CH LAB-Report (R4)
1.0.0-ballot - ballot
CH LAB-Report (R4)
1.0.0-ballot - ballot
This page is part of the CH LAB-Report (R4) (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-observation-egfr-cr-cys-ckd-epi-2021 | Version: 1.0.0-ballot | |||
| Active as of 2024-05-17 | Computable Name: ChLabObservation_eGFRcr_cys_CKD_EPI_2021 | |||
Copyright/Legal: CC0-1.0 |
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Glomerular filtration rate (GFR) is considered the best overall index of kidney function; however measured GFR is not practical in the routine clinical setting. Estimated glomerular filtration rate (eGFR) is a suitable alternative and can be calculated for adults >= 18 years using an equation incorporating the patient’s age, gender, and measured serum/plasma/blood creatinine only (eGFRcr) (this term) or both serum/plasma/blood creatinine and serum/plasma cystatin C (eGFRcr-cys) [LOINC: 98980-6]. The serum/plasma/blood creatinine value is based on a measurement procedure that is traceable to the isotope dilution mass spectrometry (IDMS) reference measurement procedure for creatinine. The 2021 CKD-EPI equations used for eGFRcr and eGFRcr-cys do not have a race term as does the older estimating equations that they replace. [https://www.nejm.org/doi/pdf/10.1056/NEJMoa2102953]
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ChLabObservation_eGFR
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation |
0..* | ChLabObservation_eGFR | Laboratory result for a simple test or for a panel/study This profile also imposes the profile Observation Results: laboratory | |
  code |
S | 1..1 | CodeableConcept | eGFRcr-cys SerPlBld CKD-EPI 2021 Required Pattern: At least the following |
   coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
  system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 98980-6 | |
 display |
1..1 | string | Representation defined by the system Fixed Value: Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine and Cystatin C-based formula (CKD-EPI 2021) | |
 Slices for referenceRange |
1..3 | BackboneElement | Provides guide for interpretation Slice: Unordered, Open by value:age.low.value | |
  referenceRange:child |
S | 0..1 | BackboneElement | Provides guide for interpretation |
  low |
||||
 value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 90 | |
| unit |
0..1 | string | Unit representation Required Pattern: mL/min | |
| age |
||||
| low |
||||
| value |
1..1 | decimal | Numerical value (with implicit precision) Required Pattern: 0 | |
| unit |
0..1 | string | Unit representation Required Pattern: a | |
| high |
||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 30 | |
| unit |
0..1 | string | Unit representation Required Pattern: a | |
 text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist nur ab 18 Jahre validiert. | |
| referenceRange:youth |
S | 0..1 | BackboneElement | Provides guide for interpretation |
| low |
||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 90 | |
| unit |
0..1 | string | Unit representation Required Pattern: mL/min | |
| age |
||||
| low |
||||
| value |
1..1 | decimal | Numerical value (with implicit precision) Required Pattern: 18 | |
| unit |
0..1 | string | Unit representation Required Pattern: a | |
| high |
||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 30 | |
| unit |
0..1 | string | Unit representation Required Pattern: a | |
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist ab 18 bis 93 Jahre validiert. | |
 referenceRange:adult |
S | 0..1 | BackboneElement | Provides guide for interpretation |
| low |
||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 60 | |
| unit |
0..1 | string | Unit representation Required Pattern: mL/min | |
| age |
||||
| low |
||||
| value |
1..1 | decimal | Numerical value (with implicit precision) Required Pattern: 31 | |
| unit |
0..1 | string | Unit representation Required Pattern: a | |
| high |
||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 100 | |
| unit |
0..1 | string | Unit representation Required Pattern: a | |
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist nur bis 93 Jahre validiert. | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ChLabObservation_eGFR | Laboratory result for a simple test or for a panel/study This profile also imposes the profile Observation Results: laboratory obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" | ||||||||
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
 supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
| triggeredBy-r5 |
0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:observation |
0..* | Extension | Triggering observation. | |||||||||
  extension |
0..0 | |||||||||||
| url |
1..1 | uri | "observation" | |||||||||
 value[x] |
1..1 | Reference(Observation) | Value of extension | |||||||||
| extension:type |
0..* | Extension | The type of trigger | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
1..1 | code | Value of extension | |||||||||
| extension:reason |
0..* | Extension | Extension | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "reason" | |||||||||
| value[x] |
1..1 | string | Value of extension | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| labTestKit |
0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||
 value[x] |
1..1 | Attachment | Value of extension | |||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| status |
?!Σ | 1..1 | code | Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||||||
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
| 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 | |||||||||
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |||||||||
| category:studyType |
0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) Required Pattern: At least the following | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18719-5 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Chemistry studies (set) | |||||||||
| category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) Required Pattern: At least the following | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 394596001 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Chemical pathology | |||||||||
| code |
SΣ | 1..1 | CodeableConcept | eGFRcr-cys SerPlBld CKD-EPI 2021 Binding: Laboratory Code (preferred) Required Pattern: At least the following | ||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 98980-6 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine and Cystatin C-based formula (CKD-EPI 2021) | |||||||||
| subject |
Σ | 1..1 | Reference(Patient: Animal | Patient: Person | Group | Device | Location) | Who and/or what the observation is about | ||||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
 effective[x] |
Σ | 1..1 | Clinically relevant time/time-period for observation | |||||||||
| effective[x]All Types |
Content/Rules for all Types | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
 data-absent-reason |
0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| performer |
Σ | 1..* | Reference(CH LAB PractitionerRole | CH LAB Practitioner | CH Core Organization | CareTeam | CH LAB Patient | RelatedPerson) | Who is responsible for the observation | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| performerFunction |
0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| Slices for value[x] |
ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueString |
ΣC | 0..1 | string | Actual result | ||||||||
| value[x]:valueRange |
C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
| value[x]:valueTime |
ΣC | 0..1 | time | Actual result | ||||||||
| value[x]:valueDateTime |
ΣC | 0..1 | dateTime | Actual result | ||||||||
| value[x]:valuePeriod |
ΣC | 0..1 | Period | Actual result | ||||||||
| value[x]:valueQuantity |
C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
| value[x]:valueCodeableConcept |
ΣC | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||
| Slices for referenceRange |
C | 1..3 | BackboneElement | Provides guide for interpretation Slice: Unordered, Open by value:age.low.value obs-3: Must have at least a low or a high or text | ||||||||
| referenceRange:All Slices |
Content/Rules for all slices | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| referenceRange:child |
SC | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist nur ab 18 Jahre validiert. | |||||||||
| referenceRange:youth |
SC | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist ab 18 bis 93 Jahre validiert. | |||||||||
| referenceRange:adult |
SC | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist nur bis 93 Jahre validiert. | |||||||||
| Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet / Code | URI | |||||||||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||||||||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||||||||||
| Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||||||||||
| Observation.category:studyType | required | Pattern: LOINC code 18719-5("Chemistry studies (set)")http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | ||||||||||||
| Observation.category:specialty | required | Pattern: SNOMED CT code 394596001("Chemical pathology")http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | ||||||||||||
| Observation.code | preferred | Pattern: LOINC code 98980-6("Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine and Cystatin C-based formula (CKD-EPI 2021)")http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab | ||||||||||||
| Observation.value[x]:valueCodeableConcept | preferred | ResultsCodedValuesLaboratoryUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| eu-lab-1 | error | Observation | If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists() | |
| eu-lab-2 | error | Observation | If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists() | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange, Observation.referenceRange:child, Observation.referenceRange:youth, Observation.referenceRange:adult | 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() | |
| qty-3 | error | Observation.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| rat-1 | error | Observation.value[x]:valueRatio | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
| rng-2 | error | Observation.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
| Name | Flags | Card. | Type | Description & Constraints | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ChLabObservation_eGFR | Laboratory result for a simple test or for a panel/study This profile also imposes the profile Observation Results: laboratory obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" | ||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Laboratory Test Kit Slice: Unordered, Open by value:url | |||||||||
| supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
| triggeredBy-r5 |
0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:observation |
0..* | Extension | Triggering observation. | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "observation" | |||||||||
| value[x] |
1..1 | Reference(Observation) | Value of extension | |||||||||
| extension:type |
0..* | Extension | The type of trigger | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
1..1 | code | Value of extension | |||||||||
| extension:reason |
0..* | Extension | Extension | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "reason" | |||||||||
| value[x] |
1..1 | string | Value of extension | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| labTestKit |
0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||
| value[x] |
1..1 | Attachment | Value of extension | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||||||
| status |
?!Σ | 1..1 | code | Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||||||
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
| 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) 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://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18719-5 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Chemistry studies (set) | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) 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://snomed.info/sct | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 394596001 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Chemical pathology | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
SΣ | 1..1 | CodeableConcept | eGFRcr-cys SerPlBld CKD-EPI 2021 Binding: Laboratory Code (preferred) 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://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 98980-6 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine and Cystatin C-based formula (CKD-EPI 2021) | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| subject |
Σ | 1..1 | Reference(Patient: Animal | Patient: Person | Group | Device | Location) | Who and/or what the observation is about | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||||||
| effective[x] |
Σ | 1..1 | Clinically relevant time/time-period for observation | |||||||||
| effective[x]All Types |
Content/Rules for all Types | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| data-absent-reason |
0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| issued |
Σ | 0..1 | instant | Date/Time this result was made available | ||||||||
| performer |
Σ | 1..* | Reference(CH LAB PractitionerRole | CH LAB Practitioner | CH Core Organization | CareTeam | CH LAB Patient | RelatedPerson) | Who is responsible for the observation | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| performerFunction |
0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| Slices for value[x] |
ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueString |
ΣC | 0..1 | string | Actual result | ||||||||
| value[x]:valueRange |
C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
| value[x]:valueTime |
ΣC | 0..1 | time | Actual result | ||||||||
| value[x]:valueDateTime |
ΣC | 0..1 | dateTime | Actual result | ||||||||
| value[x]:valuePeriod |
ΣC | 0..1 | Period | Actual result | ||||||||
| value[x]:valueQuantity |
C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
| value[x]:valueCodeableConcept |
ΣC | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
| 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: Laboratory Techniques (preferred) 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://snomed.info/sct | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 703505007 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Clearance calculation relative to 1.73 square meters body surface area (qualifier value) | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| specimen |
0..1 | Reference(CH LAB Specimen) | Specimen used for this observation | |||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | Measuring instrument | |||||||||
| Slices for referenceRange |
C | 1..3 | BackboneElement | Provides guide for interpretation Slice: Unordered, Open by value:age.low.value obs-3: Must have at least a low or a high or text | ||||||||
| referenceRange:All Slices |
Content/Rules for all slices | |||||||||||
| 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 | |||||||||
| referenceRange:child |
SC | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 90 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: mL/min | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| 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 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| low |
Σ | 0..1 | SimpleQuantity | Low limit | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) Required Pattern: 0 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: a | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| high |
Σ | 0..1 | SimpleQuantity | High limit | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 30 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: a | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist nur ab 18 Jahre validiert. | |||||||||
| referenceRange:youth |
SC | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 90 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: mL/min | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| 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 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| low |
Σ | 0..1 | SimpleQuantity | Low limit | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) Required Pattern: 18 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: a | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| high |
Σ | 0..1 | SimpleQuantity | High limit | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 30 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: a | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist ab 18 bis 93 Jahre validiert. | |||||||||
| referenceRange:adult |
SC | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 60 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: mL/min | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| 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 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| low |
Σ | 0..1 | SimpleQuantity | Low limit | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) Required Pattern: 31 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: a | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| high |
Σ | 0..1 | SimpleQuantity | High limit | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 100 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: a | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist nur bis 93 Jahre validiert. | |||||||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||||||
| component |
Σ | 0..* | BackboneElement | Laboratory result | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||
| value[x] |
1..1 | Attachment | Value of extension | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||
| Slices for value[x] |
Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueString |
Σ | 0..1 | string | Actual component result | ||||||||
| value[x]:valueRange |
C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
| 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 |
C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
| value[x]:valueCodeableConcept |
Σ | 0..1 | CodeableConcept | Actual component result Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||
| Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet / Code | URI | |||||||||||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||||||||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||||||||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||||||||||
| Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||||||||||
| Observation.category:studyType | required | Pattern: LOINC code 18719-5("Chemistry studies (set)")http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | ||||||||||||
| Observation.category:specialty | required | Pattern: SNOMED CT code 394596001("Chemical pathology")http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | ||||||||||||
| Observation.code | preferred | Pattern: LOINC code 98980-6("Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine and Cystatin C-based formula (CKD-EPI 2021)")http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab | ||||||||||||
| Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||||||||||
| Observation.performer.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||||||||||
| Observation.value[x]:valueCodeableConcept | preferred | ResultsCodedValuesLaboratoryUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | ||||||||||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||||||||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||||||||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||||||||||
| Observation.method | preferred | Pattern: SNOMED CT code 703505007("Clearance calculation relative to 1.73 square meters body surface area (qualifier value)")http://hl7.eu/fhir/laboratory/ValueSet/lab-technique-eu-lab | ||||||||||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||||||||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||||||||||
| Observation.referenceRange:child.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||||||||||
| Observation.referenceRange:child.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||||||||||
| Observation.referenceRange:youth.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||||||||||
| Observation.referenceRange:youth.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||||||||||
| Observation.referenceRange:adult.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||||||||||
| Observation.referenceRange:adult.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||||||||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||||||||||
| Observation.component.value[x]:valueCodeableConcept | preferred | ResultsCodedValuesLaboratoryUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | ||||||||||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||||||||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| eu-lab-1 | error | Observation | If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists() | |
| eu-lab-2 | error | Observation | If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists() | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange, Observation.referenceRange:child, Observation.referenceRange:youth, Observation.referenceRange:adult | 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() | |
| qty-3 | error | Observation.value[x]:valueQuantity, Observation.component.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| rat-1 | error | Observation.value[x]:valueRatio, Observation.component.value[x]:valueRatio | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
| rng-2 | error | Observation.value[x]:valueRange, Observation.component.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
This structure is derived from ChLabObservation_eGFR
Summary
Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 4 elements
Slices
This structure defines the following Slices:
Differential View
This structure is derived from ChLabObservation_eGFR
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
0..* | ChLabObservation_eGFR | Laboratory result for a simple test or for a panel/study This profile also imposes the profile Observation Results: laboratory | |
| code |
S | 1..1 | CodeableConcept | eGFRcr-cys SerPlBld CKD-EPI 2021 Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 98980-6 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine and Cystatin C-based formula (CKD-EPI 2021) | |
| Slices for referenceRange |
1..3 | BackboneElement | Provides guide for interpretation Slice: Unordered, Open by value:age.low.value | |
| referenceRange:child |
S | 0..1 | BackboneElement | Provides guide for interpretation |
| low |
||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 90 | |
| unit |
0..1 | string | Unit representation Required Pattern: mL/min | |
| age |
||||
| low |
||||
| value |
1..1 | decimal | Numerical value (with implicit precision) Required Pattern: 0 | |
| unit |
0..1 | string | Unit representation Required Pattern: a | |
| high |
||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 30 | |
| unit |
0..1 | string | Unit representation Required Pattern: a | |
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist nur ab 18 Jahre validiert. | |
| referenceRange:youth |
S | 0..1 | BackboneElement | Provides guide for interpretation |
| low |
||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 90 | |
| unit |
0..1 | string | Unit representation Required Pattern: mL/min | |
| age |
||||
| low |
||||
| value |
1..1 | decimal | Numerical value (with implicit precision) Required Pattern: 18 | |
| unit |
0..1 | string | Unit representation Required Pattern: a | |
| high |
||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 30 | |
| unit |
0..1 | string | Unit representation Required Pattern: a | |
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist ab 18 bis 93 Jahre validiert. | |
| referenceRange:adult |
S | 0..1 | BackboneElement | Provides guide for interpretation |
| low |
||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 60 | |
| unit |
0..1 | string | Unit representation Required Pattern: mL/min | |
| age |
||||
| low |
||||
| value |
1..1 | decimal | Numerical value (with implicit precision) Required Pattern: 31 | |
| unit |
0..1 | string | Unit representation Required Pattern: a | |
| high |
||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 100 | |
| unit |
0..1 | string | Unit representation Required Pattern: a | |
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist nur bis 93 Jahre validiert. | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ChLabObservation_eGFR | Laboratory result for a simple test or for a panel/study This profile also imposes the profile Observation Results: laboratory obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
| triggeredBy-r5 |
0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:observation |
0..* | Extension | Triggering observation. | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "observation" | |||||||||
| value[x] |
1..1 | Reference(Observation) | Value of extension | |||||||||
| extension:type |
0..* | Extension | The type of trigger | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
1..1 | code | Value of extension | |||||||||
| extension:reason |
0..* | Extension | Extension | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "reason" | |||||||||
| value[x] |
1..1 | string | Value of extension | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| labTestKit |
0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||
| value[x] |
1..1 | Attachment | Value of extension | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| status |
?!Σ | 1..1 | code | Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||||||
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
| 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 | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |||||||||
| category:studyType |
0..* | CodeableConcept | The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.) Binding: Laboratory Study Types (required) Required Pattern: At least the following | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18719-5 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Chemistry studies (set) | |||||||||
| category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) Required Pattern: At least the following | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 394596001 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Chemical pathology | |||||||||
| code |
SΣ | 1..1 | CodeableConcept | eGFRcr-cys SerPlBld CKD-EPI 2021 Binding: Laboratory Code (preferred) Required Pattern: At least the following | ||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 98980-6 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine and Cystatin C-based formula (CKD-EPI 2021) | |||||||||
| subject |
Σ | 1..1 | Reference(Patient: Animal | Patient: Person | Group | Device | Location) | Who and/or what the observation is about | ||||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| effective[x] |
Σ | 1..1 | Clinically relevant time/time-period for observation | |||||||||
| effective[x]All Types |
Content/Rules for all Types | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| data-absent-reason |
0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| performer |
Σ | 1..* | Reference(CH LAB PractitionerRole | CH LAB Practitioner | CH Core Organization | CareTeam | CH LAB Patient | RelatedPerson) | Who is responsible for the observation | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| performerFunction |
0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| Slices for value[x] |
ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueString |
ΣC | 0..1 | string | Actual result | ||||||||
| value[x]:valueRange |
C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
| value[x]:valueTime |
ΣC | 0..1 | time | Actual result | ||||||||
| value[x]:valueDateTime |
ΣC | 0..1 | dateTime | Actual result | ||||||||
| value[x]:valuePeriod |
ΣC | 0..1 | Period | Actual result | ||||||||
| value[x]:valueQuantity |
C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
| value[x]:valueCodeableConcept |
ΣC | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||
| Slices for referenceRange |
C | 1..3 | BackboneElement | Provides guide for interpretation Slice: Unordered, Open by value:age.low.value obs-3: Must have at least a low or a high or text | ||||||||
| referenceRange:All Slices |
Content/Rules for all slices | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| referenceRange:child |
SC | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist nur ab 18 Jahre validiert. | |||||||||
| referenceRange:youth |
SC | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist ab 18 bis 93 Jahre validiert. | |||||||||
| referenceRange:adult |
SC | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist nur bis 93 Jahre validiert. | |||||||||
| Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet / Code | URI | |||||||||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||||||||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||||||||||
| Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||||||||||
| Observation.category:studyType | required | Pattern: LOINC code 18719-5("Chemistry studies (set)")http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | ||||||||||||
| Observation.category:specialty | required | Pattern: SNOMED CT code 394596001("Chemical pathology")http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | ||||||||||||
| Observation.code | preferred | Pattern: LOINC code 98980-6("Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine and Cystatin C-based formula (CKD-EPI 2021)")http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab | ||||||||||||
| Observation.value[x]:valueCodeableConcept | preferred | ResultsCodedValuesLaboratoryUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| eu-lab-1 | error | Observation | If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists() | |
| eu-lab-2 | error | Observation | If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists() | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange, Observation.referenceRange:child, Observation.referenceRange:youth, Observation.referenceRange:adult | 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() | |
| qty-3 | error | Observation.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| rat-1 | error | Observation.value[x]:valueRatio | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
| rng-2 | error | Observation.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ChLabObservation_eGFR | Laboratory result for a simple test or for a panel/study This profile also imposes the profile Observation Results: laboratory obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present eu-lab-1: If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" eu-lab-2: If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" | ||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Laboratory Test Kit Slice: Unordered, Open by value:url | |||||||||
| supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
| triggeredBy-r5 |
0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:observation |
0..* | Extension | Triggering observation. | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "observation" | |||||||||
| value[x] |
1..1 | Reference(Observation) | Value of extension | |||||||||
| extension:type |
0..* | Extension | The type of trigger | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
1..1 | code | Value of extension | |||||||||
| extension:reason |
0..* | Extension | Extension | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "reason" | |||||||||
| value[x] |
1..1 | string | Value of extension | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| labTestKit |
0..* | Reference(Device) | Device Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||
| value[x] |
1..1 | Attachment | Value of extension | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||||||
| status |
?!Σ | 1..1 | code | Status of this observation (e.g. preliminary, final,...) Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||||||
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
| 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) 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://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18719-5 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Chemistry studies (set) | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) 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://snomed.info/sct | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 394596001 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Chemical pathology | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
SΣ | 1..1 | CodeableConcept | eGFRcr-cys SerPlBld CKD-EPI 2021 Binding: Laboratory Code (preferred) 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://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 98980-6 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine and Cystatin C-based formula (CKD-EPI 2021) | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| subject |
Σ | 1..1 | Reference(Patient: Animal | Patient: Person | Group | Device | Location) | Who and/or what the observation is about | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||||||
| effective[x] |
Σ | 1..1 | Clinically relevant time/time-period for observation | |||||||||
| effective[x]All Types |
Content/Rules for all Types | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| data-absent-reason |
0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| issued |
Σ | 0..1 | instant | Date/Time this result was made available | ||||||||
| performer |
Σ | 1..* | Reference(CH LAB PractitionerRole | CH LAB Practitioner | CH Core Organization | CareTeam | CH LAB Patient | RelatedPerson) | Who is responsible for the observation | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| performerFunction |
0..* | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| Slices for value[x] |
ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueString |
ΣC | 0..1 | string | Actual result | ||||||||
| value[x]:valueRange |
C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
| value[x]:valueTime |
ΣC | 0..1 | time | Actual result | ||||||||
| value[x]:valueDateTime |
ΣC | 0..1 | dateTime | Actual result | ||||||||
| value[x]:valuePeriod |
ΣC | 0..1 | Period | Actual result | ||||||||
| value[x]:valueQuantity |
C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
| value[x]:valueCodeableConcept |
ΣC | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
| 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: Laboratory Techniques (preferred) 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://snomed.info/sct | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 703505007 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Clearance calculation relative to 1.73 square meters body surface area (qualifier value) | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| specimen |
0..1 | Reference(CH LAB Specimen) | Specimen used for this observation | |||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | Measuring instrument | |||||||||
| Slices for referenceRange |
C | 1..3 | BackboneElement | Provides guide for interpretation Slice: Unordered, Open by value:age.low.value obs-3: Must have at least a low or a high or text | ||||||||
| referenceRange:All Slices |
Content/Rules for all slices | |||||||||||
| 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 | |||||||||
| referenceRange:child |
SC | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 90 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: mL/min | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| 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 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| low |
Σ | 0..1 | SimpleQuantity | Low limit | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) Required Pattern: 0 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: a | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| high |
Σ | 0..1 | SimpleQuantity | High limit | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 30 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: a | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist nur ab 18 Jahre validiert. | |||||||||
| referenceRange:youth |
SC | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 90 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: mL/min | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| 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 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| low |
Σ | 0..1 | SimpleQuantity | Low limit | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) Required Pattern: 18 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: a | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| high |
Σ | 0..1 | SimpleQuantity | High limit | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 30 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: a | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist ab 18 bis 93 Jahre validiert. | |||||||||
| referenceRange:adult |
SC | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 60 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: mL/min | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| 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 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| low |
Σ | 0..1 | SimpleQuantity | Low limit | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) Required Pattern: 31 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: a | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| high |
Σ | 0..1 | SimpleQuantity | High limit | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 100 | ||||||||
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: a | ||||||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
Σ | 0..1 | code | Coded form of the unit | ||||||||
| text |
0..1 | string | Text based reference range in an observation Required Pattern: Die Formel ist nur bis 93 Jahre validiert. | |||||||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||||||
| component |
Σ | 0..* | BackboneElement | Laboratory result | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| value-r5 |
0..1 | (Complex) | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x] | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||
| value[x] |
1..1 | Attachment | Value of extension | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||
| Slices for value[x] |
Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| value[x]:valueString |
Σ | 0..1 | string | Actual component result | ||||||||
| value[x]:valueRange |
C | 0..1 | RangeIPS | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | A measured ratio using UCUM rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present | ||||||||
| 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 |
C | 0..1 | QuantityEuLab | A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present | ||||||||
| value[x]:valueCodeableConcept |
Σ | 0..1 | CodeableConcept | Actual component result Binding: Results Coded Values Laboratory - IPS (preferred)
| ||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||
| Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet / Code | URI | |||||||||||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||||||||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||||||||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||||||||||
| Observation.category:laboratory | preferred | Pattern: laboratoryhttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||||||||||
| Observation.category:studyType | required | Pattern: LOINC code 18719-5("Chemistry studies (set)")http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab | ||||||||||||
| Observation.category:specialty | required | Pattern: SNOMED CT code 394596001("Chemical pathology")http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab | ||||||||||||
| Observation.code | preferred | Pattern: LOINC code 98980-6("Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine and Cystatin C-based formula (CKD-EPI 2021)")http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab | ||||||||||||
| Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||||||||||
| Observation.performer.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||||||||||
| Observation.value[x]:valueCodeableConcept | preferred | ResultsCodedValuesLaboratoryUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | ||||||||||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||||||||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||||||||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||||||||||
| Observation.method | preferred | Pattern: SNOMED CT code 703505007("Clearance calculation relative to 1.73 square meters body surface area (qualifier value)")http://hl7.eu/fhir/laboratory/ValueSet/lab-technique-eu-lab | ||||||||||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||||||||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||||||||||
| Observation.referenceRange:child.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||||||||||
| Observation.referenceRange:child.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||||||||||
| Observation.referenceRange:youth.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||||||||||
| Observation.referenceRange:youth.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||||||||||
| Observation.referenceRange:adult.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||||||||||
| Observation.referenceRange:adult.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||||||||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||||||||||
| Observation.component.value[x]:valueCodeableConcept | preferred | ResultsCodedValuesLaboratoryUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips | ||||||||||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||||||||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| eu-lab-1 | error | Observation | If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" : (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists() | |
| eu-lab-2 | error | Observation | If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" : component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists() | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange, Observation.referenceRange:child, Observation.referenceRange:youth, Observation.referenceRange:adult | 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() | |
| qty-3 | error | Observation.value[x]:valueQuantity, Observation.component.value[x]:valueQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| rat-1 | error | Observation.value[x]:valueRatio, Observation.component.value[x]:valueRatio | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
| rng-2 | error | Observation.value[x]:valueRange, Observation.component.value[x]:valueRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) |
This structure is derived from ChLabObservation_eGFR
Summary
Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 4 elements
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 Switzerland. Package ch.fhir.ig.ch-lab-report#1.0.0-ballot based on FHIR 4.0.1. Generated 2024-05-17
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