MyHealth@EU Core
1.0.0 - trial-use
150
MyHealth@EU Core
1.0.0 - trial-use
150
This page is part of the MyHealth@Eu Core (v1.0.0: Wave 9) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://fhir.ehdsi.eu/core/StructureDefinition/medicalTestResult-myhealtheu-core | Version: 1.0.0 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: MedicalTestResultMyHealthCore | ||
This profile introduces essential constraints and extensions for the Observation resource for Medical Test Results that apply across multiple use cases.
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..* | MedicalTestResultEuCore | Measurements and simple assertions Constraints: obs-6, obs-7, obs-value-1 |
  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) | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:bodyStructure |
0..1 | Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) | R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1 | |
 extension:triggeredBy |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |
   Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open 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" | |
  value[x] |
1..1 | Reference(Observation: Medical Test Result (Core)) | Triggering observation | |
| extension:type |
1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-1 | |
| url |
1..1 | uri | "type" | |
| value[x] |
1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation. | |
 extension:reason |
0..1 | Extension | R5: Reason that the observation was triggered (new) 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 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |
 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. |
 category |
1..* | CodeableConcept | Classification of type of observation Binding: eHDSI Observation category (extensible) | |
| code |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: eHDSI Observation Code 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 |
 effective[x] |
Σ | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime |
dateTime | |||
 effectivePeriod |
Period | |||
| performer |
Σ | 0..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) | Who is responsible for the observation |
 Slices for extension |
Content/Rules for all slices | |||
 extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |
| Slices for value[x] |
ΣC | 0..1 | Actual result 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]: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]:valueCodeableConcept |
ΣC | 0..1 | CodeableConcept | Actual result Binding: eHDSI Observation Results Coded Value With Exceptions (required) |
| 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) | |
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: eHDSI Body Site With Exceptions (required) | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:bodySite |
0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |
| 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 | |
| method |
0..1 | CodeableConcept | How it was done Binding: eHDSI Observation Method With Exceptions (required) | |
| hasMember |
Σ | 0..* | Reference(Observation: Medical Test Result (Core)) | 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 |
| Documentation for this format | ||||
| 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.performer.extension:performerFunction, Observation.value[x]:valueQuantity.extension:uncertainty, Observation.bodySite.extension:bodySite | 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()
|
| obs-value-1 | error | Observation | The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. |
value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()
|
This structure is derived from MedicalTestResultEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | MedicalTestResultEuCore | Measurements and simple assertions Constraints: obs-6, obs-7, obs-value-1 |
| 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(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) | R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1 | |
| extension:triggeredBy |
0..* | (Complex) | R5: Triggering observation(s) (new) 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, Open 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] |
1..1 | Reference(Observation: Medical Test Result (Core)) | Triggering observation | |
| extension:type |
1..1 | Extension | R5: reflex | repeat | re-run (new) 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] |
1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation. | |
| extension:reason |
0..1 | Extension | R5: Reason that the observation was triggered (new) 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 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value 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 | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |
| value[x] |
0..1 | Attachment | Actual result | |
| 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. |
| category |
1..* | CodeableConcept | Classification of type of observation Binding: eHDSI Observation category (extensible) | |
| code |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: eHDSI Observation Code 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 | 0..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) | Who is responsible for the observation |
| 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:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display |
Σ | 0..1 | string | Text alternative for the resource |
| Slices for value[x] |
ΣC | 0..1 | Actual result 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]: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]:valueCodeableConcept |
ΣC | 0..1 | CodeableConcept | Actual result Binding: eHDSI Observation Results Coded Value With Exceptions (required) |
| 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 Observation Method With Exceptions (required) | |
| specimen |
0..1 | Reference(Specimen) | Specimen used for the observation | |
| device |
0..1 | Reference(Device | DeviceMetric) | (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: Medical Test Result (Core)) | 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 | Component results |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:value-r5 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value 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 | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |
| value[x] |
0..1 | Attachment | Actual 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 Observation Code With Exceptions (required) |
| Slices for value[x] |
Σ | 0..1 | Actual component result 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]: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]:valueCodeableConcept |
Σ | 0..1 | CodeableConcept | Actual component result Binding: eHDSI Observation Results Coded Value With Exceptions (required) |
| 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 | MyHealthEu MVC package v9.1 |
| Observation.extension:triggeredBy.extension:type.value[x] | Base | required | Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1 |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | extensible | eHDSI Observation category | 📦9.1.0 | MyHealthEu MVC package v9.1 |
| Observation.code | Base | required | eHDSI Observation Code With Exceptions | 📦1.0.0 | This IG |
| Observation.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueCodeableConcept | Base | required | eHDSI Observation Results Coded Value With Exceptions | 📦1.0.0 | This IG |
| Observation.dataAbsentReason | Base | extensible | eHDSI Data Absent Reason | 📦9.1.0 | MyHealthEu MVC package v9.1 |
| Observation.interpretation | Base | required | eHDSI Observation Interpretation With Exceptions | 📦1.0.0 | This IG |
| Observation.bodySite | Base | required | eHDSI Body Site With Exceptions | 📦1.0.0 | This IG |
| Observation.method | Base | required | eHDSI Observation Method With Exceptions | 📦1.0.0 | This IG |
| Observation.referenceRange.type | Base | required | eHDSI Reference Range Meaning With Exceptions | 📦1.0.0 | This IG |
| Observation.referenceRange.appliesTo | Base | required | eHDSI Reference Range Applies To With Exceptions | 📦1.0.0 | This IG |
| Observation.component.code | Base | required | eHDSI Observation Code With Exceptions | 📦1.0.0 | This IG |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueCodeableConcept | Base | required | eHDSI Observation Results Coded Value With Exceptions | 📦1.0.0 | This IG |
| Observation.component.dataAbsentReason | Base | extensible | eHDSI Data Absent Reason | 📦9.1.0 | MyHealthEu MVC package v9.1 |
| Observation.component.interpretation | Base | required | eHDSI Observation Interpretation With Exceptions | 📦1.0.0 | 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()
|
| obs-value-1 | error | Observation | The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. |
value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()
|
This structure is derived from MedicalTestResultEuCore
Summary
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 2
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | MedicalTestResultEuCore | Measurements and simple assertions Constraints: obs-6, obs-7, obs-value-1 |
| 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) | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:bodyStructure |
0..1 | Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) | R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1 | |
| extension:triggeredBy |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open 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" | |
| value[x] |
1..1 | Reference(Observation: Medical Test Result (Core)) | Triggering observation | |
| extension:type |
1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-1 | |
| url |
1..1 | uri | "type" | |
| value[x] |
1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation. | |
| extension:reason |
0..1 | Extension | R5: Reason that the observation was triggered (new) 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 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |
| 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. |
| category |
1..* | CodeableConcept | Classification of type of observation Binding: eHDSI Observation category (extensible) | |
| code |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: eHDSI Observation Code 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 |
| effective[x] |
Σ | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| performer |
Σ | 0..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) | Who is responsible for the observation |
| Slices for extension |
Content/Rules for all slices | |||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |
| Slices for value[x] |
ΣC | 0..1 | Actual result 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]: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]:valueCodeableConcept |
ΣC | 0..1 | CodeableConcept | Actual result Binding: eHDSI Observation Results Coded Value With Exceptions (required) |
| 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) | |
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: eHDSI Body Site With Exceptions (required) | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:bodySite |
0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |
| 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 | |
| method |
0..1 | CodeableConcept | How it was done Binding: eHDSI Observation Method With Exceptions (required) | |
| hasMember |
Σ | 0..* | Reference(Observation: Medical Test Result (Core)) | 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 |
| Documentation for this format | ||||
| 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.performer.extension:performerFunction, Observation.value[x]:valueQuantity.extension:uncertainty, Observation.bodySite.extension:bodySite | 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()
|
| obs-value-1 | error | Observation | The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. |
value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()
|
Differential View
This structure is derived from MedicalTestResultEuCore
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | MedicalTestResultEuCore | Measurements and simple assertions Constraints: obs-6, obs-7, obs-value-1 |
| 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(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) | R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1 | |
| extension:triggeredBy |
0..* | (Complex) | R5: Triggering observation(s) (new) 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, Open 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] |
1..1 | Reference(Observation: Medical Test Result (Core)) | Triggering observation | |
| extension:type |
1..1 | Extension | R5: reflex | repeat | re-run (new) 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] |
1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation. | |
| extension:reason |
0..1 | Extension | R5: Reason that the observation was triggered (new) 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 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value 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 | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |
| value[x] |
0..1 | Attachment | Actual result | |
| 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. |
| category |
1..* | CodeableConcept | Classification of type of observation Binding: eHDSI Observation category (extensible) | |
| code |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: eHDSI Observation Code 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 | 0..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) | Who is responsible for the observation |
| 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:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display |
Σ | 0..1 | string | Text alternative for the resource |
| Slices for value[x] |
ΣC | 0..1 | Actual result 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]: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]:valueCodeableConcept |
ΣC | 0..1 | CodeableConcept | Actual result Binding: eHDSI Observation Results Coded Value With Exceptions (required) |
| 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 Observation Method With Exceptions (required) | |
| specimen |
0..1 | Reference(Specimen) | Specimen used for the observation | |
| device |
0..1 | Reference(Device | DeviceMetric) | (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: Medical Test Result (Core)) | 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 | Component results |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:value-r5 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value 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 | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |
| value[x] |
0..1 | Attachment | Actual 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 Observation Code With Exceptions (required) |
| Slices for value[x] |
Σ | 0..1 | Actual component result 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]: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]:valueCodeableConcept |
Σ | 0..1 | CodeableConcept | Actual component result Binding: eHDSI Observation Results Coded Value With Exceptions (required) |
| 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 | MyHealthEu MVC package v9.1 |
| Observation.extension:triggeredBy.extension:type.value[x] | Base | required | Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1 |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | extensible | eHDSI Observation category | 📦9.1.0 | MyHealthEu MVC package v9.1 |
| Observation.code | Base | required | eHDSI Observation Code With Exceptions | 📦1.0.0 | This IG |
| Observation.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueCodeableConcept | Base | required | eHDSI Observation Results Coded Value With Exceptions | 📦1.0.0 | This IG |
| Observation.dataAbsentReason | Base | extensible | eHDSI Data Absent Reason | 📦9.1.0 | MyHealthEu MVC package v9.1 |
| Observation.interpretation | Base | required | eHDSI Observation Interpretation With Exceptions | 📦1.0.0 | This IG |
| Observation.bodySite | Base | required | eHDSI Body Site With Exceptions | 📦1.0.0 | This IG |
| Observation.method | Base | required | eHDSI Observation Method With Exceptions | 📦1.0.0 | This IG |
| Observation.referenceRange.type | Base | required | eHDSI Reference Range Meaning With Exceptions | 📦1.0.0 | This IG |
| Observation.referenceRange.appliesTo | Base | required | eHDSI Reference Range Applies To With Exceptions | 📦1.0.0 | This IG |
| Observation.component.code | Base | required | eHDSI Observation Code With Exceptions | 📦1.0.0 | This IG |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueCodeableConcept | Base | required | eHDSI Observation Results Coded Value With Exceptions | 📦1.0.0 | This IG |
| Observation.component.dataAbsentReason | Base | extensible | eHDSI Data Absent Reason | 📦9.1.0 | MyHealthEu MVC package v9.1 |
| Observation.component.interpretation | Base | required | eHDSI Observation Interpretation With Exceptions | 📦1.0.0 | 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()
|
| obs-value-1 | error | Observation | The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. |
value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()
|
This structure is derived from MedicalTestResultEuCore
Summary
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
IG © 2026+ MyHealth@Eu. Package myhealth.eu.fhir.core#1.0.0 based on FHIR 4.0.1. Generated 2026-05-04
