HL7 Europe Laboratory Report
2.0.0-alpha - qa-preview 150

HL7 Europe Laboratory Report - Downloaded Version 2.0.0-alpha See the Directory of published versions

## Resource Profile: Observation Obligations

Official URL: http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-obl-eu-lab | Version: 2.0.0-alpha
Standards status: Informative | Maturity Level: 0 | Computable Name: ObservationEuObligations
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

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

Usages:

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

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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | ObservationResultsLaboratoryEu | Laboratory result for a simple test or for a panel/study Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
extension:triggeredBy-r5 | O | 0..* | (Complex) | Triggering observation(s) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:observation | O | 1..1 | Extension | Extension Constraints: ext-1
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
url |  | 1..1 | uri | "observation"
extension:type | O | 1..1 | Extension | Extension Constraints: ext-1
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
url |  | 1..1 | uri | "type"
extension:reason |  | 0..1 | Extension | Reason that the observation was triggered Constraints: ext-1
url |  | 1..1 | uri | "reason"
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension: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
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!O Σ | 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 pattern:$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 | O Σ | 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 | O Σ | 1..1 | Reference(Patient: Animal | Patient (EU core) | 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 Σ | 1..1 |  | Clinically relevant time/time-period for observation
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | O Σ | 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 Σ | 1..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (IPS) | CareTeam | Patient (EU core) | 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..1 | 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
Slices for value[x] | O Σ C | 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 | Σ C | 0..1 | string | Actual result
value[x]:valueRange | Σ C | 0..1 | RangeEuLab | Actual result
value[x]:valueRatio | Σ C | 0..1 | RatioEuLab | Actual result
value[x]:valueTime | Σ C | 0..1 | time | Actual result
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
value[x]:valuePeriod | Σ C | 0..1 | Period | Actual result
value[x]:valueQuantity | Σ C | 0..1 | QuantityEuLab | Actual result
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConceptIPS | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
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
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
hasMember | O Σ | 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 Σ | 0..* | BackboneElement | Laboratory result
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | O Σ | 1..1 | CodeableConceptIPS | Type of component observation (code / type) Binding: Results Laboratory/Pathology Observation - IPS (preferred)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Slices for value[x] | O Σ | 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 | RangeEuLab | 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/Pathology - IPS (preferred)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.category:laboratory | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.category:studyType | Base | required | Laboratory Study Types | 📦2.0.0-alpha | This IG
Observation.category:specialty | Base | required | Laboratory Specialty | 📦2.0.0-alpha | This IG
Observation.code | Base | preferred | Laboratory Code | 📦2.0.0-alpha | This IG
Observation.value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.
Observation.method | Base | preferred | Laboratory Techniques | 📦2.0.0-alpha | This IG
Observation.component.​code | Base | preferred | Results Laboratory/Pathology Observation - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.component.​value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0

#### 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())`
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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 | Triggering observation(s)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
Slices for extension |  |  |  | Content/Rules for all slices
extension:observation | O | 1..1 | Extension | Extension
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
extension:type | O | 1..1 | 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 (EU core) | 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, Timing, instant | Clinically relevant time/time-period for observation
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 (EU core) | Practitioner (EU core) | Organization (IPS) | CareTeam | Patient (EU core) | 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..1 | 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | ObservationResultsLaboratoryEu | Laboratory result for a simple test or for a panel/study Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2
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 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 | 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) | Triggering observation(s) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1
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 |  | 2..* | Extension | Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:observation | O | 1..1 | Extension | Extension Constraints: ext-1
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 Constraints: ext-1
url |  | 1..1 | uri | "observation"
value[x] |  | 0..1 | Reference() | Triggering observation
extension:type | O | 1..1 | Extension | Extension Constraints: ext-1
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 Constraints: ext-1
url |  | 1..1 | uri | "type"
value[x] |  | 0..1 | code | reflex | repeat | re-run Binding: R5_observation_triggeredbytype_for_R4 (0.0.1-snapshot-2) (required): The type of TriggeredBy Observation.
extension:reason |  | 0..1 | Extension | Reason that the observation was triggered Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "reason"
value[x] |  | 0..1 | string | Reason that the observation was triggered
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension: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
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 | ?!O Σ | 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 pattern:$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 | O Σ | 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 | O Σ | 1..1 | Reference(Patient: Animal | Patient (EU core) | Group | Device | Location) | Who and/or what the observation is about
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
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] | O Σ | 1..1 |  | Clinically relevant time/time-period for observation
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | O Σ | 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 Σ | 1..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (IPS) | CareTeam | Patient (EU core) | 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..1 | 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 | Σ C | 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] | O Σ C | 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 | Σ C | 0..1 | string | Actual result
value[x]:valueRange | Σ C | 0..1 | RangeEuLab | Actual result
value[x]:valueRatio | Σ C | 0..1 | RatioEuLab | Actual result
value[x]:valueTime | Σ C | 0..1 | time | Actual result
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
value[x]:valuePeriod | Σ C | 0..1 | Period | Actual result
value[x]:valueQuantity | Σ C | 0..1 | QuantityEuLab | Actual result
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConceptIPS | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
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 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: 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 | O Σ | 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 | O Σ | 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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | O Σ | 1..1 | CodeableConceptIPS | Type of component observation (code / type) Binding: Results Laboratory/Pathology Observation - IPS (preferred)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Slices for value[x] | O Σ | 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 | RangeEuLab | 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/Pathology - IPS (preferred)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
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 | Status | Usage | ValueSet | Version | Source
Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Observation.extension:triggeredBy-r5.​extension:type.value[x] | Base | required | Cross-version VS for R5.TriggeredBytype for use in FHIR R4 | 📍0.0.1-snapshot-2 | FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.category:laboratory | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.category:studyType | Base | required | Laboratory Study Types | 📦2.0.0-alpha | This IG
Observation.category:specialty | Base | required | Laboratory Specialty | 📦2.0.0-alpha | This IG
Observation.code | Base | preferred | Laboratory Code | 📦2.0.0-alpha | This IG
Observation.performer.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Observation.value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Observation.method | Base | preferred | Laboratory Techniques | 📦2.0.0-alpha | This IG
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std.
Observation.component.​code | Base | preferred | Results Laboratory/Pathology Observation - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.component.​value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📍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())`
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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | ObservationResultsLaboratoryEu | Laboratory result for a simple test or for a panel/study Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
extension:triggeredBy-r5 | O | 0..* | (Complex) | Triggering observation(s) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:observation | O | 1..1 | Extension | Extension Constraints: ext-1
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
url |  | 1..1 | uri | "observation"
extension:type | O | 1..1 | Extension | Extension Constraints: ext-1
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
url |  | 1..1 | uri | "type"
extension:reason |  | 0..1 | Extension | Reason that the observation was triggered Constraints: ext-1
url |  | 1..1 | uri | "reason"
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension: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
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!O Σ | 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 pattern:$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 | O Σ | 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 | O Σ | 1..1 | Reference(Patient: Animal | Patient (EU core) | 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 Σ | 1..1 |  | Clinically relevant time/time-period for observation
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | O Σ | 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 Σ | 1..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (IPS) | CareTeam | Patient (EU core) | 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..1 | 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
Slices for value[x] | O Σ C | 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 | Σ C | 0..1 | string | Actual result
value[x]:valueRange | Σ C | 0..1 | RangeEuLab | Actual result
value[x]:valueRatio | Σ C | 0..1 | RatioEuLab | Actual result
value[x]:valueTime | Σ C | 0..1 | time | Actual result
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
value[x]:valuePeriod | Σ C | 0..1 | Period | Actual result
value[x]:valueQuantity | Σ C | 0..1 | QuantityEuLab | Actual result
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConceptIPS | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
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
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
hasMember | O Σ | 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 Σ | 0..* | BackboneElement | Laboratory result
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | O Σ | 1..1 | CodeableConceptIPS | Type of component observation (code / type) Binding: Results Laboratory/Pathology Observation - IPS (preferred)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Slices for value[x] | O Σ | 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 | RangeEuLab | 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/Pathology - IPS (preferred)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.category:laboratory | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.category:studyType | Base | required | Laboratory Study Types | 📦2.0.0-alpha | This IG
Observation.category:specialty | Base | required | Laboratory Specialty | 📦2.0.0-alpha | This IG
Observation.code | Base | preferred | Laboratory Code | 📦2.0.0-alpha | This IG
Observation.value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.
Observation.method | Base | preferred | Laboratory Techniques | 📦2.0.0-alpha | This IG
Observation.component.​code | Base | preferred | Results Laboratory/Pathology Observation - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.component.​value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0

#### 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())`
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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 | Triggering observation(s)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
Slices for extension |  |  |  | Content/Rules for all slices
extension:observation | O | 1..1 | Extension | Extension
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
extension:type | O | 1..1 | 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 (EU core) | 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, Timing, instant | Clinically relevant time/time-period for observation
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 (EU core) | Practitioner (EU core) | Organization (IPS) | CareTeam | Patient (EU core) | 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..1 | 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | ObservationResultsLaboratoryEu | Laboratory result for a simple test or for a panel/study Constraints: obs-6, obs-7, eu-lab-1, eu-lab-2
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 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 | 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) | Triggering observation(s) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1
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 |  | 2..* | Extension | Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:observation | O | 1..1 | Extension | Extension Constraints: ext-1
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 Constraints: ext-1
url |  | 1..1 | uri | "observation"
value[x] |  | 0..1 | Reference() | Triggering observation
extension:type | O | 1..1 | Extension | Extension Constraints: ext-1
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 Constraints: ext-1
url |  | 1..1 | uri | "type"
value[x] |  | 0..1 | code | reflex | repeat | re-run Binding: R5_observation_triggeredbytype_for_R4 (0.0.1-snapshot-2) (required): The type of TriggeredBy Observation.
extension:reason |  | 0..1 | Extension | Reason that the observation was triggered Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "reason"
value[x] |  | 0..1 | string | Reason that the observation was triggered
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension: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
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 | ?!O Σ | 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 pattern:$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 | O Σ | 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 | O Σ | 1..1 | Reference(Patient: Animal | Patient (EU core) | Group | Device | Location) | Who and/or what the observation is about
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
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] | O Σ | 1..1 |  | Clinically relevant time/time-period for observation
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | O Σ | 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 Σ | 1..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (IPS) | CareTeam | Patient (EU core) | 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..1 | 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 | Σ C | 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] | O Σ C | 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 | Σ C | 0..1 | string | Actual result
value[x]:valueRange | Σ C | 0..1 | RangeEuLab | Actual result
value[x]:valueRatio | Σ C | 0..1 | RatioEuLab | Actual result
value[x]:valueTime | Σ C | 0..1 | time | Actual result
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
value[x]:valuePeriod | Σ C | 0..1 | Period | Actual result
value[x]:valueQuantity | Σ C | 0..1 | QuantityEuLab | Actual result
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConceptIPS | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
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 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: 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 | O Σ | 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 | O Σ | 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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | O Σ | 1..1 | CodeableConceptIPS | Type of component observation (code / type) Binding: Results Laboratory/Pathology Observation - IPS (preferred)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Slices for value[x] | O Σ | 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 | RangeEuLab | 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/Pathology - IPS (preferred)
Additional Bindings | Purpose
Results Blood Group - SNOMED CT IPS Free Set | candidate
Results Presence Absence - SNOMED CT IPS Free Set | candidate
Results Microorganism - SNOMED CT IPS Free Set | candidate
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 | Status | Usage | ValueSet | Version | Source
Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Observation.extension:triggeredBy-r5.​extension:type.value[x] | Base | required | Cross-version VS for R5.TriggeredBytype for use in FHIR R4 | 📍0.0.1-snapshot-2 | FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.category:laboratory | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.category:studyType | Base | required | Laboratory Study Types | 📦2.0.0-alpha | This IG
Observation.category:specialty | Base | required | Laboratory Specialty | 📦2.0.0-alpha | This IG
Observation.code | Base | preferred | Laboratory Code | 📦2.0.0-alpha | This IG
Observation.performer.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Observation.value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Observation.method | Base | preferred | Laboratory Techniques | 📦2.0.0-alpha | This IG
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std.
Observation.component.​code | Base | preferred | Results Laboratory/Pathology Observation - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.component.​value[x]:valueCodeableConcept | Base | preferred | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📍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())`
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

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