This page is part of the HL7 Europe Laboratory Report (v0.1.1: STU 1) 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

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Resource Profile: Observation Obligations

This profile defines obligations for Observation in FHIR for the purpose of this guide.

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
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Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservationResultsLaboratoryEu	Laboratory result for a simple test or for a panel/study dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:supportingInfo	O	0..*	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
extension:triggeredBy-r5	O	0..*	(Complex)	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
Slices for extension				Content/Rules for all slices
extension:observation	O	0..*	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
extension		0..0
url		1..1	uri	"observation"
value[x]		1..1	Reference(Observation)	Value of extension ele-1: All FHIR elements must have a @value or children
extension:type	O	0..*	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
extension		0..0
url		1..1	uri	"type"
value[x]		1..1	code	Value of extension ele-1: All FHIR elements must have a @value or children
extension:reason		0..*	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"reason"
value[x]		1..1	string	Value of extension ele-1: All FHIR elements must have a @value or children
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension:certifiedRefMaterialCodeable		0..*	CodeableConcept	Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:certifiedRefMaterialIdentifer		0..*	Identifier	Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:labTestKit		0..*	Reference(Device)	Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:value-r5		0..1	(Complex)	only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
value[x]		1..1	Attachment	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!OΣ	1..1	code	Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for category	O	1..*	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
category:laboratory		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children 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) ele-1: All FHIR elements must have a @value or children
category:specialty		0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) ele-1: All FHIR elements must have a @value or children
code	OΣ	1..1	CodeableConceptIPS	Type of observation (code / type) Binding: Laboratory Code (preferred) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
subject	OΣ	1..1	Reference(Patient: Animal | Patient: Person | Group | Device | Location)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
effective[x]	OΣ	1..1		Clinically relevant time/time-period for observation ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
effective[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	O	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
effectiveDateTime			dateTime
effectivePeriod			Period
issued	OΣ	0..1	instant	Date/Time this result was made available ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
performer	OΣ	1..*	Reference(PractitionerRole: Laboratory Report | Practitioner: Laboratory Report | Organization (IPS) | CareTeam | Patient: Person | RelatedPerson)	Who is responsible for the observation ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for extension				Content/Rules for all slices
extension:performerFunction	O	0..*	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
Slices for value[x]	OΣC	0..1		Actual result Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	ΣC	0..1	string	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueRange	ΣC	0..1	RangeIPS	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueRatio	ΣC	0..1	RatioEuLab	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueTime	ΣC	0..1	time	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueDateTime	ΣC	0..1	dateTime	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valuePeriod	ΣC	0..1	Period	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueQuantity	ΣC	0..1	QuantityEuLab	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConceptIPS	Actual result Binding: Results Coded Values Laboratory - IPS (preferred) ele-1: All FHIR elements must have a @value or children
interpretation	O	0..*	CodeableConceptIPS	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
method	O	0..1	CodeableConceptIPS	How it was done Binding: Laboratory Techniques (preferred) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
specimen	O	0..1	Reference(Specimen: Laboratory)	Specimen used for this observation ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
hasMember	OΣ	0..*	Reference(Observation Results: laboratory)	Related resource that belongs to the Observation group ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
component	OΣ	0..*	BackboneElement	Laboratory result ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for extension				Content/Rules for all slices
extension:value-r5		0..1	(Complex)	only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
value[x]		1..1	Attachment	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	OΣ	1..1	CodeableConceptIPS	Type of component observation (code / type) Binding: Results Laboratory Observation - IPS (preferred) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for value[x]	OΣ	0..1		Actual component result Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	Σ	0..1	string	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valueRange	Σ	0..1	RangeIPS	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valueRatio	Σ	0..1	RatioEuLab	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valueTime	Σ	0..1	time	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valueDateTime	Σ	0..1	dateTime	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valuePeriod	Σ	0..1	Period	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valueQuantity	Σ	0..1	QuantityEuLab	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept	Σ	0..1	CodeableConceptIPS	Actual component result Binding: Results Coded Values Laboratory - IPS (preferred) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:laboratory	preferred	Pattern: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab from this IG
Observation.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab from this IG
Observation.code	preferred	LaboratoryResultStandardEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab from this IG
Observation.value[x]:valueCodeableConcept	preferred	ResultsCodedValuesLaboratoryUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.method	preferred	LabTechniqueEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-technique-eu-lab from this IG
Observation.component.code	preferred	ResultsLaboratoryObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.component.value[x]:valueCodeableConcept	preferred	ResultsCodedValuesLaboratoryUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
eu-lab-1	error	Observation	If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2	error	Observation	If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservationResultsLaboratoryEu

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	ObservationResultsLaboratoryEu	Laboratory result for a simple test or for a panel/study
Slices for extension				Content/Rules for all slices
extension:supportingInfo	O	0..*	SupportingInfo(5.2.0)	Other information that may be relevant to this event. Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
extension:triggeredBy-r5	O	0..*	R5 Observation.triggeredBy	Extension Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
Slices for extension				Content/Rules for all slices
extension:observation	O	0..*	Extension	Extension Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
extension:type	O	0..*	Extension	Extension Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
status	O	1..1	code	Status of this observation (e.g. preliminary, final,...) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
category	O	1..*	CodeableConceptIPS	Classification of type of observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
code	O	1..1	CodeableConceptIPS	Type of observation (code / type) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
subject	O	1..1	Reference(Patient: Animal | Patient: Person | Group | Device | Location)	Who and/or what the observation is about Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
effective[x]	O	1..1	dateTime, Period	Clinically relevant time/time-period for observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	O	0..1	DataAbsentReason(5.2.0)	unknown | asked | temp | notasked | masked | unsupported | astext | error Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
issued	O	0..1	instant	Date/Time this result was made available Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
performer	O	1..*	Reference(PractitionerRole: Laboratory Report | Practitioner: Laboratory Report | Organization (IPS) | CareTeam | Patient: Person | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for extension				Content/Rules for all slices
extension:performerFunction	O	0..*	PerformerFunction(5.2.0)	Type of performance Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
value[x]	O	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
interpretation	O	0..*	CodeableConceptIPS	High, low, normal, etc. Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
method	O	0..1	CodeableConceptIPS	How it was done Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
specimen	O	0..1	Reference(Specimen: Laboratory)	Specimen used for this observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
hasMember	O	0..*	Reference(Observation Results: laboratory)	Related resource that belongs to the Observation group Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
component	O	0..*	BackboneElement	Laboratory result Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
code	O	1..1	CodeableConceptIPS	Type of component observation (code / type) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
value[x]	O	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservationResultsLaboratoryEu	Laboratory result for a simple test or for a panel/study obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Laboratory Test Kit Slice: Unordered, Open by value:url
extension:supportingInfo	O	0..*	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
extension:triggeredBy-r5	O	0..*	(Complex)	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
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:observation	O	0..*	Extension	Extension Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"observation"
value[x]		1..1	Reference(Observation)	Value of extension
extension:type	O	0..*	Extension	Extension Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"type"
value[x]		1..1	code	Value of extension
extension:reason		0..*	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reason"
value[x]		1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
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:labTestKit		0..*	Reference(Device)	Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
extension:value-r5		0..1	(Complex)	only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
value[x]		1..1	Attachment	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!OΣ	1..1	code	Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation. Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for category	O	1..*	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
category:laboratory		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category: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	CodeableConceptIPS	Type of observation (code / type) Binding: Laboratory Code (preferred) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
subject	OΣ	1..1	Reference(Patient: Animal | Patient: Person | Group | Device | Location)	Who and/or what the observation is about Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	OΣ	1..1		Clinically relevant time/time-period for observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
effective[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:data-absent-reason	O	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
effectiveDateTime			dateTime
effectivePeriod			Period
issued	OΣ	0..1	instant	Date/Time this result was made available Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
performer	OΣ	1..*	Reference(PractitionerRole: Laboratory Report | Practitioner: Laboratory Report | Organization (IPS) | CareTeam | Patient: Person | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
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	O	0..*	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
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]	OΣC	0..1		Actual result Slice: Unordered, Closed by type:$this Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	ΣC	0..1	string	Actual result
value[x]:valueRange	ΣC	0..1	RangeIPS	Actual result
value[x]:valueRatio	ΣC	0..1	RatioEuLab	Actual result
value[x]:valueTime	ΣC	0..1	time	Actual result
value[x]:valueDateTime	ΣC	0..1	dateTime	Actual result
value[x]:valuePeriod	ΣC	0..1	Period	Actual result
value[x]:valueQuantity	ΣC	0..1	QuantityEuLab	Actual result
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConceptIPS	Actual result Binding: Results Coded Values Laboratory - IPS (preferred)
dataAbsentReason	C	0..1	CodeableConcept	Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	O	0..*	CodeableConceptIPS	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method	O	0..1	CodeableConceptIPS	How it was done Binding: Laboratory Techniques (preferred) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
specimen	O	0..1	Reference(Specimen: Laboratory)	Specimen used for this observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
device		0..1	Reference(Device | DeviceMetric)	Measuring instrument
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	OΣ	0..*	Reference(Observation Results: laboratory)	Related resource that belongs to the Observation group Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	OΣ	0..*	BackboneElement	Laboratory result Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
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 result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
value[x]		1..1	Attachment	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	OΣ	1..1	CodeableConceptIPS	Type of component observation (code / type) Binding: Results Laboratory Observation - IPS (preferred) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for value[x]	OΣ	0..1		Actual component result Slice: Unordered, Closed by type:$this Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	Σ	0..1	string	Actual component result
value[x]:valueRange	Σ	0..1	RangeIPS	Actual component result
value[x]:valueRatio	Σ	0..1	RatioEuLab	Actual component result
value[x]:valueTime	Σ	0..1	time	Actual component result
value[x]:valueDateTime	Σ	0..1	dateTime	Actual component result
value[x]:valuePeriod	Σ	0..1	Period	Actual component result
value[x]:valueQuantity	Σ	0..1	QuantityEuLab	Actual component result
value[x]:valueCodeableConcept	Σ	0..1	CodeableConceptIPS	Actual component result Binding: Results Coded Values Laboratory - IPS (preferred)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:laboratory	preferred	Pattern: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab from this IG
Observation.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab from this IG
Observation.code	preferred	LaboratoryResultStandardEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab from this IG
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.value[x]:valueCodeableConcept	preferred	ResultsCodedValuesLaboratoryUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	preferred	LabTechniqueEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-technique-eu-lab from this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	preferred	ResultsLaboratoryObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.component.value[x]:valueCodeableConcept	preferred	ResultsCodedValuesLaboratoryUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
eu-lab-1	error	Observation	If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2	error	Observation	If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservationResultsLaboratoryEu

Summary

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservationResultsLaboratoryEu	Laboratory result for a simple test or for a panel/study dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:supportingInfo	O	0..*	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
extension:triggeredBy-r5	O	0..*	(Complex)	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
Slices for extension				Content/Rules for all slices
extension:observation	O	0..*	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
extension		0..0
url		1..1	uri	"observation"
value[x]		1..1	Reference(Observation)	Value of extension ele-1: All FHIR elements must have a @value or children
extension:type	O	0..*	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
extension		0..0
url		1..1	uri	"type"
value[x]		1..1	code	Value of extension ele-1: All FHIR elements must have a @value or children
extension:reason		0..*	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"reason"
value[x]		1..1	string	Value of extension ele-1: All FHIR elements must have a @value or children
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension:certifiedRefMaterialCodeable		0..*	CodeableConcept	Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:certifiedRefMaterialIdentifer		0..*	Identifier	Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:labTestKit		0..*	Reference(Device)	Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:value-r5		0..1	(Complex)	only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
value[x]		1..1	Attachment	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!OΣ	1..1	code	Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for category	O	1..*	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
category:laboratory		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children 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) ele-1: All FHIR elements must have a @value or children
category:specialty		0..*	CodeableConcept	The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) ele-1: All FHIR elements must have a @value or children
code	OΣ	1..1	CodeableConceptIPS	Type of observation (code / type) Binding: Laboratory Code (preferred) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
subject	OΣ	1..1	Reference(Patient: Animal | Patient: Person | Group | Device | Location)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
effective[x]	OΣ	1..1		Clinically relevant time/time-period for observation ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
effective[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	O	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
effectiveDateTime			dateTime
effectivePeriod			Period
issued	OΣ	0..1	instant	Date/Time this result was made available ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
performer	OΣ	1..*	Reference(PractitionerRole: Laboratory Report | Practitioner: Laboratory Report | Organization (IPS) | CareTeam | Patient: Person | RelatedPerson)	Who is responsible for the observation ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for extension				Content/Rules for all slices
extension:performerFunction	O	0..*	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
Slices for value[x]	OΣC	0..1		Actual result Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	ΣC	0..1	string	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueRange	ΣC	0..1	RangeIPS	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueRatio	ΣC	0..1	RatioEuLab	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueTime	ΣC	0..1	time	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueDateTime	ΣC	0..1	dateTime	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valuePeriod	ΣC	0..1	Period	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueQuantity	ΣC	0..1	QuantityEuLab	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConceptIPS	Actual result Binding: Results Coded Values Laboratory - IPS (preferred) ele-1: All FHIR elements must have a @value or children
interpretation	O	0..*	CodeableConceptIPS	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
method	O	0..1	CodeableConceptIPS	How it was done Binding: Laboratory Techniques (preferred) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
specimen	O	0..1	Reference(Specimen: Laboratory)	Specimen used for this observation ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
hasMember	OΣ	0..*	Reference(Observation Results: laboratory)	Related resource that belongs to the Observation group ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
component	OΣ	0..*	BackboneElement	Laboratory result ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for extension				Content/Rules for all slices
extension:value-r5		0..1	(Complex)	only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
value[x]		1..1	Attachment	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	OΣ	1..1	CodeableConceptIPS	Type of component observation (code / type) Binding: Results Laboratory Observation - IPS (preferred) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for value[x]	OΣ	0..1		Actual component result Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	Σ	0..1	string	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valueRange	Σ	0..1	RangeIPS	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valueRatio	Σ	0..1	RatioEuLab	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valueTime	Σ	0..1	time	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valueDateTime	Σ	0..1	dateTime	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valuePeriod	Σ	0..1	Period	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valueQuantity	Σ	0..1	QuantityEuLab	Actual component result ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept	Σ	0..1	CodeableConceptIPS	Actual component result Binding: Results Coded Values Laboratory - IPS (preferred) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:laboratory	preferred	Pattern: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab from this IG
Observation.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab from this IG
Observation.code	preferred	LaboratoryResultStandardEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab from this IG
Observation.value[x]:valueCodeableConcept	preferred	ResultsCodedValuesLaboratoryUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.method	preferred	LabTechniqueEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-technique-eu-lab from this IG
Observation.component.code	preferred	ResultsLaboratoryObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.component.value[x]:valueCodeableConcept	preferred	ResultsCodedValuesLaboratoryUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
eu-lab-1	error	Observation	If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2	error	Observation	If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from ObservationResultsLaboratoryEu

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	ObservationResultsLaboratoryEu	Laboratory result for a simple test or for a panel/study
Slices for extension				Content/Rules for all slices
extension:supportingInfo	O	0..*	SupportingInfo(5.2.0)	Other information that may be relevant to this event. Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
extension:triggeredBy-r5	O	0..*	R5 Observation.triggeredBy	Extension Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
Slices for extension				Content/Rules for all slices
extension:observation	O	0..*	Extension	Extension Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
extension:type	O	0..*	Extension	Extension Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
status	O	1..1	code	Status of this observation (e.g. preliminary, final,...) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
category	O	1..*	CodeableConceptIPS	Classification of type of observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
code	O	1..1	CodeableConceptIPS	Type of observation (code / type) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
subject	O	1..1	Reference(Patient: Animal | Patient: Person | Group | Device | Location)	Who and/or what the observation is about Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
effective[x]	O	1..1	dateTime, Period	Clinically relevant time/time-period for observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	O	0..1	DataAbsentReason(5.2.0)	unknown | asked | temp | notasked | masked | unsupported | astext | error Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
issued	O	0..1	instant	Date/Time this result was made available Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
performer	O	1..*	Reference(PractitionerRole: Laboratory Report | Practitioner: Laboratory Report | Organization (IPS) | CareTeam | Patient: Person | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for extension				Content/Rules for all slices
extension:performerFunction	O	0..*	PerformerFunction(5.2.0)	Type of performance Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
value[x]	O	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
interpretation	O	0..*	CodeableConceptIPS	High, low, normal, etc. Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
method	O	0..1	CodeableConceptIPS	How it was done Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
specimen	O	0..1	Reference(Specimen: Laboratory)	Specimen used for this observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
hasMember	O	0..*	Reference(Observation Results: laboratory)	Related resource that belongs to the Observation group Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
component	O	0..*	BackboneElement	Laboratory result Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
code	O	1..1	CodeableConceptIPS	Type of component observation (code / type) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
value[x]	O	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservationResultsLaboratoryEu	Laboratory result for a simple test or for a panel/study obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Laboratory Test Kit Slice: Unordered, Open by value:url
extension:supportingInfo	O	0..*	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
extension:triggeredBy-r5	O	0..*	(Complex)	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
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:observation	O	0..*	Extension	Extension Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"observation"
value[x]		1..1	Reference(Observation)	Value of extension
extension:type	O	0..*	Extension	Extension Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"type"
value[x]		1..1	code	Value of extension
extension:reason		0..*	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reason"
value[x]		1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
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:labTestKit		0..*	Reference(Device)	Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
extension:value-r5		0..1	(Complex)	only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
value[x]		1..1	Attachment	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!OΣ	1..1	code	Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation. Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for category	O	1..*	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
category:laboratory		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category: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	CodeableConceptIPS	Type of observation (code / type) Binding: Laboratory Code (preferred) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
subject	OΣ	1..1	Reference(Patient: Animal | Patient: Person | Group | Device | Location)	Who and/or what the observation is about Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	OΣ	1..1		Clinically relevant time/time-period for observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
effective[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:data-absent-reason	O	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
effectiveDateTime			dateTime
effectivePeriod			Period
issued	OΣ	0..1	instant	Date/Time this result was made available Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
performer	OΣ	1..*	Reference(PractitionerRole: Laboratory Report | Practitioner: Laboratory Report | Organization (IPS) | CareTeam | Patient: Person | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
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	O	0..*	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHOULD:able-to-populate LabReportCreator
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]	OΣC	0..1		Actual result Slice: Unordered, Closed by type:$this Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	ΣC	0..1	string	Actual result
value[x]:valueRange	ΣC	0..1	RangeIPS	Actual result
value[x]:valueRatio	ΣC	0..1	RatioEuLab	Actual result
value[x]:valueTime	ΣC	0..1	time	Actual result
value[x]:valueDateTime	ΣC	0..1	dateTime	Actual result
value[x]:valuePeriod	ΣC	0..1	Period	Actual result
value[x]:valueQuantity	ΣC	0..1	QuantityEuLab	Actual result
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConceptIPS	Actual result Binding: Results Coded Values Laboratory - IPS (preferred)
dataAbsentReason	C	0..1	CodeableConcept	Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	O	0..*	CodeableConceptIPS	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method	O	0..1	CodeableConceptIPS	How it was done Binding: Laboratory Techniques (preferred) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
specimen	O	0..1	Reference(Specimen: Laboratory)	Specimen used for this observation Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
device		0..1	Reference(Device | DeviceMetric)	Measuring instrument
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	OΣ	0..*	Reference(Observation Results: laboratory)	Related resource that belongs to the Observation group Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	OΣ	0..*	BackboneElement	Laboratory result Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
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 result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
value[x]		1..1	Attachment	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	OΣ	1..1	CodeableConceptIPS	Type of component observation (code / type) Binding: Results Laboratory Observation - IPS (preferred) Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
Slices for value[x]	OΣ	0..1		Actual component result Slice: Unordered, Closed by type:$this Obligations Actor SHALL:handle LabReportRepos SHALL:handle LabReportConsumer SHALL:able-to-populate LabReportCreator
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	Σ	0..1	string	Actual component result
value[x]:valueRange	Σ	0..1	RangeIPS	Actual component result
value[x]:valueRatio	Σ	0..1	RatioEuLab	Actual component result
value[x]:valueTime	Σ	0..1	time	Actual component result
value[x]:valueDateTime	Σ	0..1	dateTime	Actual component result
value[x]:valuePeriod	Σ	0..1	Period	Actual component result
value[x]:valueQuantity	Σ	0..1	QuantityEuLab	Actual component result
value[x]:valueCodeableConcept	Σ	0..1	CodeableConceptIPS	Actual component result Binding: Results Coded Values Laboratory - IPS (preferred)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:laboratory	preferred	Pattern: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:studyType	required	LabStudyTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab from this IG
Observation.category:specialty	required	LabSpecialtyEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab from this IG
Observation.code	preferred	LaboratoryResultStandardEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab from this IG
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.value[x]:valueCodeableConcept	preferred	ResultsCodedValuesLaboratoryUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	preferred	LabTechniqueEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-technique-eu-lab from this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	preferred	ResultsLaboratoryObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.component.value[x]:valueCodeableConcept	preferred	ResultsCodedValuesLaboratoryUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
eu-lab-1	error	Observation	If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2	error	Observation	If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservationResultsLaboratoryEu

Summary

Maturity: 0