MyHealth@Eu Laboratory Report
9.1.1 - trial-use 150

This page is part of the MyHealth@Eu Laboratory Report (v9.1.1: Wave 9) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: ObservationResults: Laboratory

Official URL: http://fhir.ehdsi.eu/laboratory/StructureDefinition/Observation-resultslab-lab-myhealtheu Version: 9.1.1
Standards status: Trial-use Maturity Level: 2 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.

This profile constrains the Observation resource to represent a laboratory in vitro diagnostic test or panel/study. In case of a panel/study, the results of the panel appear as sub-observations. In this case this top-level Observation acts as a grouper of all the observations belonging to the panel or study. The top-level observation may carry a conclusion in the value element and or a global interpretation by the producer of the study, in the comment element.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MedicalTestResultMyHealthCore Laboratory result for a simple test or for a panel/study
This profile also imposes the profile Observation Results: laboratory
Constraints: obs-6, obs-7, obs-value-1
... 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(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"
.... extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:labTestKit 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:accredited 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... 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 pattern:$this
Binding: eHDSI Observation category (extensible)
.... category:laboratory 1..1 CodeableConcept Classification of type of observation
Binding: eHDSI Observation category (extensible)

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:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code OΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: eHDSI Laboratory Codes With Exceptions (required)
ObligationsActor
SHALL:handle MyHealth@EU Handler
... subject Σ 1..1 Reference(Patient (Core)) Who and/or what the observation is about
... focus Σ 0..* Reference(Patient (Core) | RelatedPerson: Animal | Location (Core)) What the observation is about, when it is not about the subject of record
... effective[x] OΣ 1..1 Clinically relevant time/time-period for observation
ObligationsActor
SHALL:handle MyHealth@EU Handler
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer OΣ 1..* Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) Who is responsible for the observation
ObligationsActor
SHOULD:handle MyHealth@EU Handler
.... 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 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]:valueRange ΣC 0..1 RangeEuLab Actual result
.... 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 O 0..1 Reference(Specimen: Laboratory) Specimen used for the observation
ObligationsActor
SHOULD:handle MyHealth@EU Handler
... device 0..1 Reference(Device: Measuring) (Measurement) Device
... hasMember Σ 0..* Reference(ObservationResults: Laboratory) Related resource that belongs to the Observation group
... component Σ 0..* BackboneElement Laboratory result
.... Slices for extension Content/Rules for all slices
..... 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 ?!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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.category:laboratory Base extensible eHDSI Observation category 📦9.1.0 MyHealthEu MVC package v9.1
Observation.category:studyType Base required Laboratory Study Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.category:specialty Base required Laboratory Specialty 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code Base required eHDSI Laboratory Codes With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.value[x]:valueCodeableConcept Base required eHDSI Results Coded Value Laboratory With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
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 MyHealth@EU Core v1.0
Observation.component.​code Base required eHDSI Laboratory Codes With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.component.​value[x]:valueCodeableConcept Base required eHDSI Results Coded Value Laboratory With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

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.extension:supportingInfo, Observation.extension:labTestKit, Observation.extension:certifiedRefMaterialCodeable, Observation.extension:certifiedRefMaterialIdentifer, Observation.extension:accredited, Observation.modifierExtension, Observation.performer.extension:performerFunction, Observation.value[x]:valueQuantity.extension:uncertainty, Observation.component.extension:value-r5, 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()
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 MedicalTestResultMyHealthCore

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* MedicalTestResultMyHealthCore Laboratory result for a simple test or for a panel/study
This profile also imposes the profile Observation Results: laboratory
... Slices for extension Content/Rules for all slices
.... extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:labTestKit 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:accredited 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... basedOn O 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
ObligationsActor
SHOULD:handle MyHealth@EU Handler
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
.... category:laboratory 1..1 CodeableConcept Classification of type of observation
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
.... category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... focus 0..* Reference(Patient (Core) | RelatedPerson: Animal | Location (Core)) What the observation is about, when it is not about the subject of record
... effective[x] O 1..1 dateTime, Period Clinically relevant time/time-period for observation
ObligationsActor
SHALL:handle MyHealth@EU Handler
... performer O 1..* Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) Who is responsible for the observation
ObligationsActor
SHOULD:handle MyHealth@EU Handler
... value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Laboratory result value
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual result
Binding: eHDSI Results Coded Value Laboratory With Exceptions (required)
.... value[x]:valueRange 0..1 RangeEuLab Actual result
... method 0..1 CodeableConcept How it was done
Binding: eHDSI Laboratory Technique With Exceptions (required)
... specimen O 0..1 Reference(Specimen: Laboratory) Specimen used for the observation
ObligationsActor
SHOULD:handle MyHealth@EU Handler
... device 0..1 Reference(Device: Measuring) (Measurement) Device
... hasMember 0..* Reference(ObservationResults: Laboratory) Related resource that belongs to the Observation group
... component 0..* BackboneElement Laboratory result
.... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: eHDSI Laboratory Codes With Exceptions (required)
.... Slices for value[x] Content/Rules for all slices
..... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
Binding: eHDSI Results Coded Value Laboratory With Exceptions (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.category:studyType Base required Laboratory Study Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.category:specialty Base required Laboratory Specialty 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code Base required eHDSI Laboratory Codes With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.value[x]:valueCodeableConcept Base required eHDSI Results Coded Value Laboratory With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.method Base required eHDSI Laboratory Technique With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.component.​code Base required eHDSI Laboratory Codes With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.component.​value[x]:valueCodeableConcept Base required eHDSI Results Coded Value Laboratory With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MedicalTestResultMyHealthCore Laboratory result for a simple test or for a panel/study
This profile also imposes the profile Observation Results: laboratory
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
.... extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:labTestKit 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:accredited 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn OΣ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
ObligationsActor
SHOULD:handle MyHealth@EU Handler
... 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 pattern:$this
Binding: eHDSI Observation category (extensible)
.... category:laboratory 1..1 CodeableConcept Classification of type of observation
Binding: eHDSI Observation category (extensible)

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:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code OΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: eHDSI Laboratory Codes With Exceptions (required)
ObligationsActor
SHALL:handle MyHealth@EU Handler
... subject Σ 1..1 Reference(Patient (Core)) Who and/or what the observation is about
... focus Σ 0..* Reference(Patient (Core) | RelatedPerson: Animal | 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] OΣ 1..1 Clinically relevant time/time-period for observation
ObligationsActor
SHALL:handle MyHealth@EU Handler
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer OΣ 1..* Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) Who is responsible for the observation
ObligationsActor
SHOULD:handle MyHealth@EU Handler
.... 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 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]:valueRange ΣC 0..1 RangeEuLab Actual result
.... 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 O 0..1 Reference(Specimen: Laboratory) Specimen used for the observation
ObligationsActor
SHOULD:handle MyHealth@EU Handler
... 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(ObservationResults: 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
.... 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 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

doco Documentation for this format

Terminology Bindings

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.category:laboratory Base extensible eHDSI Observation category 📦9.1.0 MyHealthEu MVC package v9.1
Observation.category:studyType Base required Laboratory Study Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.category:specialty Base required Laboratory Specialty 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code Base required eHDSI Laboratory Codes With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.performer.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base required eHDSI Results Coded Value Laboratory With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
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 MyHealth@EU Core v1.0
Observation.bodySite Base required eHDSI Body Site With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.method Base required eHDSI Laboratory Technique With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.referenceRange.​type Base required eHDSI Reference Range Meaning With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.referenceRange.​appliesTo Base required eHDSI Reference Range Applies To With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.component.​code Base required eHDSI Laboratory Codes With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.component.​value[x]:valueCodeableConcept Base required eHDSI Results Coded Value Laboratory With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
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 MyHealthEu MVC package v9.1
Observation.component.​interpretation Base required eHDSI Observation Interpretation With Exceptions 📦1.0.0 MyHealth@EU Core v1.0

Constraints

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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MedicalTestResultMyHealthCore Laboratory result for a simple test or for a panel/study
This profile also imposes the profile Observation Results: laboratory
Constraints: obs-6, obs-7, obs-value-1
... 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(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"
.... extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:labTestKit 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:accredited 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... 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 pattern:$this
Binding: eHDSI Observation category (extensible)
.... category:laboratory 1..1 CodeableConcept Classification of type of observation
Binding: eHDSI Observation category (extensible)

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:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code OΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: eHDSI Laboratory Codes With Exceptions (required)
ObligationsActor
SHALL:handle MyHealth@EU Handler
... subject Σ 1..1 Reference(Patient (Core)) Who and/or what the observation is about
... focus Σ 0..* Reference(Patient (Core) | RelatedPerson: Animal | Location (Core)) What the observation is about, when it is not about the subject of record
... effective[x] OΣ 1..1 Clinically relevant time/time-period for observation
ObligationsActor
SHALL:handle MyHealth@EU Handler
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer OΣ 1..* Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) Who is responsible for the observation
ObligationsActor
SHOULD:handle MyHealth@EU Handler
.... 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 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]:valueRange ΣC 0..1 RangeEuLab Actual result
.... 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 O 0..1 Reference(Specimen: Laboratory) Specimen used for the observation
ObligationsActor
SHOULD:handle MyHealth@EU Handler
... device 0..1 Reference(Device: Measuring) (Measurement) Device
... hasMember Σ 0..* Reference(ObservationResults: Laboratory) Related resource that belongs to the Observation group
... component Σ 0..* BackboneElement Laboratory result
.... Slices for extension Content/Rules for all slices
..... 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 ?!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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.category:laboratory Base extensible eHDSI Observation category 📦9.1.0 MyHealthEu MVC package v9.1
Observation.category:studyType Base required Laboratory Study Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.category:specialty Base required Laboratory Specialty 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code Base required eHDSI Laboratory Codes With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.value[x]:valueCodeableConcept Base required eHDSI Results Coded Value Laboratory With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
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 MyHealth@EU Core v1.0
Observation.component.​code Base required eHDSI Laboratory Codes With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.component.​value[x]:valueCodeableConcept Base required eHDSI Results Coded Value Laboratory With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

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.extension:supportingInfo, Observation.extension:labTestKit, Observation.extension:certifiedRefMaterialCodeable, Observation.extension:certifiedRefMaterialIdentifer, Observation.extension:accredited, Observation.modifierExtension, Observation.performer.extension:performerFunction, Observation.value[x]:valueQuantity.extension:uncertainty, Observation.component.extension:value-r5, 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()
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 MedicalTestResultMyHealthCore

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* MedicalTestResultMyHealthCore Laboratory result for a simple test or for a panel/study
This profile also imposes the profile Observation Results: laboratory
... Slices for extension Content/Rules for all slices
.... extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:labTestKit 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:accredited 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... basedOn O 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
ObligationsActor
SHOULD:handle MyHealth@EU Handler
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
.... category:laboratory 1..1 CodeableConcept Classification of type of observation
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
.... category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... focus 0..* Reference(Patient (Core) | RelatedPerson: Animal | Location (Core)) What the observation is about, when it is not about the subject of record
... effective[x] O 1..1 dateTime, Period Clinically relevant time/time-period for observation
ObligationsActor
SHALL:handle MyHealth@EU Handler
... performer O 1..* Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) Who is responsible for the observation
ObligationsActor
SHOULD:handle MyHealth@EU Handler
... value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Laboratory result value
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual result
Binding: eHDSI Results Coded Value Laboratory With Exceptions (required)
.... value[x]:valueRange 0..1 RangeEuLab Actual result
... method 0..1 CodeableConcept How it was done
Binding: eHDSI Laboratory Technique With Exceptions (required)
... specimen O 0..1 Reference(Specimen: Laboratory) Specimen used for the observation
ObligationsActor
SHOULD:handle MyHealth@EU Handler
... device 0..1 Reference(Device: Measuring) (Measurement) Device
... hasMember 0..* Reference(ObservationResults: Laboratory) Related resource that belongs to the Observation group
... component 0..* BackboneElement Laboratory result
.... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: eHDSI Laboratory Codes With Exceptions (required)
.... Slices for value[x] Content/Rules for all slices
..... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
Binding: eHDSI Results Coded Value Laboratory With Exceptions (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.category:studyType Base required Laboratory Study Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.category:specialty Base required Laboratory Specialty 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code Base required eHDSI Laboratory Codes With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.value[x]:valueCodeableConcept Base required eHDSI Results Coded Value Laboratory With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.method Base required eHDSI Laboratory Technique With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.component.​code Base required eHDSI Laboratory Codes With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.component.​value[x]:valueCodeableConcept Base required eHDSI Results Coded Value Laboratory With Exceptions 📦1.0.0 MyHealth@EU Core v1.0

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MedicalTestResultMyHealthCore Laboratory result for a simple test or for a panel/study
This profile also imposes the profile Observation Results: laboratory
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
.... extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:labTestKit 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:accredited 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn OΣ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
ObligationsActor
SHOULD:handle MyHealth@EU Handler
... 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 pattern:$this
Binding: eHDSI Observation category (extensible)
.... category:laboratory 1..1 CodeableConcept Classification of type of observation
Binding: eHDSI Observation category (extensible)

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:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code OΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: eHDSI Laboratory Codes With Exceptions (required)
ObligationsActor
SHALL:handle MyHealth@EU Handler
... subject Σ 1..1 Reference(Patient (Core)) Who and/or what the observation is about
... focus Σ 0..* Reference(Patient (Core) | RelatedPerson: Animal | 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] OΣ 1..1 Clinically relevant time/time-period for observation
ObligationsActor
SHALL:handle MyHealth@EU Handler
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer OΣ 1..* Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) Who is responsible for the observation
ObligationsActor
SHOULD:handle MyHealth@EU Handler
.... 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 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]:valueRange ΣC 0..1 RangeEuLab Actual result
.... 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 O 0..1 Reference(Specimen: Laboratory) Specimen used for the observation
ObligationsActor
SHOULD:handle MyHealth@EU Handler
... 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(ObservationResults: 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
.... 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 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

doco Documentation for this format

Terminology Bindings

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.category:laboratory Base extensible eHDSI Observation category 📦9.1.0 MyHealthEu MVC package v9.1
Observation.category:studyType Base required Laboratory Study Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.category:specialty Base required Laboratory Specialty 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code Base required eHDSI Laboratory Codes With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.performer.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base required eHDSI Results Coded Value Laboratory With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
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 MyHealth@EU Core v1.0
Observation.bodySite Base required eHDSI Body Site With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.method Base required eHDSI Laboratory Technique With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.referenceRange.​type Base required eHDSI Reference Range Meaning With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.referenceRange.​appliesTo Base required eHDSI Reference Range Applies To With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.component.​code Base required eHDSI Laboratory Codes With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
Observation.component.​value[x]:valueCodeableConcept Base required eHDSI Results Coded Value Laboratory With Exceptions 📦1.0.0 MyHealth@EU Core v1.0
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 MyHealthEu MVC package v9.1
Observation.component.​interpretation Base required eHDSI Observation Interpretation With Exceptions 📦1.0.0 MyHealth@EU Core v1.0

Constraints

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()

 

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