CH ELM (R4)
1.0.0-trialuse - trial-use
CH ELM (R4)
1.0.0-trialuse - trial-use
This page is part of the Observations of notifiable communicable infectious diseases (v1.0.0-trialuse: STU 1 Draft) based on FHIR 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
| Official URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-laboratory | Version: 1.0.0-trialuse | |||
| Draft as of 2023-09-13 | Computable Name: ChElmObservationResultsLaboratory | |||
Copyright/Legal: CC0-1.0 |
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This CH ELM base profile constrains the Observation resource for the purpose of laboratory test reports.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ChLabObservationResultsLaboratory
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 0..* | ChLabObservationResultsLaboratory | CH ELM Observation Results: Laboratory | |
  status | 1..1 | code | registered | preliminary | final | amended + Required Pattern: final | |
 code | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Laboratory Observation (required) | |
 subject | 1..1 | Reference(CH ELM Patient) | Who and/or what the observation is about | |
  Slices for effective[x] | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
   effective[x]:effectiveDateTime | C | 1..1 | dateTime | Clinically relevant time/time-period for observation ch-elm-dateTime: At least the format YYYY-MM-DD is required. |
| performer | 1..1 | Reference(CH ELM Organization: Lab) | Who is responsible for the observation | |
| Slices for value[x] | 1..1 | CodeableConcept | Actual result Slice: Unordered, Open by type:$this | |
| value[x]:valueCodeableConcept | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Coded Values Laboratory (required) | |
| interpretation | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Observation Interpretation Codes (required) | |
 specimen | 1..1 | Reference(CH ELM Specimen: Laboratory) | Specimen used for this observation | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.code | required | ChElmResultsLaboratoryObservation |
| Observation.value[x]:valueCodeableConcept | required | ChElmResultsCodedValuesLaboratory |
| Observation.interpretation | required | ChElmObservationInterpretationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| ch-elm-dateTime | error | Observation.effective[x]:effectiveDateTime | At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10 |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | ChLabObservationResultsLaboratory | CH ELM Observation Results: Laboratory |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final |
| code | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Laboratory Observation (required) | |
| subject | Σ | 1..1 | Reference(CH ELM Patient) | Who and/or what the observation is about |
| Slices for effective[x] | Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this |
| effective[x]:effectiveDateTime | ΣC | 1..1 | dateTime | Clinically relevant time/time-period for observation ch-elm-dateTime: At least the format YYYY-MM-DD is required. |
| performer | Σ | 1..1 | Reference(CH ELM Organization: Lab) | Who is responsible for the observation |
| Slices for value[x] | ΣC | 1..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this |
| value[x]:valueCodeableConcept | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Coded Values Laboratory (required) | |
| interpretation | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Observation Interpretation Codes (required) | |
| specimen | 1..1 | Reference(CH ELM Specimen: Laboratory) | Specimen used for this observation | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.status | required | Pattern: final |
| Observation.code | required | ChElmResultsLaboratoryObservation |
| Observation.value[x]:valueCodeableConcept | required | ChElmResultsCodedValuesLaboratory |
| Observation.interpretation | required | ChElmObservationInterpretationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| ch-elm-dateTime | error | Observation.effective[x]:effectiveDateTime | At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10 | |
| ch-lab-obs1 | warning | Observation | The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab') | |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | ChLabObservationResultsLaboratory | CH ELM Observation Results: Laboratory | ||||
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final | ||||
| category | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| code | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Laboratory Observation (required) | |||||
| subject | Σ | 1..1 | Reference(CH ELM Patient) | Who and/or what the observation is about | ||||
| focus | ΣTU | 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 | ||||
| Slices for effective[x] | Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | ||||
| effective[x]:effectiveDateTime | ΣC | 1..1 | dateTime | Clinically relevant time/time-period for observation ch-elm-dateTime: At least the format YYYY-MM-DD is required. | ||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 1..1 | Reference(CH ELM Organization: Lab) | Who is responsible for the observation | ||||
| Slices for value[x] | ΣC | 1..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueCodeableConcept | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Coded Values Laboratory (required) | |||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Observation Interpretation Codes (required) | |||||
| 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 | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen | 1..1 | Reference(CH ELM Specimen: Laboratory) | Specimen used for this observation | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
| 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 | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
 component | Σ | 0..* | BackboneElement | Component results | ||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
 value[x] | Σ | 0..1 | Actual component result | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.status | required | Pattern: final | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | required | ChElmResultsLaboratoryObservation | ||||
| Observation.value[x]:valueCodeableConcept | required | ChElmResultsCodedValuesLaboratory | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | required | ChElmObservationInterpretationCodes | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
| Observation.method | example | ObservationMethods | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| ch-elm-dateTime | error | Observation.effective[x]:effectiveDateTime | At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10 | |
| ch-lab-obs1 | warning | Observation | The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab') | |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from ChLabObservationResultsLaboratory
Summary
Mandatory: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from ChLabObservationResultsLaboratory
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 0..* | ChLabObservationResultsLaboratory | CH ELM Observation Results: Laboratory | |
| status | 1..1 | code | registered | preliminary | final | amended + Required Pattern: final | |
| code | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Laboratory Observation (required) | |
| subject | 1..1 | Reference(CH ELM Patient) | Who and/or what the observation is about | |
| Slices for effective[x] | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
| effective[x]:effectiveDateTime | C | 1..1 | dateTime | Clinically relevant time/time-period for observation ch-elm-dateTime: At least the format YYYY-MM-DD is required. |
| performer | 1..1 | Reference(CH ELM Organization: Lab) | Who is responsible for the observation | |
| Slices for value[x] | 1..1 | CodeableConcept | Actual result Slice: Unordered, Open by type:$this | |
| value[x]:valueCodeableConcept | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Coded Values Laboratory (required) | |
| interpretation | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Observation Interpretation Codes (required) | |
| specimen | 1..1 | Reference(CH ELM Specimen: Laboratory) | Specimen used for this observation | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.code | required | ChElmResultsLaboratoryObservation |
| Observation.value[x]:valueCodeableConcept | required | ChElmResultsCodedValuesLaboratory |
| Observation.interpretation | required | ChElmObservationInterpretationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| ch-elm-dateTime | error | Observation.effective[x]:effectiveDateTime | At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10 |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | ChLabObservationResultsLaboratory | CH ELM Observation Results: Laboratory |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final |
| code | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Laboratory Observation (required) | |
| subject | Σ | 1..1 | Reference(CH ELM Patient) | Who and/or what the observation is about |
| Slices for effective[x] | Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this |
| effective[x]:effectiveDateTime | ΣC | 1..1 | dateTime | Clinically relevant time/time-period for observation ch-elm-dateTime: At least the format YYYY-MM-DD is required. |
| performer | Σ | 1..1 | Reference(CH ELM Organization: Lab) | Who is responsible for the observation |
| Slices for value[x] | ΣC | 1..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this |
| value[x]:valueCodeableConcept | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Coded Values Laboratory (required) | |
| interpretation | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Observation Interpretation Codes (required) | |
| specimen | 1..1 | Reference(CH ELM Specimen: Laboratory) | Specimen used for this observation | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.status | required | Pattern: final |
| Observation.code | required | ChElmResultsLaboratoryObservation |
| Observation.value[x]:valueCodeableConcept | required | ChElmResultsCodedValuesLaboratory |
| Observation.interpretation | required | ChElmObservationInterpretationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| ch-elm-dateTime | error | Observation.effective[x]:effectiveDateTime | At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10 | |
| ch-lab-obs1 | warning | Observation | The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab') | |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | ChLabObservationResultsLaboratory | CH ELM Observation Results: Laboratory | ||||
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final | ||||
| category | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| code | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Laboratory Observation (required) | |||||
| subject | Σ | 1..1 | Reference(CH ELM Patient) | Who and/or what the observation is about | ||||
| focus | ΣTU | 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 | ||||
| Slices for effective[x] | Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | ||||
| effective[x]:effectiveDateTime | ΣC | 1..1 | dateTime | Clinically relevant time/time-period for observation ch-elm-dateTime: At least the format YYYY-MM-DD is required. | ||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 1..1 | Reference(CH ELM Organization: Lab) | Who is responsible for the observation | ||||
| Slices for value[x] | ΣC | 1..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueCodeableConcept | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Results Coded Values Laboratory (required) | |||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 1..1 | ChElmCodeableConcept | Concept - reference to a terminology or just text Binding: CH ELM Observation Interpretation Codes (required) | |||||
| 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 | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen | 1..1 | Reference(CH ELM Specimen: Laboratory) | Specimen used for this observation | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
| 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 | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| component | Σ | 0..* | BackboneElement | Component results | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] | Σ | 0..1 | Actual component result | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.status | required | Pattern: final | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | required | ChElmResultsLaboratoryObservation | ||||
| Observation.value[x]:valueCodeableConcept | required | ChElmResultsCodedValuesLaboratory | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | required | ChElmObservationInterpretationCodes | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
| Observation.method | example | ObservationMethods | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| ch-elm-dateTime | error | Observation.effective[x]:effectiveDateTime | At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10 | |
| ch-lab-obs1 | warning | Observation | The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab') | |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from ChLabObservationResultsLaboratory
Summary
Mandatory: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron