LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide
0.1.0 - STU1
LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide, published by Ministry of Health, Sri Lanka. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/lk-gov-health-hiu/lk-nehr-fhir-ips/ and changes regularly. See the Directory of published versions
Official URL: http://fhir.health.gov.lk/ips/StructureDefinition/random-blood-sugar | Version: 0.1.0 | |||
Active as of 2024-09-22 | Computable Name: RandomBloodSugar |
Represents the patient's RBS results.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ObservationResultsLaboratoryUvIps
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | ObservationResultsLaboratoryUvIps | |||
category | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text | |
coding | ||||
system | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | |
code | 0..1 | code | Symbol in syntax defined by the system Required Pattern: laboratory | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 15074-8 | |
text | 0..1 | string | Plain text representation of the concept Required Pattern: Glucose | |
subject | 1..1 | Reference(Patient) | Who and/or what the observation is about | |
encounter | 0..1 | Reference(Target Facility Encounter) | Healthcare event during which this observation is made | |
performer | 1..* | Reference(Practitioner | Organization) | Who is responsible for the observation | |
Slices for value[x] | Content/Rules for all slices | |||
value[x]:valueQuantity | 0..1 | QuantityIPS | A measured amount using UCUM | |
value | 1..1 | decimal | Numerical value (with implicit precision) | |
unit | 0..1 | string | Unit representation Required Pattern: mmol/L | |
code | 1..1 | code | Coded form of the unit Required Pattern: mmol/L | |
interpretation | S | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text |
device | 1..1 | Reference(Device Information) | (Measurement) Device | |
referenceRange | S | 0..* | BackboneElement | Provides guide for interpretation |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | ObservationResultsLaboratoryUvIps | Laboratory result for a simple test or for a panel/study 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 ips-2: if no "hasMember" element is present then Observation must have a" value" | ||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||||||
Slices for category | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
category:All Slices | Content/Rules for all slices | |||||||||||
coding | S | 0..* | CodingIPS | A reference to a code defined by a terminology system | ||||||||
system | SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | ||||||||
code | SΣ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: laboratory | ||||||||
display | SΣ | 0..1 | string | Representation defined by the system | ||||||||
Slices for extension | Content/Rules for all slices | |||||||||||
translation | 0..* | (Complex) | Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation | |||||||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||||||
category:laboratory | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |||||||||
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Laboratory Observation - IPS (preferred) Required Pattern: At least the following | ||||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 15074-8 | |||||||||
coding | S | 0..* | CodingIPS | A reference to a code defined by a terminology system | ||||||||
text | SΣ | 0..1 | string | Plain text representation of the concept Required Pattern: Glucose | ||||||||
subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about | ||||||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
encounter | Σ | 0..1 | Reference(Target Facility Encounter) | Healthcare event during which this observation is made | ||||||||
effective[x] | SΣ | 1..1 | Clinically relevant time/time-period for observation | |||||||||
effective[x]All Types | Content/Rules for all Types | |||||||||||
Slices for extension | Content/Rules for all slices | |||||||||||
data-absent-reason | S | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | ||||||||
effectiveDateTime | dateTime | |||||||||||
effectivePeriod | Period | |||||||||||
performer | SΣ | 1..* | Reference(Practitioner | Organization) | Who is responsible for the observation | ||||||||
Slices for value[x] | SΣC | 0..1 | Quantity | Actual result Slice: Unordered, Closed by type:$this | ||||||||
value[x]:valueQuantity | SC | 0..1 | QuantityIPS | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
value | Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||||||
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||||||
unit | Σ | 0..1 | string | Unit representation Required Pattern: mmol/L | ||||||||
system | SΣC | 1..1 | uri | UCUM system for units Fixed Value: http://unitsofmeasure.org | ||||||||
code | SΣ | 1..1 | code | Coded form of the unit Required Pattern: mmol/L | ||||||||
value[x]:valueString | SΣC | 0..1 | string | Actual result | ||||||||
value[x]:valueRange | SC | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
value[x]:valueRatio | SC | 0..1 | RatioIPS | A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
value[x]:valueTime | SΣC | 0..1 | time | Actual result | ||||||||
value[x]:valueDateTime | SΣC | 0..1 | dateTime | Actual result | ||||||||
value[x]:valuePeriod | SΣC | 0..1 | Period | Actual result | ||||||||
value[x]:valueCodeableConcept | S | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||
interpretation | S | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||||||
device | 1..1 | Reference(Device Information) | (Measurement) Device | |||||||||
referenceRange | SC | 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 | ||||||||
component | SΣ | 0..* | BackboneElement | Component results | ||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||||||||||
Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||||||||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||||||||||
Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||||||||||
Observation.code | preferred | Pattern: LOINC Code 15074-8http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips | ||||||||||||
Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||||||||||
Observation.value[x]:valueCodeableConcept | preferred | ResultsCodedValuesLaboratoryUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | ||||||||||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||||||||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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() | |
ips-2 | error | Observation | if no "hasMember" element is present then Observation must have a" value" : value.exists() or hasMember.exists() | |
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
qty-3 | error | Observation.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
rat-1 | error | Observation.value[x]:valueRatio | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
rng-2 | error | Observation.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
Name | Flags | Card. | Type | Description & Constraints | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | ObservationResultsLaboratoryUvIps | Laboratory result for a simple test or for a panel/study 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 ips-2: if no "hasMember" element is present then Observation must have a" value" | ||||||||
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 | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||||||
Slices for category | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
category:All Slices | Content/Rules for all slices | |||||||||||
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 | S | 0..* | CodingIPS | A reference to a 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 | SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | ||||||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||||||
code | SΣ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: laboratory | ||||||||
display | SΣ | 0..1 | string | Representation defined by the system | ||||||||
id | 0..1 | string | xml:id (or equivalent in JSON) | |||||||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
translation | 0..* | (Complex) | Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation | |||||||||
value | 0..1 | string | Primitive value for string Max Length: 1048576 | |||||||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||||||
category:laboratory | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
version | 0..1 | string | Version of the system - if relevant | |||||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |||||||||
display | 0..1 | string | Representation defined by the system | |||||||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
text | 0..1 | string | Plain text representation of the concept | |||||||||
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Laboratory Observation - IPS (preferred) Required Pattern: At least the following | ||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
version | 0..1 | string | Version of the system - if relevant | |||||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 15074-8 | |||||||||
display | 0..1 | string | Representation defined by the system | |||||||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
text | 0..1 | string | Plain text representation of the concept | |||||||||
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 | S | 0..* | CodingIPS | A reference to a code defined by a terminology system | ||||||||
text | SΣ | 0..1 | string | Plain text representation of the concept Required Pattern: Glucose | ||||||||
subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about | ||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||||||
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||||||
encounter | Σ | 0..1 | Reference(Target Facility Encounter) | Healthcare event during which this observation is made | ||||||||
effective[x] | SΣ | 1..1 | Clinically relevant time/time-period for observation | |||||||||
effective[x]All Types | Content/Rules for all Types | |||||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
data-absent-reason | S | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | ||||||||
effectiveDateTime | dateTime | |||||||||||
effectivePeriod | Period | |||||||||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||||||
performer | SΣ | 1..* | Reference(Practitioner | Organization) | Who is responsible for the observation | ||||||||
Slices for value[x] | SΣC | 0..1 | Quantity | Actual result Slice: Unordered, Closed by type:$this | ||||||||
value[x]:valueQuantity | SC | 0..1 | QuantityIPS | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
value | Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||||||
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||||||
unit | Σ | 0..1 | string | Unit representation Required Pattern: mmol/L | ||||||||
system | SΣC | 1..1 | uri | UCUM system for units Fixed Value: http://unitsofmeasure.org | ||||||||
code | SΣ | 1..1 | code | Coded form of the unit Required Pattern: mmol/L | ||||||||
value[x]:valueString | SΣC | 0..1 | string | Actual result | ||||||||
value[x]:valueRange | SC | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
value[x]:valueRatio | SC | 0..1 | RatioIPS | A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
value[x]:valueTime | SΣC | 0..1 | time | Actual result | ||||||||
value[x]:valueDateTime | SΣC | 0..1 | dateTime | Actual result | ||||||||
value[x]:valuePeriod | SΣC | 0..1 | Period | Actual result | ||||||||
value[x]:valueCodeableConcept | S | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
interpretation | S | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||||||
note | 0..* | Annotation | Comments about the observation | |||||||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||||||
specimen | 0..1 | Reference(Specimen (IPS)) | Specimen used for this observation | |||||||||
device | 1..1 | Reference(Device Information) | (Measurement) Device | |||||||||
referenceRange | SC | 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 | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||||||
high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||||||
type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||||||
appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||||||
age | 0..1 | Range | Applicable age range, if relevant | |||||||||
text | 0..1 | string | Text based reference range in an observation | |||||||||
hasMember | Σ | 0..* | Reference(Observation Results: laboratory (IPS) | Observation Results (IPS)) | Related resource that belongs to the Observation group | ||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||||||
component | SΣ | 0..* | BackboneElement | Component results | ||||||||
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 | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||
value[x] | Σ | 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 | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||||||||||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||||||||||
Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||||||||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||||||||||
Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||||||||||
Observation.code | preferred | Pattern: LOINC Code 15074-8http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips | ||||||||||||
Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||||||||||
Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||||||||||
Observation.value[x]:valueCodeableConcept | preferred | ResultsCodedValuesLaboratoryUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | ||||||||||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||||||||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||||||||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||||||||||
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||||||||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||||||||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||||||||||
Observation.hasMember.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||||||||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||||||||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||||||||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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() | |
ips-2 | error | Observation | if no "hasMember" element is present then Observation must have a" value" : value.exists() or hasMember.exists() | |
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
qty-3 | error | Observation.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
rat-1 | error | Observation.value[x]:valueRatio | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
rng-2 | error | Observation.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
This structure is derived from ObservationResultsLaboratoryUvIps
Summary
Mandatory: 1 element(1 nested mandatory element)
Must-Support: 2 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from ObservationResultsLaboratoryUvIps
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | ObservationResultsLaboratoryUvIps | |||
category | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text | |
coding | ||||
system | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | |
code | 0..1 | code | Symbol in syntax defined by the system Required Pattern: laboratory | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 15074-8 | |
text | 0..1 | string | Plain text representation of the concept Required Pattern: Glucose | |
subject | 1..1 | Reference(Patient) | Who and/or what the observation is about | |
encounter | 0..1 | Reference(Target Facility Encounter) | Healthcare event during which this observation is made | |
performer | 1..* | Reference(Practitioner | Organization) | Who is responsible for the observation | |
Slices for value[x] | Content/Rules for all slices | |||
value[x]:valueQuantity | 0..1 | QuantityIPS | A measured amount using UCUM | |
value | 1..1 | decimal | Numerical value (with implicit precision) | |
unit | 0..1 | string | Unit representation Required Pattern: mmol/L | |
code | 1..1 | code | Coded form of the unit Required Pattern: mmol/L | |
interpretation | S | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text |
device | 1..1 | Reference(Device Information) | (Measurement) Device | |
referenceRange | S | 0..* | BackboneElement | Provides guide for interpretation |
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | ObservationResultsLaboratoryUvIps | Laboratory result for a simple test or for a panel/study 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 ips-2: if no "hasMember" element is present then Observation must have a" value" | ||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||||||
Slices for category | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
category:All Slices | Content/Rules for all slices | |||||||||||
coding | S | 0..* | CodingIPS | A reference to a code defined by a terminology system | ||||||||
system | SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | ||||||||
code | SΣ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: laboratory | ||||||||
display | SΣ | 0..1 | string | Representation defined by the system | ||||||||
Slices for extension | Content/Rules for all slices | |||||||||||
translation | 0..* | (Complex) | Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation | |||||||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||||||
category:laboratory | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |||||||||
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Laboratory Observation - IPS (preferred) Required Pattern: At least the following | ||||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 15074-8 | |||||||||
coding | S | 0..* | CodingIPS | A reference to a code defined by a terminology system | ||||||||
text | SΣ | 0..1 | string | Plain text representation of the concept Required Pattern: Glucose | ||||||||
subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about | ||||||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
encounter | Σ | 0..1 | Reference(Target Facility Encounter) | Healthcare event during which this observation is made | ||||||||
effective[x] | SΣ | 1..1 | Clinically relevant time/time-period for observation | |||||||||
effective[x]All Types | Content/Rules for all Types | |||||||||||
Slices for extension | Content/Rules for all slices | |||||||||||
data-absent-reason | S | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | ||||||||
effectiveDateTime | dateTime | |||||||||||
effectivePeriod | Period | |||||||||||
performer | SΣ | 1..* | Reference(Practitioner | Organization) | Who is responsible for the observation | ||||||||
Slices for value[x] | SΣC | 0..1 | Quantity | Actual result Slice: Unordered, Closed by type:$this | ||||||||
value[x]:valueQuantity | SC | 0..1 | QuantityIPS | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
value | Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||||||
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||||||
unit | Σ | 0..1 | string | Unit representation Required Pattern: mmol/L | ||||||||
system | SΣC | 1..1 | uri | UCUM system for units Fixed Value: http://unitsofmeasure.org | ||||||||
code | SΣ | 1..1 | code | Coded form of the unit Required Pattern: mmol/L | ||||||||
value[x]:valueString | SΣC | 0..1 | string | Actual result | ||||||||
value[x]:valueRange | SC | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
value[x]:valueRatio | SC | 0..1 | RatioIPS | A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
value[x]:valueTime | SΣC | 0..1 | time | Actual result | ||||||||
value[x]:valueDateTime | SΣC | 0..1 | dateTime | Actual result | ||||||||
value[x]:valuePeriod | SΣC | 0..1 | Period | Actual result | ||||||||
value[x]:valueCodeableConcept | S | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||
interpretation | S | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||||||
device | 1..1 | Reference(Device Information) | (Measurement) Device | |||||||||
referenceRange | SC | 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 | ||||||||
component | SΣ | 0..* | BackboneElement | Component results | ||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||||||||||
Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||||||||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||||||||||
Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||||||||||
Observation.code | preferred | Pattern: LOINC Code 15074-8http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips | ||||||||||||
Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||||||||||
Observation.value[x]:valueCodeableConcept | preferred | ResultsCodedValuesLaboratoryUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | ||||||||||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||||||||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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() | |
ips-2 | error | Observation | if no "hasMember" element is present then Observation must have a" value" : value.exists() or hasMember.exists() | |
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
qty-3 | error | Observation.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
rat-1 | error | Observation.value[x]:valueRatio | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
rng-2 | error | Observation.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | ObservationResultsLaboratoryUvIps | Laboratory result for a simple test or for a panel/study 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 ips-2: if no "hasMember" element is present then Observation must have a" value" | ||||||||
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 | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||||||
Slices for category | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
category:All Slices | Content/Rules for all slices | |||||||||||
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 | S | 0..* | CodingIPS | A reference to a 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 | SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | ||||||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||||||
code | SΣ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: laboratory | ||||||||
display | SΣ | 0..1 | string | Representation defined by the system | ||||||||
id | 0..1 | string | xml:id (or equivalent in JSON) | |||||||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
translation | 0..* | (Complex) | Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation | |||||||||
value | 0..1 | string | Primitive value for string Max Length: 1048576 | |||||||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||||||
category:laboratory | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
version | 0..1 | string | Version of the system - if relevant | |||||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |||||||||
display | 0..1 | string | Representation defined by the system | |||||||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
text | 0..1 | string | Plain text representation of the concept | |||||||||
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Laboratory Observation - IPS (preferred) Required Pattern: At least the following | ||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
version | 0..1 | string | Version of the system - if relevant | |||||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 15074-8 | |||||||||
display | 0..1 | string | Representation defined by the system | |||||||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
text | 0..1 | string | Plain text representation of the concept | |||||||||
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 | S | 0..* | CodingIPS | A reference to a code defined by a terminology system | ||||||||
text | SΣ | 0..1 | string | Plain text representation of the concept Required Pattern: Glucose | ||||||||
subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about | ||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||||||
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||||||
encounter | Σ | 0..1 | Reference(Target Facility Encounter) | Healthcare event during which this observation is made | ||||||||
effective[x] | SΣ | 1..1 | Clinically relevant time/time-period for observation | |||||||||
effective[x]All Types | Content/Rules for all Types | |||||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
data-absent-reason | S | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | ||||||||
effectiveDateTime | dateTime | |||||||||||
effectivePeriod | Period | |||||||||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||||||
performer | SΣ | 1..* | Reference(Practitioner | Organization) | Who is responsible for the observation | ||||||||
Slices for value[x] | SΣC | 0..1 | Quantity | Actual result Slice: Unordered, Closed by type:$this | ||||||||
value[x]:valueQuantity | SC | 0..1 | QuantityIPS | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
value | Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||||||
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||||||
unit | Σ | 0..1 | string | Unit representation Required Pattern: mmol/L | ||||||||
system | SΣC | 1..1 | uri | UCUM system for units Fixed Value: http://unitsofmeasure.org | ||||||||
code | SΣ | 1..1 | code | Coded form of the unit Required Pattern: mmol/L | ||||||||
value[x]:valueString | SΣC | 0..1 | string | Actual result | ||||||||
value[x]:valueRange | SC | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
value[x]:valueRatio | SC | 0..1 | RatioIPS | A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
value[x]:valueTime | SΣC | 0..1 | time | Actual result | ||||||||
value[x]:valueDateTime | SΣC | 0..1 | dateTime | Actual result | ||||||||
value[x]:valuePeriod | SΣC | 0..1 | Period | Actual result | ||||||||
value[x]:valueCodeableConcept | S | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
interpretation | S | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||||||
note | 0..* | Annotation | Comments about the observation | |||||||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||||||
specimen | 0..1 | Reference(Specimen (IPS)) | Specimen used for this observation | |||||||||
device | 1..1 | Reference(Device Information) | (Measurement) Device | |||||||||
referenceRange | SC | 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 | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||||||
high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||||||
type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||||||
appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||||||
age | 0..1 | Range | Applicable age range, if relevant | |||||||||
text | 0..1 | string | Text based reference range in an observation | |||||||||
hasMember | Σ | 0..* | Reference(Observation Results: laboratory (IPS) | Observation Results (IPS)) | Related resource that belongs to the Observation group | ||||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||||||
component | SΣ | 0..* | BackboneElement | Component results | ||||||||
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 | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||
value[x] | Σ | 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 | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||||||||||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||||||||||
Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||||||||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||||||||||
Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||||||||||
Observation.code | preferred | Pattern: LOINC Code 15074-8http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips | ||||||||||||
Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||||||||||
Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||||||||||
Observation.value[x]:valueCodeableConcept | preferred | ResultsCodedValuesLaboratoryUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | ||||||||||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||||||||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||||||||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||||||||||
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||||||||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||||||||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||||||||||
Observation.hasMember.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||||||||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||||||||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||||||||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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() | |
ips-2 | error | Observation | if no "hasMember" element is present then Observation must have a" value" : value.exists() or hasMember.exists() | |
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
qty-3 | error | Observation.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
rat-1 | error | Observation.value[x]:valueRatio | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
rng-2 | error | Observation.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
This structure is derived from ObservationResultsLaboratoryUvIps
Summary
Mandatory: 1 element(1 nested mandatory element)
Must-Support: 2 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron