MyHealth@Eu Imaging Diagnostic Report - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Observation Results: IDR

This profile constrains the Observation resource to represent results produced by laboratory tests or panels/studies for the purpose of this guide. This observation may represent the result of a simple laboratory test such as hematocrit or it may group the set of results produced by a multi-test study or panel such as a complete blood count, a dynamic function test, a urine specimen study. In the latter case, the observation carries the overall conclusion of the study and or a global interpretation by the producer of the study, in the comment element; and references the atomic results of the study as "has-member" child observations.

Usages:

• Use this Profile: Bundle: IDR
• Refer to this Profile: DiagnosticReport: IDR and Observation Results: IDR

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	O	0..1	Narrative	Text summary of the resource, for human interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	OΣ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
status	?!Σ	1..1	code	Status of this observation Binding: ObservationStatus (required): Codes providing the status of an observation.
code	OΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: eHDSI Laboratory Codes with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
subject	Σ	0..1	Reference(Patient: IDR)	Who and/or what the observation is about
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
effective[x]	OΣ	0..1		Clinically relevant time/time-period for observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	OΣ	0..1	instant	Date/Time this version was made available Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
performer	OΣ	0..*	Reference(Practitioner: IDR | PractitionerRole: IDR | Organization (IPS)(2.0.0))	Who is responsible for the observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
Slices for value[x]	OΣC	0..1		Actual result Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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	ΣC	0..1	CodeableConcept	Actual result Binding: eHDSI Results Coded Value Laboratory with exceptions (required)
interpretation	O	0..*	CodeableConcept	High, low, normal, etc. Binding: eHDSI Observation Interpretation with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
method	O	0..1	CodeableConcept	How it was done Binding: eHDSI Laboratory Technique with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
specimen	O	0..1	Reference(Specimen)	Specimen used for this observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
device	O	0..1	Reference(Device: measuring)	(Measurement) Device Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
referenceRange	OC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3 Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	Reference range qualifier Binding: eHDSI Reference Range Meaning with exceptions (required)
appliesTo		0..*	CodeableConcept	Reference range population Binding: eHDSI Reference Range Applies To with exceptions (required)
hasMember	Σ	0..*	Reference(Observation Results: IDR)	Related resource that belongs to the Observation group
component	Σ	0..*	BackboneElement	Laboratory result
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	OΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: eHDSI Laboratory Codes with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
Slices for value[x]	OΣ	0..1		Actual component result Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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	Σ	0..1	CodeableConcept	Actual component result Binding: eHDSI Results Coded Value Laboratory with exceptions (required)
interpretation	O	0..*	CodeableConcept	High, low, normal, etc. Binding: eHDSI Observation Interpretation with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
referenceRange	O	0..*	BackboneElement	Provides guide for interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	Reference range qualifier Binding: eHDSI Reference Range Meaning with exceptions (required)
appliesTo		0..*	CodeableConcept	Reference range population Binding: eHDSI Reference Range Applies To with exceptions (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.code	required	EHDSILabCodeWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabCodeWithExceptions From this IG
Observation.value[x]:valueCodeableConcept	required	EHDSIResultsCodedValueLaboratory http://fhir.ehdsi.eu/idr/ValueSet/eHDSIResultsCodedValueLaboratory From this IG
Observation.interpretation	required	EHDSIObservationInterpretationWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIObservationInterpretationWithExceptions From this IG
Observation.method	required	EHDSILabTechniqueWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabTechniqueWithExceptions From this IG
Observation.referenceRange.type	required	EHDSIReferenceRangeMeaningWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeMeaningWithExceptions From this IG
Observation.referenceRange.appliesTo	required	EHDSIReferenceRangeAppliesToWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeAppliesToWithExceptions From this IG
Observation.component.code	required	EHDSILabCodeWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabCodeWithExceptions From this IG
Observation.component.value[x]:valueCodeableConcept	required	EHDSIResultsCodedValueLaboratory http://fhir.ehdsi.eu/idr/ValueSet/eHDSIResultsCodedValueLaboratory From this IG
Observation.component.interpretation	required	EHDSIObservationInterpretationWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIObservationInterpretationWithExceptions From this IG
Observation.component.referenceRange.type	required	EHDSIReferenceRangeMeaningWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeMeaningWithExceptions From this IG
Observation.component.referenceRange.appliesTo	required	EHDSIReferenceRangeAppliesToWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeAppliesToWithExceptions From this IG

Constraints

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()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			Observation
text	O	0..1	Narrative	Text summary of the resource, for human interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
basedOn	O	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
status		1..1	code	Status of this observation
code	O	1..1	CodeableConcept	Type of observation (code / type) Binding: eHDSI Laboratory Codes with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
subject		0..1	Reference(Patient: IDR)	Who and/or what the observation is about
reference		1..1	string	Literal reference, Relative, internal or absolute URL
effective[x]	O	0..1	dateTime, Period, Timing, instant	Clinically relevant time/time-period for observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
issued	O	0..1	instant	Date/Time this version was made available Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
performer	O	0..*	Reference(Practitioner: IDR | PractitionerRole: IDR | Organization (IPS)(2.0.0))	Who is responsible for the observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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:$this Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual result Binding: eHDSI Results Coded Value Laboratory with exceptions (required)
interpretation	O	0..*	CodeableConcept	High, low, normal, etc. Binding: eHDSI Observation Interpretation with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
method	O	0..1	CodeableConcept	How it was done Binding: eHDSI Laboratory Technique with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
specimen	O	0..1	Reference(Specimen)	Specimen used for this observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
device	O	0..1	Reference(Device: measuring)	(Measurement) Device Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
referenceRange	O	0..*	BackboneElement	Provides guide for interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
type		0..1	CodeableConcept	Reference range qualifier Binding: eHDSI Reference Range Meaning with exceptions (required)
appliesTo		0..*	CodeableConcept	Reference range population Binding: eHDSI Reference Range Applies To with exceptions (required)
hasMember		0..*	Reference(Observation Results: IDR)	Related resource that belongs to the Observation group
component		0..*	BackboneElement	Laboratory result
code	O	1..1	CodeableConcept	Type of component observation (code / type) Binding: eHDSI Laboratory Codes with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
Slices for value[x]	O	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: eHDSI Results Coded Value Laboratory with exceptions (required)
interpretation	O	0..*	CodeableConcept	High, low, normal, etc. Binding: eHDSI Observation Interpretation with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
referenceRange	O	0..*	BackboneElement	Provides guide for interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
type		0..1	CodeableConcept	Reference range qualifier Binding: eHDSI Reference Range Meaning with exceptions (required)
appliesTo		0..*	CodeableConcept	Reference range population Binding: eHDSI Reference Range Applies To with exceptions (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	EHDSILabCodeWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabCodeWithExceptions From this IG
Observation.value[x]:valueCodeableConcept	required	EHDSIResultsCodedValueLaboratory http://fhir.ehdsi.eu/idr/ValueSet/eHDSIResultsCodedValueLaboratory From this IG
Observation.interpretation	required	EHDSIObservationInterpretationWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIObservationInterpretationWithExceptions From this IG
Observation.method	required	EHDSILabTechniqueWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabTechniqueWithExceptions From this IG
Observation.referenceRange.type	required	EHDSIReferenceRangeMeaningWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeMeaningWithExceptions From this IG
Observation.referenceRange.appliesTo	required	EHDSIReferenceRangeAppliesToWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeAppliesToWithExceptions From this IG
Observation.component.code	required	EHDSILabCodeWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabCodeWithExceptions From this IG
Observation.component.value[x]:valueCodeableConcept	required	EHDSIResultsCodedValueLaboratory http://fhir.ehdsi.eu/idr/ValueSet/eHDSIResultsCodedValueLaboratory From this IG
Observation.component.interpretation	required	EHDSIObservationInterpretationWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIObservationInterpretationWithExceptions From this IG
Observation.component.referenceRange.type	required	EHDSIReferenceRangeMeaningWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeMeaningWithExceptions From this IG
Observation.component.referenceRange.appliesTo	required	EHDSIReferenceRangeAppliesToWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeAppliesToWithExceptions From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	O	0..1	Narrative	Text summary of the resource, for human interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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	OΣ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	Status of this observation Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	OΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: eHDSI Laboratory Codes with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
subject	Σ	0..1	Reference(Patient: IDR)	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	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	OΣ	0..1		Clinically relevant time/time-period for observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	OΣ	0..1	instant	Date/Time this version was made available Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
performer	OΣ	0..*	Reference(Practitioner: IDR | PractitionerRole: IDR | Organization (IPS)(2.0.0))	Who is responsible for the observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
Slices for value[x]	OΣC	0..1		Actual result Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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	ΣC	0..1	CodeableConcept	Actual result Binding: eHDSI Results Coded Value Laboratory with exceptions (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	O	0..*	CodeableConcept	High, low, normal, etc. Binding: eHDSI Observation Interpretation with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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	O	0..1	CodeableConcept	How it was done Binding: eHDSI Laboratory Technique with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
specimen	O	0..1	Reference(Specimen)	Specimen used for this observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
device	O	0..1	Reference(Device: measuring)	(Measurement) Device Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
referenceRange	OC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3 Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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: eHDSI Reference Range Meaning with exceptions (required)
appliesTo		0..*	CodeableConcept	Reference range population Binding: eHDSI Reference Range Applies To with exceptions (required)
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: IDR)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Laboratory result
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	OΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: eHDSI Laboratory Codes with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
Slices for value[x]	OΣ	0..1		Actual component result Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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	Σ	0..1	CodeableConcept	Actual component result Binding: eHDSI Results Coded Value Laboratory with exceptions (required)
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	O	0..*	CodeableConcept	High, low, normal, etc. Binding: eHDSI Observation Interpretation with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
referenceRange	O	0..*	BackboneElement	Provides guide for interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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: eHDSI Reference Range Meaning with exceptions (required)
appliesTo		0..*	CodeableConcept	Reference range population Binding: eHDSI Reference Range Applies To with exceptions (required)
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	required	EHDSILabCodeWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabCodeWithExceptions From this IG
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.value[x]:valueCodeableConcept	required	EHDSIResultsCodedValueLaboratory http://fhir.ehdsi.eu/idr/ValueSet/eHDSIResultsCodedValueLaboratory From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	required	EHDSIObservationInterpretationWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIObservationInterpretationWithExceptions From this IG
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	required	EHDSILabTechniqueWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabTechniqueWithExceptions From this IG
Observation.referenceRange.type	required	EHDSIReferenceRangeMeaningWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeMeaningWithExceptions From this IG
Observation.referenceRange.appliesTo	required	EHDSIReferenceRangeAppliesToWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeAppliesToWithExceptions From this IG
Observation.component.code	required	EHDSILabCodeWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabCodeWithExceptions From this IG
Observation.component.value[x]:valueCodeableConcept	required	EHDSIResultsCodedValueLaboratory http://fhir.ehdsi.eu/idr/ValueSet/eHDSIResultsCodedValueLaboratory From this IG
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	required	EHDSIObservationInterpretationWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIObservationInterpretationWithExceptions From this IG
Observation.component.referenceRange.type	required	EHDSIReferenceRangeMeaningWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeMeaningWithExceptions From this IG
Observation.component.referenceRange.appliesTo	required	EHDSIReferenceRangeAppliesToWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeAppliesToWithExceptions From this IG

Constraints

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()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 0 element(1 nested mandatory element)

Structures

This structure refers to these other structures:

• Patient: IDR (http://fhir.ehdsi.eu/idr/StructureDefinition/Patient-idr-myhealtheu)
• Practitioner: IDR (http://fhir.ehdsi.eu/idr/StructureDefinition/Practitioner-eu-myhealth-eu)
• PractitionerRole: IDR (http://fhir.ehdsi.eu/idr/StructureDefinition/PractitionerRole-eu-myhealth-eu)
• Organization (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips)
• Device: measuring (http://fhir.ehdsi.eu/idr/StructureDefinition/Device-measuring-idr-myhealtheu)
• Observation Results: IDR (http://fhir.ehdsi.eu/idr/StructureDefinition/Observation-results-idr-myhealtheu)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.value[x]
• The element 1 is sliced based on the value of Observation.component.value[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	O	0..1	Narrative	Text summary of the resource, for human interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	OΣ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
status	?!Σ	1..1	code	Status of this observation Binding: ObservationStatus (required): Codes providing the status of an observation.
code	OΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: eHDSI Laboratory Codes with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
subject	Σ	0..1	Reference(Patient: IDR)	Who and/or what the observation is about
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
effective[x]	OΣ	0..1		Clinically relevant time/time-period for observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	OΣ	0..1	instant	Date/Time this version was made available Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
performer	OΣ	0..*	Reference(Practitioner: IDR | PractitionerRole: IDR | Organization (IPS)(2.0.0))	Who is responsible for the observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
Slices for value[x]	OΣC	0..1		Actual result Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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	ΣC	0..1	CodeableConcept	Actual result Binding: eHDSI Results Coded Value Laboratory with exceptions (required)
interpretation	O	0..*	CodeableConcept	High, low, normal, etc. Binding: eHDSI Observation Interpretation with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
method	O	0..1	CodeableConcept	How it was done Binding: eHDSI Laboratory Technique with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
specimen	O	0..1	Reference(Specimen)	Specimen used for this observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
device	O	0..1	Reference(Device: measuring)	(Measurement) Device Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
referenceRange	OC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3 Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	Reference range qualifier Binding: eHDSI Reference Range Meaning with exceptions (required)
appliesTo		0..*	CodeableConcept	Reference range population Binding: eHDSI Reference Range Applies To with exceptions (required)
hasMember	Σ	0..*	Reference(Observation Results: IDR)	Related resource that belongs to the Observation group
component	Σ	0..*	BackboneElement	Laboratory result
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	OΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: eHDSI Laboratory Codes with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
Slices for value[x]	OΣ	0..1		Actual component result Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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	Σ	0..1	CodeableConcept	Actual component result Binding: eHDSI Results Coded Value Laboratory with exceptions (required)
interpretation	O	0..*	CodeableConcept	High, low, normal, etc. Binding: eHDSI Observation Interpretation with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
referenceRange	O	0..*	BackboneElement	Provides guide for interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	Reference range qualifier Binding: eHDSI Reference Range Meaning with exceptions (required)
appliesTo		0..*	CodeableConcept	Reference range population Binding: eHDSI Reference Range Applies To with exceptions (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.code	required	EHDSILabCodeWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabCodeWithExceptions From this IG
Observation.value[x]:valueCodeableConcept	required	EHDSIResultsCodedValueLaboratory http://fhir.ehdsi.eu/idr/ValueSet/eHDSIResultsCodedValueLaboratory From this IG
Observation.interpretation	required	EHDSIObservationInterpretationWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIObservationInterpretationWithExceptions From this IG
Observation.method	required	EHDSILabTechniqueWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabTechniqueWithExceptions From this IG
Observation.referenceRange.type	required	EHDSIReferenceRangeMeaningWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeMeaningWithExceptions From this IG
Observation.referenceRange.appliesTo	required	EHDSIReferenceRangeAppliesToWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeAppliesToWithExceptions From this IG
Observation.component.code	required	EHDSILabCodeWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabCodeWithExceptions From this IG
Observation.component.value[x]:valueCodeableConcept	required	EHDSIResultsCodedValueLaboratory http://fhir.ehdsi.eu/idr/ValueSet/eHDSIResultsCodedValueLaboratory From this IG
Observation.component.interpretation	required	EHDSIObservationInterpretationWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIObservationInterpretationWithExceptions From this IG
Observation.component.referenceRange.type	required	EHDSIReferenceRangeMeaningWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeMeaningWithExceptions From this IG
Observation.component.referenceRange.appliesTo	required	EHDSIReferenceRangeAppliesToWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeAppliesToWithExceptions From this IG

Constraints

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()
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()

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			Observation
text	O	0..1	Narrative	Text summary of the resource, for human interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
basedOn	O	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
status		1..1	code	Status of this observation
code	O	1..1	CodeableConcept	Type of observation (code / type) Binding: eHDSI Laboratory Codes with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
subject		0..1	Reference(Patient: IDR)	Who and/or what the observation is about
reference		1..1	string	Literal reference, Relative, internal or absolute URL
effective[x]	O	0..1	dateTime, Period, Timing, instant	Clinically relevant time/time-period for observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
issued	O	0..1	instant	Date/Time this version was made available Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
performer	O	0..*	Reference(Practitioner: IDR | PractitionerRole: IDR | Organization (IPS)(2.0.0))	Who is responsible for the observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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:$this Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual result Binding: eHDSI Results Coded Value Laboratory with exceptions (required)
interpretation	O	0..*	CodeableConcept	High, low, normal, etc. Binding: eHDSI Observation Interpretation with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
method	O	0..1	CodeableConcept	How it was done Binding: eHDSI Laboratory Technique with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
specimen	O	0..1	Reference(Specimen)	Specimen used for this observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
device	O	0..1	Reference(Device: measuring)	(Measurement) Device Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
referenceRange	O	0..*	BackboneElement	Provides guide for interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
type		0..1	CodeableConcept	Reference range qualifier Binding: eHDSI Reference Range Meaning with exceptions (required)
appliesTo		0..*	CodeableConcept	Reference range population Binding: eHDSI Reference Range Applies To with exceptions (required)
hasMember		0..*	Reference(Observation Results: IDR)	Related resource that belongs to the Observation group
component		0..*	BackboneElement	Laboratory result
code	O	1..1	CodeableConcept	Type of component observation (code / type) Binding: eHDSI Laboratory Codes with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
Slices for value[x]	O	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: eHDSI Results Coded Value Laboratory with exceptions (required)
interpretation	O	0..*	CodeableConcept	High, low, normal, etc. Binding: eHDSI Observation Interpretation with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
referenceRange	O	0..*	BackboneElement	Provides guide for interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
type		0..1	CodeableConcept	Reference range qualifier Binding: eHDSI Reference Range Meaning with exceptions (required)
appliesTo		0..*	CodeableConcept	Reference range population Binding: eHDSI Reference Range Applies To with exceptions (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	EHDSILabCodeWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabCodeWithExceptions From this IG
Observation.value[x]:valueCodeableConcept	required	EHDSIResultsCodedValueLaboratory http://fhir.ehdsi.eu/idr/ValueSet/eHDSIResultsCodedValueLaboratory From this IG
Observation.interpretation	required	EHDSIObservationInterpretationWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIObservationInterpretationWithExceptions From this IG
Observation.method	required	EHDSILabTechniqueWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabTechniqueWithExceptions From this IG
Observation.referenceRange.type	required	EHDSIReferenceRangeMeaningWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeMeaningWithExceptions From this IG
Observation.referenceRange.appliesTo	required	EHDSIReferenceRangeAppliesToWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeAppliesToWithExceptions From this IG
Observation.component.code	required	EHDSILabCodeWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabCodeWithExceptions From this IG
Observation.component.value[x]:valueCodeableConcept	required	EHDSIResultsCodedValueLaboratory http://fhir.ehdsi.eu/idr/ValueSet/eHDSIResultsCodedValueLaboratory From this IG
Observation.component.interpretation	required	EHDSIObservationInterpretationWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIObservationInterpretationWithExceptions From this IG
Observation.component.referenceRange.type	required	EHDSIReferenceRangeMeaningWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeMeaningWithExceptions From this IG
Observation.component.referenceRange.appliesTo	required	EHDSIReferenceRangeAppliesToWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeAppliesToWithExceptions From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	O	0..1	Narrative	Text summary of the resource, for human interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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	OΣ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	Status of this observation Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	OΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: eHDSI Laboratory Codes with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
subject	Σ	0..1	Reference(Patient: IDR)	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	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	OΣ	0..1		Clinically relevant time/time-period for observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	OΣ	0..1	instant	Date/Time this version was made available Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
performer	OΣ	0..*	Reference(Practitioner: IDR | PractitionerRole: IDR | Organization (IPS)(2.0.0))	Who is responsible for the observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
Slices for value[x]	OΣC	0..1		Actual result Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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	ΣC	0..1	CodeableConcept	Actual result Binding: eHDSI Results Coded Value Laboratory with exceptions (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	O	0..*	CodeableConcept	High, low, normal, etc. Binding: eHDSI Observation Interpretation with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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	O	0..1	CodeableConcept	How it was done Binding: eHDSI Laboratory Technique with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
specimen	O	0..1	Reference(Specimen)	Specimen used for this observation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
device	O	0..1	Reference(Device: measuring)	(Measurement) Device Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
referenceRange	OC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3 Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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: eHDSI Reference Range Meaning with exceptions (required)
appliesTo		0..*	CodeableConcept	Reference range population Binding: eHDSI Reference Range Applies To with exceptions (required)
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: IDR)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Laboratory result
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	OΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: eHDSI Laboratory Codes with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
Slices for value[x]	OΣ	0..1		Actual component result Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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	Σ	0..1	CodeableConcept	Actual component result Binding: eHDSI Results Coded Value Laboratory with exceptions (required)
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	O	0..*	CodeableConcept	High, low, normal, etc. Binding: eHDSI Observation Interpretation with exceptions (required) Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
referenceRange	O	0..*	BackboneElement	Provides guide for interpretation Obligations Actor SHALL:handle Imaging Diagnostic Report Handler
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: eHDSI Reference Range Meaning with exceptions (required)
appliesTo		0..*	CodeableConcept	Reference range population Binding: eHDSI Reference Range Applies To with exceptions (required)
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	required	EHDSILabCodeWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabCodeWithExceptions From this IG
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.value[x]:valueCodeableConcept	required	EHDSIResultsCodedValueLaboratory http://fhir.ehdsi.eu/idr/ValueSet/eHDSIResultsCodedValueLaboratory From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	required	EHDSIObservationInterpretationWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIObservationInterpretationWithExceptions From this IG
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	required	EHDSILabTechniqueWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabTechniqueWithExceptions From this IG
Observation.referenceRange.type	required	EHDSIReferenceRangeMeaningWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeMeaningWithExceptions From this IG
Observation.referenceRange.appliesTo	required	EHDSIReferenceRangeAppliesToWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeAppliesToWithExceptions From this IG
Observation.component.code	required	EHDSILabCodeWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSILabCodeWithExceptions From this IG
Observation.component.value[x]:valueCodeableConcept	required	EHDSIResultsCodedValueLaboratory http://fhir.ehdsi.eu/idr/ValueSet/eHDSIResultsCodedValueLaboratory From this IG
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	required	EHDSIObservationInterpretationWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIObservationInterpretationWithExceptions From this IG
Observation.component.referenceRange.type	required	EHDSIReferenceRangeMeaningWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeMeaningWithExceptions From this IG
Observation.component.referenceRange.appliesTo	required	EHDSIReferenceRangeAppliesToWithExceptions http://fhir.ehdsi.eu/idr/ValueSet/eHDSIReferenceRangeAppliesToWithExceptions From this IG

Constraints

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()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 0 element(1 nested mandatory element)

Structures

This structure refers to these other structures:

• Patient: IDR (http://fhir.ehdsi.eu/idr/StructureDefinition/Patient-idr-myhealtheu)
• Practitioner: IDR (http://fhir.ehdsi.eu/idr/StructureDefinition/Practitioner-eu-myhealth-eu)
• PractitionerRole: IDR (http://fhir.ehdsi.eu/idr/StructureDefinition/PractitionerRole-eu-myhealth-eu)
• Organization (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips)
• Device: measuring (http://fhir.ehdsi.eu/idr/StructureDefinition/Device-measuring-idr-myhealtheu)
• Observation Results: IDR (http://fhir.ehdsi.eu/idr/StructureDefinition/Observation-results-idr-myhealtheu)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.value[x]
• The element 1 is sliced based on the value of Observation.component.value[x]