MyHealth@Eu Laboratory Report
9.1.1-ci-build - trial-use
150
MyHealth@Eu Laboratory Report
9.1.1-ci-build - trial-use
150
MyHealth@Eu Laboratory Report - Local Development build (v9.1.1-ci-build) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://fhir.ehdsi.eu/laboratory/StructureDefinition/Observation-resultslab-lab-myhealtheu | Version: 9.1.1-ci-build | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: ObservationResultsLaboratoryMyHealthEu | ||
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:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Observation |
C | 0..* | MedicalTestResultMyHealthCore | Measurements and simple assertions This profile also imposes the profile Observation Results: laboratory Constraints: obs-6, obs-7 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
Content/Rules for all slices | |||
   extension:bodyStructure |
0..1 | Reference() | Observed body structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1 | |
 extension:triggeredBy |
0..* | (Complex) | Triggering observation(s) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |
  Slices for extension |
2..* | Extension | Extension Slice: Unordered, Closed by value:url Constraints: ext-1 | |
 extension:observation |
1..1 | Extension | Extension Constraints: ext-1 | |
  extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
 url |
1..1 | uri | "observation" | |
| extension:type |
1..1 | Extension | reflex | repeat | re-run Constraints: ext-1 | |
| url |
1..1 | uri | "type" | |
 extension:reason |
0..1 | Extension | Reason that the observation was triggered Constraints: ext-1 | |
 url |
1..1 | uri | "reason" | |
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |
| extension:value-r5 |
0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |
 value[x] |
1..1 | Attachment | Value of extension | |
 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. |
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:$this Binding: eHDSI Observation category (extensible) | |
| category:laboratory |
0..1 | CodeableConcept | Classification of type of observation 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 | |
| category:vital-signs |
0..1 | CodeableConcept | Classification of type of observation 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: vital-signs | |
| 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 | |
| category:studyType |
0..* | CodeableConcept | Classification of type of observation Binding: Laboratory Study Types (required) | |
 category:specialty |
0..* | CodeableConcept | Classification of type of observation Binding: Laboratory Specialty (required) | |
| code |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: eHDSI Laboratory Codes With Exceptions (required) |
 subject |
Σ | 1..1 | Reference(Patient (Core)) | Who and/or what the observation is about |
 effective[x] |
Σ | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| performer |
Σ | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) | Who is responsible for the observation |
| Slices for value[x] |
ΣC | 0..1 | Laboratory result value Slice: Unordered, Closed by type:$this | |
| 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) |
| value[x]:valueQuantity |
ΣC | 0..1 | QuantityMyHealth | Actual result |
| Slices for extension |
Content/Rules for all slices | |||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| value[x]:valueRatio |
ΣC | 0..1 | RatioMyHealth | Actual result |
| method |
0..1 | CodeableConcept | How it was done Binding: eHDSI Laboratory Technique With Exceptions (required) | |
| specimen |
0..1 | Reference(Specimen: Laboratory) | Specimen used for the observation | |
| device |
0..1 | Reference(Device: measuring) | (Measurement) Device | |
| hasMember |
Σ | 0..* | Reference(Observation Results: Laboratory) | 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 |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: eHDSI Laboratory Codes With Exceptions (required) |
| Slices for value[x] |
Σ | 0..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this |
| value[x]:valueCodeableConcept |
Σ | 0..1 | CodeableConcept | Actual component result Binding: eHDSI Results Coded Value Laboratory With Exceptions (required) |
| value[x]:valueQuantity |
Σ | 0..1 | QuantityMyHealth | Actual component result |
| Slices for extension |
Content/Rules for all slices | |||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| value[x]:valueRatio |
Σ | 0..1 | RatioMyHealth | Actual component result |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | extensible | eHDSI Observation category | 📦9.1.0 | This IG |
| Observation.category:laboratory | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:vital-signs | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:studyType | Base | required | Laboratory Study Types | 📦2.0.0-alpha | HL7 Europe Laboratory Report v2.0 |
| Observation.category:specialty | Base | required | Laboratory Specialty | 📦2.0.0-alpha | HL7 Europe Laboratory Report v2.0 |
| Observation.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.value[x]:valueCodeableConcept | Base | required | eHDSI Results Coded Value Laboratory With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.method | Base | required | eHDSI Laboratory Technique With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.value[x]:valueCodeableConcept | Base | required | eHDSI Results Coded Value Laboratory With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Observation.extension:bodyStructure, Observation.extension:triggeredBy, Observation.extension:triggeredBy.extension, Observation.extension:triggeredBy.extension:observation, Observation.extension:triggeredBy.extension:type, Observation.extension:triggeredBy.extension:reason, Observation.extension:value-r5, Observation.modifierExtension, Observation.value[x]:valueQuantity.extension:uncertainty, Observation.component.modifierExtension, Observation.component.value[x]:valueQuantity.extension:uncertainty | Must have either extensions or value[x], not both |
extension.exists() != value.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 MedicalTestResultMyHealthCore
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.category:studyType | Base | required | Laboratory Study Types | 📦2.0.0-alpha | HL7 Europe Laboratory Report v2.0 |
| Observation.category:specialty | Base | required | Laboratory Specialty | 📦2.0.0-alpha | HL7 Europe Laboratory Report v2.0 |
| Observation.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.value[x]:valueCodeableConcept | Base | required | eHDSI Results Coded Value Laboratory With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.method | Base | required | eHDSI Laboratory Technique With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.value[x]:valueCodeableConcept | Base | required | eHDSI Results Coded Value Laboratory With Exceptions | 📦1.0.0-ci-build | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | MedicalTestResultMyHealthCore | Measurements and simple assertions This profile also imposes the profile Observation Results: laboratory 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 observation Binding: eHDSI Language (required) | |
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |
| contained |
0..* | Resource | Contained, inline Resources | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:bodyStructure |
0..1 | Reference() | Observed body structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1 | |
| extension:triggeredBy |
0..* | (Complex) | Triggering observation(s) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Closed by value:url Constraints: ext-1 | |
| extension:observation |
1..1 | Extension | Extension Constraints: ext-1 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "observation" | |
| value[x] |
0..1 | Reference(Observation: Medical Test Result (Core)) | Triggering observation | |
| extension:type |
1..1 | Extension | reflex | repeat | re-run Constraints: ext-1 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |
| url |
1..1 | uri | "type" | |
| value[x] |
0..1 | code | reflex | repeat | re-run Binding: R5_observation_triggeredbytype_for_R4 (0.0.1-snapshot-2) (required): The type of TriggeredBy Observation. | |
| extension:reason |
0..1 | Extension | Reason that the observation was triggered Constraints: ext-1 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |
| url |
1..1 | uri | "reason" | |
| value[x] |
0..1 | string | Reason that the observation was triggered | |
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |
| extension:value-r5 |
0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |
| value[x] |
1..1 | Attachment | Value of extension | |
| 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. |
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:$this Binding: eHDSI Observation category (extensible) | |
| category:laboratory |
0..1 | CodeableConcept | Classification of type of observation 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 | |
| category:vital-signs |
0..1 | CodeableConcept | Classification of type of observation 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: vital-signs | |
| 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 | |
| category:studyType |
0..* | CodeableConcept | Classification of type of observation Binding: Laboratory Study Types (required) | |
| category:specialty |
0..* | CodeableConcept | Classification of type of observation Binding: Laboratory Specialty (required) | |
| code |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: eHDSI Laboratory Codes With Exceptions (required) |
| subject |
Σ | 1..1 | Reference(Patient (Core)) | Who and/or what the observation is about |
| focus |
Σ | 0..* | Reference(Patient (Core) | RelatedPerson | Location (Core)) | 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] |
Σ | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available |
| performer |
Σ | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) | Who is responsible for the observation |
| Slices for value[x] |
ΣC | 0..1 | Laboratory result value Slice: Unordered, Closed by type:$this | |
| 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) |
| value[x]:valueQuantity |
ΣC | 0..1 | QuantityMyHealth | Actual result |
| 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 | |
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |
| value |
Σ | 0..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 |
| system |
ΣC | 0..1 | uri | System that defines coded unit form |
| code |
Σ | 0..1 | code | Coded form of the unit |
| value[x]:valueRatio |
ΣC | 0..1 | RatioMyHealth | Actual result |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the result is missing Binding: eHDSI Data Absent Reason (extensible) |
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: eHDSI Observation Interpretation With Exceptions (required) | |
| note |
0..* | Annotation | Comments about the observation | |
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: eHDSI Body Site With Exceptions (required) | |
| 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 | |
| extension:bodySite |
0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite" | |
| value[x] |
1..1 | Reference(BodyStructure (Core)) | Value of extension | |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system |
| text |
Σ | 0..1 | string | Plain text representation of the concept |
| method |
0..1 | CodeableConcept | How it was done Binding: eHDSI Laboratory Technique With Exceptions (required) | |
| specimen |
0..1 | Reference(Specimen: Laboratory) | Specimen used for the observation | |
| device |
0..1 | Reference(Device: measuring) | (Measurement) Device | |
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 |
| 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(4.0.1) | Low Range, if relevant |
| high |
C | 0..1 | SimpleQuantity(4.0.1) | 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: Laboratory) | Related resource that belongs to the Observation group |
| derivedFrom |
Σ | 0..* | Reference(Observation: Medical Test Result (Core) | ImagingStudy) | 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 |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: eHDSI Laboratory Codes With Exceptions (required) |
| Slices for value[x] |
Σ | 0..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this |
| value[x]:valueCodeableConcept |
Σ | 0..1 | CodeableConcept | Actual component result Binding: eHDSI Results Coded Value Laboratory With Exceptions (required) |
| value[x]:valueQuantity |
Σ | 0..1 | QuantityMyHealth | Actual component result |
| 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 | |
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |
| value |
Σ | 0..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 |
| system |
ΣC | 0..1 | uri | System that defines coded unit form |
| code |
Σ | 0..1 | code | Coded form of the unit |
| value[x]:valueRatio |
Σ | 0..1 | RatioMyHealth | Actual component result |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: eHDSI Data Absent Reason (extensible) |
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: eHDSI Observation Interpretation With Exceptions (required) | |
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | required | eHDSI Language | 📦9.1.0 | This IG |
| Observation.extension:triggeredBy.extension:type.value[x] | Base | required | Cross-version VS for R5.TriggeredBytype for use in FHIR R4 | 📍0.0.1-snapshot-2 | FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0 |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | extensible | eHDSI Observation category | 📦9.1.0 | This IG |
| Observation.category:laboratory | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:vital-signs | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:studyType | Base | required | Laboratory Study Types | 📦2.0.0-alpha | HL7 Europe Laboratory Report v2.0 |
| Observation.category:specialty | Base | required | Laboratory Specialty | 📦2.0.0-alpha | HL7 Europe Laboratory Report v2.0 |
| Observation.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.value[x]:valueCodeableConcept | Base | required | eHDSI Results Coded Value Laboratory With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.dataAbsentReason | Base | extensible | eHDSI Data Absent Reason | 📦9.1.0 | This IG |
| Observation.interpretation | Base | required | eHDSI Observation Interpretation With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.bodySite | Base | required | eHDSI Body Site With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.method | Base | required | eHDSI Laboratory Technique With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.referenceRange.type | Base | required | eHDSI Reference Range Meaning With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.referenceRange.appliesTo | Base | required | eHDSI Reference Range Applies To With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.value[x]:valueCodeableConcept | Base | required | eHDSI Results Coded Value Laboratory With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | eHDSI Data Absent Reason | 📦9.1.0 | This IG |
| Observation.component.interpretation | Base | required | eHDSI Observation Interpretation With Exceptions | 📦1.0.0-ci-build | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| 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 MedicalTestResultMyHealthCore
Summary
Mandatory: 1 element
Structures
This structure refers to these other structures:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | MedicalTestResultMyHealthCore | Measurements and simple assertions This profile also imposes the profile Observation Results: laboratory Constraints: obs-6, obs-7 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| extension:bodyStructure |
0..1 | Reference() | Observed body structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1 | |
| extension:triggeredBy |
0..* | (Complex) | Triggering observation(s) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Closed by value:url Constraints: ext-1 | |
| extension:observation |
1..1 | Extension | Extension Constraints: ext-1 | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "observation" | |
| extension:type |
1..1 | Extension | reflex | repeat | re-run Constraints: ext-1 | |
| url |
1..1 | uri | "type" | |
| extension:reason |
0..1 | Extension | Reason that the observation was triggered Constraints: ext-1 | |
| url |
1..1 | uri | "reason" | |
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |
| extension:value-r5 |
0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |
| value[x] |
1..1 | Attachment | Value of extension | |
| 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. |
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:$this Binding: eHDSI Observation category (extensible) | |
| category:laboratory |
0..1 | CodeableConcept | Classification of type of observation 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 | |
| category:vital-signs |
0..1 | CodeableConcept | Classification of type of observation 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: vital-signs | |
| 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 | |
| category:studyType |
0..* | CodeableConcept | Classification of type of observation Binding: Laboratory Study Types (required) | |
| category:specialty |
0..* | CodeableConcept | Classification of type of observation Binding: Laboratory Specialty (required) | |
| code |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: eHDSI Laboratory Codes With Exceptions (required) |
| subject |
Σ | 1..1 | Reference(Patient (Core)) | Who and/or what the observation is about |
| effective[x] |
Σ | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| performer |
Σ | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) | Who is responsible for the observation |
| Slices for value[x] |
ΣC | 0..1 | Laboratory result value Slice: Unordered, Closed by type:$this | |
| 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) |
| value[x]:valueQuantity |
ΣC | 0..1 | QuantityMyHealth | Actual result |
| Slices for extension |
Content/Rules for all slices | |||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| value[x]:valueRatio |
ΣC | 0..1 | RatioMyHealth | Actual result |
| method |
0..1 | CodeableConcept | How it was done Binding: eHDSI Laboratory Technique With Exceptions (required) | |
| specimen |
0..1 | Reference(Specimen: Laboratory) | Specimen used for the observation | |
| device |
0..1 | Reference(Device: measuring) | (Measurement) Device | |
| hasMember |
Σ | 0..* | Reference(Observation Results: Laboratory) | 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 |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: eHDSI Laboratory Codes With Exceptions (required) |
| Slices for value[x] |
Σ | 0..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this |
| value[x]:valueCodeableConcept |
Σ | 0..1 | CodeableConcept | Actual component result Binding: eHDSI Results Coded Value Laboratory With Exceptions (required) |
| value[x]:valueQuantity |
Σ | 0..1 | QuantityMyHealth | Actual component result |
| Slices for extension |
Content/Rules for all slices | |||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| value[x]:valueRatio |
Σ | 0..1 | RatioMyHealth | Actual component result |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | extensible | eHDSI Observation category | 📦9.1.0 | This IG |
| Observation.category:laboratory | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:vital-signs | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:studyType | Base | required | Laboratory Study Types | 📦2.0.0-alpha | HL7 Europe Laboratory Report v2.0 |
| Observation.category:specialty | Base | required | Laboratory Specialty | 📦2.0.0-alpha | HL7 Europe Laboratory Report v2.0 |
| Observation.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.value[x]:valueCodeableConcept | Base | required | eHDSI Results Coded Value Laboratory With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.method | Base | required | eHDSI Laboratory Technique With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.value[x]:valueCodeableConcept | Base | required | eHDSI Results Coded Value Laboratory With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Observation.extension:bodyStructure, Observation.extension:triggeredBy, Observation.extension:triggeredBy.extension, Observation.extension:triggeredBy.extension:observation, Observation.extension:triggeredBy.extension:type, Observation.extension:triggeredBy.extension:reason, Observation.extension:value-r5, Observation.modifierExtension, Observation.value[x]:valueQuantity.extension:uncertainty, Observation.component.modifierExtension, Observation.component.value[x]:valueQuantity.extension:uncertainty | Must have either extensions or value[x], not both |
extension.exists() != value.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 MedicalTestResultMyHealthCore
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.category:studyType | Base | required | Laboratory Study Types | 📦2.0.0-alpha | HL7 Europe Laboratory Report v2.0 |
| Observation.category:specialty | Base | required | Laboratory Specialty | 📦2.0.0-alpha | HL7 Europe Laboratory Report v2.0 |
| Observation.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.value[x]:valueCodeableConcept | Base | required | eHDSI Results Coded Value Laboratory With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.method | Base | required | eHDSI Laboratory Technique With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.value[x]:valueCodeableConcept | Base | required | eHDSI Results Coded Value Laboratory With Exceptions | 📦1.0.0-ci-build | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | MedicalTestResultMyHealthCore | Measurements and simple assertions This profile also imposes the profile Observation Results: laboratory 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 observation Binding: eHDSI Language (required) | |
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |
| contained |
0..* | Resource | Contained, inline Resources | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:bodyStructure |
0..1 | Reference() | Observed body structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1 | |
| extension:triggeredBy |
0..* | (Complex) | Triggering observation(s) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Closed by value:url Constraints: ext-1 | |
| extension:observation |
1..1 | Extension | Extension Constraints: ext-1 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "observation" | |
| value[x] |
0..1 | Reference(Observation: Medical Test Result (Core)) | Triggering observation | |
| extension:type |
1..1 | Extension | reflex | repeat | re-run Constraints: ext-1 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |
| url |
1..1 | uri | "type" | |
| value[x] |
0..1 | code | reflex | repeat | re-run Binding: R5_observation_triggeredbytype_for_R4 (0.0.1-snapshot-2) (required): The type of TriggeredBy Observation. | |
| extension:reason |
0..1 | Extension | Reason that the observation was triggered Constraints: ext-1 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |
| url |
1..1 | uri | "reason" | |
| value[x] |
0..1 | string | Reason that the observation was triggered | |
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |
| extension:value-r5 |
0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |
| value[x] |
1..1 | Attachment | Value of extension | |
| 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. |
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:$this Binding: eHDSI Observation category (extensible) | |
| category:laboratory |
0..1 | CodeableConcept | Classification of type of observation 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 | |
| category:vital-signs |
0..1 | CodeableConcept | Classification of type of observation 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: vital-signs | |
| 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 | |
| category:studyType |
0..* | CodeableConcept | Classification of type of observation Binding: Laboratory Study Types (required) | |
| category:specialty |
0..* | CodeableConcept | Classification of type of observation Binding: Laboratory Specialty (required) | |
| code |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: eHDSI Laboratory Codes With Exceptions (required) |
| subject |
Σ | 1..1 | Reference(Patient (Core)) | Who and/or what the observation is about |
| focus |
Σ | 0..* | Reference(Patient (Core) | RelatedPerson | Location (Core)) | 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] |
Σ | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available |
| performer |
Σ | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) | Who is responsible for the observation |
| Slices for value[x] |
ΣC | 0..1 | Laboratory result value Slice: Unordered, Closed by type:$this | |
| 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) |
| value[x]:valueQuantity |
ΣC | 0..1 | QuantityMyHealth | Actual result |
| 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 | |
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |
| value |
Σ | 0..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 |
| system |
ΣC | 0..1 | uri | System that defines coded unit form |
| code |
Σ | 0..1 | code | Coded form of the unit |
| value[x]:valueRatio |
ΣC | 0..1 | RatioMyHealth | Actual result |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the result is missing Binding: eHDSI Data Absent Reason (extensible) |
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: eHDSI Observation Interpretation With Exceptions (required) | |
| note |
0..* | Annotation | Comments about the observation | |
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: eHDSI Body Site With Exceptions (required) | |
| 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 | |
| extension:bodySite |
0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite" | |
| value[x] |
1..1 | Reference(BodyStructure (Core)) | Value of extension | |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system |
| text |
Σ | 0..1 | string | Plain text representation of the concept |
| method |
0..1 | CodeableConcept | How it was done Binding: eHDSI Laboratory Technique With Exceptions (required) | |
| specimen |
0..1 | Reference(Specimen: Laboratory) | Specimen used for the observation | |
| device |
0..1 | Reference(Device: measuring) | (Measurement) Device | |
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 |
| 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(4.0.1) | Low Range, if relevant |
| high |
C | 0..1 | SimpleQuantity(4.0.1) | 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: Laboratory) | Related resource that belongs to the Observation group |
| derivedFrom |
Σ | 0..* | Reference(Observation: Medical Test Result (Core) | ImagingStudy) | 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 |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: eHDSI Laboratory Codes With Exceptions (required) |
| Slices for value[x] |
Σ | 0..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this |
| value[x]:valueCodeableConcept |
Σ | 0..1 | CodeableConcept | Actual component result Binding: eHDSI Results Coded Value Laboratory With Exceptions (required) |
| value[x]:valueQuantity |
Σ | 0..1 | QuantityMyHealth | Actual component result |
| 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 | |
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |
| value |
Σ | 0..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 |
| system |
ΣC | 0..1 | uri | System that defines coded unit form |
| code |
Σ | 0..1 | code | Coded form of the unit |
| value[x]:valueRatio |
Σ | 0..1 | RatioMyHealth | Actual component result |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: eHDSI Data Absent Reason (extensible) |
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: eHDSI Observation Interpretation With Exceptions (required) | |
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | required | eHDSI Language | 📦9.1.0 | This IG |
| Observation.extension:triggeredBy.extension:type.value[x] | Base | required | Cross-version VS for R5.TriggeredBytype for use in FHIR R4 | 📍0.0.1-snapshot-2 | FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0 |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | extensible | eHDSI Observation category | 📦9.1.0 | This IG |
| Observation.category:laboratory | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:vital-signs | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:studyType | Base | required | Laboratory Study Types | 📦2.0.0-alpha | HL7 Europe Laboratory Report v2.0 |
| Observation.category:specialty | Base | required | Laboratory Specialty | 📦2.0.0-alpha | HL7 Europe Laboratory Report v2.0 |
| Observation.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.value[x]:valueCodeableConcept | Base | required | eHDSI Results Coded Value Laboratory With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.dataAbsentReason | Base | extensible | eHDSI Data Absent Reason | 📦9.1.0 | This IG |
| Observation.interpretation | Base | required | eHDSI Observation Interpretation With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.bodySite | Base | required | eHDSI Body Site With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.method | Base | required | eHDSI Laboratory Technique With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.referenceRange.type | Base | required | eHDSI Reference Range Meaning With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.referenceRange.appliesTo | Base | required | eHDSI Reference Range Applies To With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.value[x]:valueCodeableConcept | Base | required | eHDSI Results Coded Value Laboratory With Exceptions | 📦1.0.0-ci-build | This IG |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | eHDSI Data Absent Reason | 📦9.1.0 | This IG |
| Observation.component.interpretation | Base | required | eHDSI Observation Interpretation With Exceptions | 📦1.0.0-ci-build | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| 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 MedicalTestResultMyHealthCore
Summary
Mandatory: 1 element
Structures
This structure refers to these other structures:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ MyHealth@Eu. Package myhealth.eu.fhir.laboratory#9.1.1-ci-build based on FHIR 4.0.1. Generated 2026-04-09
