reference Set . Component
RCPA - SPIA Haematology Terminology Reference Set . Component
RCPA - SPIA Immunopathology Terminology Reference Set . Component
RCPA - SPIA Microbiology Serology Molecular Pathology Terminology Reference Set . Component
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... subject SOΣ 1..1 Reference(AU PS Patient) Who and/or what the observation is about
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... effective[x] SOΣC 1..1 Time of specimen collection
Constraints: au-core-obs-02
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... effectiveDateTime dateTime S
.... effectivePeriod Period
... performer SOΣ 1..* Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) Who is responsible for the observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for value[x] SOΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueCodeableConcept SOΣC 0..1 CodeableConceptIPS Actual result
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... dataAbsentReason SOC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... interpretation SO 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... specimen SO 0..1 Reference(AU Base Specimen) Specimen used for this observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... referenceRange SOC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SOC 0..1 SimpleQuantity Low Range, if relevant
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... high SOC 0..1 SimpleQuantity High Range, if relevant
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... type SO 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... text SO 0..1 string Text based reference range in an observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... hasMember SOΣC 0..* Reference(AU PS Pathology Result Observation) Individual observations in a group, study, or panel
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... component SOΣC 0..* BackboneElement Individual tests in a group or panel
Constraints: au-core-obs-03
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... value[x] SOΣC 0..1 Actual component result
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... 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.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredResultsStatusUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:labpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:specificDisciplineextensiblePathologyDiagnosticServiceCategory .
https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1
Observation.codeextensibleRCPASPIAPathologyReporting .
https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
Observation.value[x]:valueCodeableConceptpreferredResultsCodedValuesLaboratoryPathologyUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
From the FHIR Standard
Observation.component.codeextensibleRCPASPIAPathologyReporting .
https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
au-core-obs-01errorObservationIf 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-02errorObservation.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-03errorObservation.componentThe component shall at least have a value or a data absent reason
: value.exists() or dataAbsentReason.exists()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
inv-obs-0errorObservationA 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-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* AUCorePathologyResult A pathology test result in an Australian healthcare context
This profile also complies with the profile Observation Results - Laboratory/Pathology (IPS)
Constraints: obs-6, obs-7, inv-obs-0, au-core-obs-01
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... 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 registered | preliminary | final | amended +
Binding: Results Status Codes - IPS (required)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for category SO 1..* CodeableConceptIPS 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.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... category:lab SO 1..1 CodeableConcept Observation generated by laboratories
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... 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 SO 0..* CodeableConcept Specific discipline of pathology
Binding: Pathology Diagnostic Service Category . (extensible)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... 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 CodeableConceptIPS Pathology test or test group
Binding: RCPA SPIA Pathology Reporting . (extensible)
Additional BindingsPurpose
RCPA - SPIA Chemical Pathology Terminology Reference Set . Component
RCPA - SPIA Haematology Terminology Reference Set . Component
RCPA - SPIA Immunopathology Terminology Reference Set . Component
RCPA - SPIA Microbiology Serology Molecular Pathology Terminology Reference Set . Component
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... subject SOΣ 1..1 Reference(AU PS Patient) Who and/or what the observation is about
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SOΣC 1..1 Time of specimen collection
Constraints: au-core-obs-02
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... effectiveDateTime dateTime S
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer SOΣ 1..* Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) Who is responsible for the observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for value[x] SOΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueCodeableConcept SOΣC 0..1 CodeableConceptIPS Actual result
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... dataAbsentReason SOC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... interpretation SO 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... 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
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange SOC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... high SOC 0..1 SimpleQuantity High Range, if relevant
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... type SO 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... hasMember SOΣC 0..* Reference(AU PS Pathology Result Observation) Individual observations in a group, study, or panel
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... 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
Constraints: au-core-obs-03
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... value[x] SOΣC 0..1 Actual component result
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... 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.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredResultsStatusUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:labpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:specificDisciplineextensiblePathologyDiagnosticServiceCategory .
https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1
Observation.codeextensibleRCPASPIAPathologyReporting .
https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
Observation.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Observation.value[x]:valueCodeableConceptpreferredResultsCodedValuesLaboratoryPathologyUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
From the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
From the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
From the FHIR Standard
Observation.component.codeextensibleRCPASPIAPathologyReporting .
https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
au-core-obs-01errorObservationIf 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-02errorObservation.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-03errorObservation.componentThe component shall at least have a value or a data absent reason
: value.exists() or dataAbsentReason.exists()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
inv-obs-0errorObservationA 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-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from AUCorePathologyResult

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* AUCorePathologyResult A pathology test result in an Australian healthcare context
This profile also complies with the profile Observation Results - Laboratory/Pathology (IPS)
... status O 1..1 code registered | preliminary | final | amended +
Binding: Results Status Codes - IPS (required)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... category O 1..* CodeableConceptIPS Classification of the service requested as laboratory + more specific discipline where available
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for category Content/Rules for all slices
.... category:lab O 1..1 CodeableConcept Observation generated by laboratories
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... category:specificDiscipline O 0..* CodeableConcept Specific discipline of pathology
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... subject O 1..1 Reference(AU PS Patient) Who and/or what the observation is about
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... effective[x] O 1..1 Time of specimen collection
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer O 1..* Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) Who is responsible for the observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for value[x] O 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
Slice: Unordered, Open by type:$this
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... value[x]:valueCodeableConcept O 0..1 CodeableConceptIPS Actual result
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... dataAbsentReason O 0..1 CodeableConcept Why the result is missing
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... interpretation O 0..* CodeableConcept High, low, normal, etc.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... specimen O 0..1 Reference(AU Base Specimen) Specimen used for this observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... referenceRange O 0..* BackboneElement Provides guide for interpretation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... low O 0..1 SimpleQuantity Low Range, if relevant
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... high O 0..1 SimpleQuantity High Range, if relevant
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... type O 0..1 CodeableConcept Reference range qualifier
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... text O 0..1 string Text based reference range in an observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... hasMember O 0..* Reference(AU PS Pathology Result Observation) Individual observations in a group, study, or panel
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... component O 0..* BackboneElement Individual tests in a group or panel
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... code O 1..1 CodeableConcept Individual pathology test
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... value[x] O 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... dataAbsentReason O 0..1 CodeableConcept Why the component result is missing
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.statusrequiredResultsStatusUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips
Observation.value[x]:valueCodeableConceptpreferredResultsCodedValuesLaboratoryPathologyUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* AUCorePathologyResult A pathology test result in an Australian healthcare context
This profile also complies with the profile Observation Results - Laboratory/Pathology (IPS)
Constraints: obs-6, obs-7, inv-obs-0, au-core-obs-01
... 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 registered | preliminary | final | amended +
Binding: Results Status Codes - IPS (required)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... category:lab SO 1..1 CodeableConcept Observation generated by laboratories
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... 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 SO 0..* CodeableConcept Specific discipline of pathology
Binding: Pathology Diagnostic Service Category . (extensible)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... code SOΣ 1..1 CodeableConceptIPS Pathology test or test group
Binding: RCPA SPIA Pathology Reporting . (extensible)
Additional BindingsPurpose
RCPA - SPIA Chemical Pathology Terminology Reference Set . Component
RCPA - SPIA Haematology Terminology Reference Set . Component
RCPA - SPIA Immunopathology Terminology Reference Set . Component
RCPA - SPIA Microbiology Serology Molecular Pathology Terminology Reference Set . Component
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... subject SOΣ 1..1 Reference(AU PS Patient) Who and/or what the observation is about
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... effective[x] SOΣC 1..1 Time of specimen collection
Constraints: au-core-obs-02
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... effectiveDateTime dateTime S
.... effectivePeriod Period
... performer SOΣ 1..* Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) Who is responsible for the observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for value[x] SOΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueCodeableConcept SOΣC 0..1 CodeableConceptIPS Actual result
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... dataAbsentReason SOC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... interpretation SO 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... specimen SO 0..1 Reference(AU Base Specimen) Specimen used for this observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... referenceRange SOC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SOC 0..1 SimpleQuantity Low Range, if relevant
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... high SOC 0..1 SimpleQuantity High Range, if relevant
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... type SO 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... text SO 0..1 string Text based reference range in an observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... hasMember SOΣC 0..* Reference(AU PS Pathology Result Observation) Individual observations in a group, study, or panel
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... component SOΣC 0..* BackboneElement Individual tests in a group or panel
Constraints: au-core-obs-03
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... value[x] SOΣC 0..1 Actual component result
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... 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.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredResultsStatusUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:labpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:specificDisciplineextensiblePathologyDiagnosticServiceCategory .
https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1
Observation.codeextensibleRCPASPIAPathologyReporting .
https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
Observation.value[x]:valueCodeableConceptpreferredResultsCodedValuesLaboratoryPathologyUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
From the FHIR Standard
Observation.component.codeextensibleRCPASPIAPathologyReporting .
https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
au-core-obs-01errorObservationIf 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-02errorObservation.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-03errorObservation.componentThe component shall at least have a value or a data absent reason
: value.exists() or dataAbsentReason.exists()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
inv-obs-0errorObservationA 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-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* AUCorePathologyResult A pathology test result in an Australian healthcare context
This profile also complies with the profile Observation Results - Laboratory/Pathology (IPS)
Constraints: obs-6, obs-7, inv-obs-0, au-core-obs-01
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... 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 registered | preliminary | final | amended +
Binding: Results Status Codes - IPS (required)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for category SO 1..* CodeableConceptIPS 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.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... category:lab SO 1..1 CodeableConcept Observation generated by laboratories
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... 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 SO 0..* CodeableConcept Specific discipline of pathology
Binding: Pathology Diagnostic Service Category . (extensible)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... 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 CodeableConceptIPS Pathology test or test group
Binding: RCPA SPIA Pathology Reporting . (extensible)
Additional BindingsPurpose
RCPA - SPIA Chemical Pathology Terminology Reference Set . Component
RCPA - SPIA Haematology Terminology Reference Set . Component
RCPA - SPIA Immunopathology Terminology Reference Set . Component
RCPA - SPIA Microbiology Serology Molecular Pathology Terminology Reference Set . Component
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... subject SOΣ 1..1 Reference(AU PS Patient) Who and/or what the observation is about
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SOΣC 1..1 Time of specimen collection
Constraints: au-core-obs-02
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... effectiveDateTime dateTime S
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer SOΣ 1..* Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS Organization | AU PS Patient | AU PS RelatedPerson) Who is responsible for the observation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for value[x] SOΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueCodeableConcept SOΣC 0..1 CodeableConceptIPS Actual result
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... dataAbsentReason SOC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... interpretation SO 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... 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
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange SOC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... high SOC 0..1 SimpleQuantity High Range, if relevant
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... type SO 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... hasMember SOΣC 0..* Reference(AU PS Pathology Result Observation) Individual observations in a group, study, or panel
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... 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
Constraints: au-core-obs-03
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... value[x] SOΣC 0..1 Actual component result
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... 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.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredResultsStatusUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:labpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:specificDisciplineextensiblePathologyDiagnosticServiceCategory .
https://healthterminologies.gov.au/fhir/ValueSet/pathology-diagnostic-service-category-1
Observation.codeextensibleRCPASPIAPathologyReporting .
https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
Observation.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Observation.value[x]:valueCodeableConceptpreferredResultsCodedValuesLaboratoryPathologyUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
From the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
From the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
From the FHIR Standard
Observation.component.codeextensibleRCPASPIAPathologyReporting .
https://healthterminologies.gov.au/fhir/ValueSet/spia-pathology-reporting-1
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
au-core-obs-01errorObservationIf 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-02errorObservation.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-03errorObservation.componentThe component shall at least have a value or a data absent reason
: value.exists() or dataAbsentReason.exists()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
inv-obs-0errorObservationA 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-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

 

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