CH LAB-Report (R4)
1.0.0-ballot - ballot Switzerland flag

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

Resource Profile: CH LAB Observation Results CBC Panel - Blood by Automated count, Results in nested Profiles

Official URL: http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-observation-cbc-panel Version: 1.0.0-ballot
Active as of 2024-05-17 Computable Name: ChLabObservationCBCPanel

Copyright/Legal: CC0-1.0

This panel is the traditional hemogram plus platelet count which must now be reported with with hemograms according to current US re-imbursement rule The panel includes 2 different RDWs to accommodate the two different ways of reporting them. (Most automated instruments report as a percent ). The hemoglobin produced by the automatic counters does not use a counting method to generate the hemoglobin so we have used the fotometry version of hemoglobin in this panel.

Usage:

Formal Views of Profile Content

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

This structure is derived from ChLabObservationPanel

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* ChLabObservationPanel Laboratory result for a simple test or for a panel/study
This profile also imposes the profile Observation Results: laboratory
... code 1..1 CodeableConcept Type of observation (code / type)
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: 58410-2
..... display 1..1 string Representation defined by the system
Fixed Value: CBC panel - Blood by Automated count
.... text 0..1 string Plain text representation of the concept
Required Pattern: CBC panel Auto (Bld)
... hasMember 8..* Reference(CH LAB Observation Results: Panel | CH LAB Observation Results: Single Test) Related resource that belongs to the Observation group
... Slices for hasMember Content/Rules for all slices
.... hasMember:WhiteBloodCellCount S 1..1 Reference(CH LAB Observation Results: LeucocyteCount) White Blood Cell Count
.... hasMember:RedBloodCellCount S 1..1 Reference(CH LAB Observation Results: ErythrocyteCount) Red Blood Cell Count
.... hasMember:Hemoglobin S 1..1 Reference(CH LAB Observation Results: Hemoglobin) Hemoglobin
.... hasMember:Hematocrit S 1..1 Reference(CH LAB Observation Results: Hemotocrit) Hematocrit
.... hasMember:MeanCorpuscularVolume S 1..1 Reference(CH LAB Observation Results: MeanCorpuscularVolume) Mean Corpuscular Volume MCV
.... hasMember:MeanCorpuscularHemoglobin S 1..1 Reference(CH LAB Observation Results: Mean Corpuscular Hemoglobin) Mean Corpuscular Hemoglobin MCH
.... hasMember:MeanCorpuscularHemoglobinConcentration S 1..1 Reference(CH LAB Observation Results: Mean Corpuscular Hemoglobin Concentration) Mean Corpuscular Hemoglobin Concentration MCHC
.... hasMember:ErythrocyteDistributionWidth S 0..1 Reference(CH LAB Observation Results: Erythrocyte distribution width [Entitic volume] by Automated count) Erythrocyte Distribution Width
.... hasMember:ErythrocyteDistWidthRatio S 0..1 Reference(CH LAB Observation Results: Erythrocyte distribution width [Ratio] by Automated count) Erythrocyte Distribution Width Ratio
.... hasMember:PlateletCount S 1..1 Reference(CH LAB Observation Results: Platelet Count) Platelet Count
.... hasMember:PlateletDistributionWidth S 0..1 Reference(CH LAB Observation Results: Platelet Distribution With) Platelet Distribution Width
.... hasMember:PlateletMeanVolume S 0..1 Reference(CH LAB Observation Results: Platelet Mean Volume) Platelet Mean Volume

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ChLabObservationPanel 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
... 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)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code Σ 1..1 CodeableConcept Type of observation (code / type)
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: 58410-2
..... display 1..1 string Representation defined by the system
Fixed Value: CBC panel - Blood by Automated count
.... text Σ 0..1 string Plain text representation of the concept
Required Pattern: CBC panel Auto (Bld)
... 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, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... interpretation S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note S 0..* Annotation Comments about the observation
... Slices for hasMember Σ 8..* Reference(CH LAB Observation Results: Panel | CH LAB Observation Results: Single Test) Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:resolve()
.... hasMember:WhiteBloodCellCount SΣ 1..1 Reference(CH LAB Observation Results: LeucocyteCount) White Blood Cell Count
.... hasMember:RedBloodCellCount SΣ 1..1 Reference(CH LAB Observation Results: ErythrocyteCount) Red Blood Cell Count
.... hasMember:Hemoglobin SΣ 1..1 Reference(CH LAB Observation Results: Hemoglobin) Hemoglobin
.... hasMember:Hematocrit SΣ 1..1 Reference(CH LAB Observation Results: Hemotocrit) Hematocrit
.... hasMember:MeanCorpuscularVolume SΣ 1..1 Reference(CH LAB Observation Results: MeanCorpuscularVolume) Mean Corpuscular Volume MCV
.... hasMember:MeanCorpuscularHemoglobin SΣ 1..1 Reference(CH LAB Observation Results: Mean Corpuscular Hemoglobin) Mean Corpuscular Hemoglobin MCH
.... hasMember:MeanCorpuscularHemoglobinConcentration SΣ 1..1 Reference(CH LAB Observation Results: Mean Corpuscular Hemoglobin Concentration) Mean Corpuscular Hemoglobin Concentration MCHC
.... hasMember:ErythrocyteDistributionWidth SΣ 0..1 Reference(CH LAB Observation Results: Erythrocyte distribution width [Entitic volume] by Automated count) Erythrocyte Distribution Width
.... hasMember:ErythrocyteDistWidthRatio SΣ 0..1 Reference(CH LAB Observation Results: Erythrocyte distribution width [Ratio] by Automated count) Erythrocyte Distribution Width Ratio
.... hasMember:PlateletCount SΣ 1..1 Reference(CH LAB Observation Results: Platelet Count) Platelet Count
.... hasMember:PlateletDistributionWidth SΣ 0..1 Reference(CH LAB Observation Results: Platelet Distribution With) Platelet Distribution Width
.... hasMember:PlateletMeanVolume SΣ 0..1 Reference(CH LAB Observation Results: Platelet Mean Volume) Platelet Mean Volume

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:laboratorypreferredPattern: laboratory
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Observation.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Observation.codepreferredPattern: LOINC code 58410-2("CBC panel - Blood by Automated count")
http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.value[x]:valueCodeableConceptpreferredResultsCodedValuesLaboratoryUvIps
Additional Bindings Purpose Documentation
Results Blood Group - SNOMED CT IPS Free Set candidate

Additional conformance binding to a blood group findings value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Results Presence Absence - SNOMED CT IPS Free Set candidate

Additional conformance binding to a presence and absence findings (qualifier values) value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Results Microorganism - SNOMED CT IPS Free Set candidate

Additional conformance binding to a microorganisms value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
eu-lab-1errorObservationIf 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-2errorObservationIf 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-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-3errorObservation.component.value[x]:valueQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.component.value[x]:valueRatioNumerator 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-2errorObservation.component.value[x]:valueRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ChLabObservationPanel 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Laboratory Test Kit
Slice: Unordered, Open by value:url
.... 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)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code Σ 1..1 CodeableConcept Type of observation (code / type)
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: 58410-2
..... display 1..1 string Representation defined by the system
Fixed Value: CBC panel - Blood by Automated count
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
Required Pattern: CBC panel Auto (Bld)
... 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, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... 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 S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note S 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)
... specimen 0..1 Reference(CH LAB Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) Measuring instrument
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... Slices for hasMember Σ 8..* Reference(CH LAB Observation Results: Panel | CH LAB Observation Results: Single Test) Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:resolve()
.... hasMember:WhiteBloodCellCount SΣ 1..1 Reference(CH LAB Observation Results: LeucocyteCount) White Blood Cell Count
.... hasMember:RedBloodCellCount SΣ 1..1 Reference(CH LAB Observation Results: ErythrocyteCount) Red Blood Cell Count
.... hasMember:Hemoglobin SΣ 1..1 Reference(CH LAB Observation Results: Hemoglobin) Hemoglobin
.... hasMember:Hematocrit SΣ 1..1 Reference(CH LAB Observation Results: Hemotocrit) Hematocrit
.... hasMember:MeanCorpuscularVolume SΣ 1..1 Reference(CH LAB Observation Results: MeanCorpuscularVolume) Mean Corpuscular Volume MCV
.... hasMember:MeanCorpuscularHemoglobin SΣ 1..1 Reference(CH LAB Observation Results: Mean Corpuscular Hemoglobin) Mean Corpuscular Hemoglobin MCH
.... hasMember:MeanCorpuscularHemoglobinConcentration SΣ 1..1 Reference(CH LAB Observation Results: Mean Corpuscular Hemoglobin Concentration) Mean Corpuscular Hemoglobin Concentration MCHC
.... hasMember:ErythrocyteDistributionWidth SΣ 0..1 Reference(CH LAB Observation Results: Erythrocyte distribution width [Entitic volume] by Automated count) Erythrocyte Distribution Width
.... hasMember:ErythrocyteDistWidthRatio SΣ 0..1 Reference(CH LAB Observation Results: Erythrocyte distribution width [Ratio] by Automated count) Erythrocyte Distribution Width Ratio
.... hasMember:PlateletCount SΣ 1..1 Reference(CH LAB Observation Results: Platelet Count) Platelet Count
.... hasMember:PlateletDistributionWidth SΣ 0..1 Reference(CH LAB Observation Results: Platelet Distribution With) Platelet Distribution Width
.... hasMember:PlateletMeanVolume SΣ 0..1 Reference(CH LAB Observation Results: Platelet Mean Volume) Platelet Mean Volume
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:laboratorypreferredPattern: laboratory
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Observation.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Observation.codepreferredPattern: LOINC code 58410-2("CBC panel - Blood by Automated count")
http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab
Observation.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodpreferredLabTechniqueEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-technique-eu-lab
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.value[x]:valueCodeableConceptpreferredResultsCodedValuesLaboratoryUvIps
Additional Bindings Purpose Documentation
Results Blood Group - SNOMED CT IPS Free Set candidate

Additional conformance binding to a blood group findings value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Results Presence Absence - SNOMED CT IPS Free Set candidate

Additional conformance binding to a presence and absence findings (qualifier values) value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Results Microorganism - SNOMED CT IPS Free Set candidate

Additional conformance binding to a microorganisms value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
eu-lab-1errorObservationIf 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-2errorObservationIf 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-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-3errorObservation.component.value[x]:valueQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.component.value[x]:valueRatioNumerator 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-2errorObservation.component.value[x]:valueRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)

This structure is derived from ChLabObservationPanel

Summary

Mandatory: 8 elements
Must-Support: 12 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from ChLabObservationPanel

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* ChLabObservationPanel Laboratory result for a simple test or for a panel/study
This profile also imposes the profile Observation Results: laboratory
... code 1..1 CodeableConcept Type of observation (code / type)
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: 58410-2
..... display 1..1 string Representation defined by the system
Fixed Value: CBC panel - Blood by Automated count
.... text 0..1 string Plain text representation of the concept
Required Pattern: CBC panel Auto (Bld)
... hasMember 8..* Reference(CH LAB Observation Results: Panel | CH LAB Observation Results: Single Test) Related resource that belongs to the Observation group
... Slices for hasMember Content/Rules for all slices
.... hasMember:WhiteBloodCellCount S 1..1 Reference(CH LAB Observation Results: LeucocyteCount) White Blood Cell Count
.... hasMember:RedBloodCellCount S 1..1 Reference(CH LAB Observation Results: ErythrocyteCount) Red Blood Cell Count
.... hasMember:Hemoglobin S 1..1 Reference(CH LAB Observation Results: Hemoglobin) Hemoglobin
.... hasMember:Hematocrit S 1..1 Reference(CH LAB Observation Results: Hemotocrit) Hematocrit
.... hasMember:MeanCorpuscularVolume S 1..1 Reference(CH LAB Observation Results: MeanCorpuscularVolume) Mean Corpuscular Volume MCV
.... hasMember:MeanCorpuscularHemoglobin S 1..1 Reference(CH LAB Observation Results: Mean Corpuscular Hemoglobin) Mean Corpuscular Hemoglobin MCH
.... hasMember:MeanCorpuscularHemoglobinConcentration S 1..1 Reference(CH LAB Observation Results: Mean Corpuscular Hemoglobin Concentration) Mean Corpuscular Hemoglobin Concentration MCHC
.... hasMember:ErythrocyteDistributionWidth S 0..1 Reference(CH LAB Observation Results: Erythrocyte distribution width [Entitic volume] by Automated count) Erythrocyte Distribution Width
.... hasMember:ErythrocyteDistWidthRatio S 0..1 Reference(CH LAB Observation Results: Erythrocyte distribution width [Ratio] by Automated count) Erythrocyte Distribution Width Ratio
.... hasMember:PlateletCount S 1..1 Reference(CH LAB Observation Results: Platelet Count) Platelet Count
.... hasMember:PlateletDistributionWidth S 0..1 Reference(CH LAB Observation Results: Platelet Distribution With) Platelet Distribution Width
.... hasMember:PlateletMeanVolume S 0..1 Reference(CH LAB Observation Results: Platelet Mean Volume) Platelet Mean Volume

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ChLabObservationPanel 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
... 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)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code Σ 1..1 CodeableConcept Type of observation (code / type)
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: 58410-2
..... display 1..1 string Representation defined by the system
Fixed Value: CBC panel - Blood by Automated count
.... text Σ 0..1 string Plain text representation of the concept
Required Pattern: CBC panel Auto (Bld)
... 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, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... interpretation S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note S 0..* Annotation Comments about the observation
... Slices for hasMember Σ 8..* Reference(CH LAB Observation Results: Panel | CH LAB Observation Results: Single Test) Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:resolve()
.... hasMember:WhiteBloodCellCount SΣ 1..1 Reference(CH LAB Observation Results: LeucocyteCount) White Blood Cell Count
.... hasMember:RedBloodCellCount SΣ 1..1 Reference(CH LAB Observation Results: ErythrocyteCount) Red Blood Cell Count
.... hasMember:Hemoglobin SΣ 1..1 Reference(CH LAB Observation Results: Hemoglobin) Hemoglobin
.... hasMember:Hematocrit SΣ 1..1 Reference(CH LAB Observation Results: Hemotocrit) Hematocrit
.... hasMember:MeanCorpuscularVolume SΣ 1..1 Reference(CH LAB Observation Results: MeanCorpuscularVolume) Mean Corpuscular Volume MCV
.... hasMember:MeanCorpuscularHemoglobin SΣ 1..1 Reference(CH LAB Observation Results: Mean Corpuscular Hemoglobin) Mean Corpuscular Hemoglobin MCH
.... hasMember:MeanCorpuscularHemoglobinConcentration SΣ 1..1 Reference(CH LAB Observation Results: Mean Corpuscular Hemoglobin Concentration) Mean Corpuscular Hemoglobin Concentration MCHC
.... hasMember:ErythrocyteDistributionWidth SΣ 0..1 Reference(CH LAB Observation Results: Erythrocyte distribution width [Entitic volume] by Automated count) Erythrocyte Distribution Width
.... hasMember:ErythrocyteDistWidthRatio SΣ 0..1 Reference(CH LAB Observation Results: Erythrocyte distribution width [Ratio] by Automated count) Erythrocyte Distribution Width Ratio
.... hasMember:PlateletCount SΣ 1..1 Reference(CH LAB Observation Results: Platelet Count) Platelet Count
.... hasMember:PlateletDistributionWidth SΣ 0..1 Reference(CH LAB Observation Results: Platelet Distribution With) Platelet Distribution Width
.... hasMember:PlateletMeanVolume SΣ 0..1 Reference(CH LAB Observation Results: Platelet Mean Volume) Platelet Mean Volume

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:laboratorypreferredPattern: laboratory
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Observation.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Observation.codepreferredPattern: LOINC code 58410-2("CBC panel - Blood by Automated count")
http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.value[x]:valueCodeableConceptpreferredResultsCodedValuesLaboratoryUvIps
Additional Bindings Purpose Documentation
Results Blood Group - SNOMED CT IPS Free Set candidate

Additional conformance binding to a blood group findings value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Results Presence Absence - SNOMED CT IPS Free Set candidate

Additional conformance binding to a presence and absence findings (qualifier values) value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Results Microorganism - SNOMED CT IPS Free Set candidate

Additional conformance binding to a microorganisms value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
eu-lab-1errorObservationIf 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-2errorObservationIf 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-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-3errorObservation.component.value[x]:valueQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.component.value[x]:valueRatioNumerator 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-2errorObservation.component.value[x]:valueRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ChLabObservationPanel 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Laboratory Test Kit
Slice: Unordered, Open by value:url
.... 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)
.... category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
... code Σ 1..1 CodeableConcept Type of observation (code / type)
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: 58410-2
..... display 1..1 string Representation defined by the system
Fixed Value: CBC panel - Blood by Automated count
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
Required Pattern: CBC panel Auto (Bld)
... 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, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... 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 S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note S 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)
... specimen 0..1 Reference(CH LAB Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) Measuring instrument
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... Slices for hasMember Σ 8..* Reference(CH LAB Observation Results: Panel | CH LAB Observation Results: Single Test) Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:resolve()
.... hasMember:WhiteBloodCellCount SΣ 1..1 Reference(CH LAB Observation Results: LeucocyteCount) White Blood Cell Count
.... hasMember:RedBloodCellCount SΣ 1..1 Reference(CH LAB Observation Results: ErythrocyteCount) Red Blood Cell Count
.... hasMember:Hemoglobin SΣ 1..1 Reference(CH LAB Observation Results: Hemoglobin) Hemoglobin
.... hasMember:Hematocrit SΣ 1..1 Reference(CH LAB Observation Results: Hemotocrit) Hematocrit
.... hasMember:MeanCorpuscularVolume SΣ 1..1 Reference(CH LAB Observation Results: MeanCorpuscularVolume) Mean Corpuscular Volume MCV
.... hasMember:MeanCorpuscularHemoglobin SΣ 1..1 Reference(CH LAB Observation Results: Mean Corpuscular Hemoglobin) Mean Corpuscular Hemoglobin MCH
.... hasMember:MeanCorpuscularHemoglobinConcentration SΣ 1..1 Reference(CH LAB Observation Results: Mean Corpuscular Hemoglobin Concentration) Mean Corpuscular Hemoglobin Concentration MCHC
.... hasMember:ErythrocyteDistributionWidth SΣ 0..1 Reference(CH LAB Observation Results: Erythrocyte distribution width [Entitic volume] by Automated count) Erythrocyte Distribution Width
.... hasMember:ErythrocyteDistWidthRatio SΣ 0..1 Reference(CH LAB Observation Results: Erythrocyte distribution width [Ratio] by Automated count) Erythrocyte Distribution Width Ratio
.... hasMember:PlateletCount SΣ 1..1 Reference(CH LAB Observation Results: Platelet Count) Platelet Count
.... hasMember:PlateletDistributionWidth SΣ 0..1 Reference(CH LAB Observation Results: Platelet Distribution With) Platelet Distribution Width
.... hasMember:PlateletMeanVolume SΣ 0..1 Reference(CH LAB Observation Results: Platelet Mean Volume) Platelet Mean Volume
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:laboratorypreferredPattern: laboratory
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Observation.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Observation.codepreferredPattern: LOINC code 58410-2("CBC panel - Blood by Automated count")
http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab
Observation.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodpreferredLabTechniqueEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-technique-eu-lab
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.value[x]:valueCodeableConceptpreferredResultsCodedValuesLaboratoryUvIps
Additional Bindings Purpose Documentation
Results Blood Group - SNOMED CT IPS Free Set candidate

Additional conformance binding to a blood group findings value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Results Presence Absence - SNOMED CT IPS Free Set candidate

Additional conformance binding to a presence and absence findings (qualifier values) value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
Results Microorganism - SNOMED CT IPS Free Set candidate

Additional conformance binding to a microorganisms value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).
http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
eu-lab-1errorObservationIf 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-2errorObservationIf 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-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-3errorObservation.component.value[x]:valueQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.component.value[x]:valueRatioNumerator 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-2errorObservation.component.value[x]:valueRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)

This structure is derived from ChLabObservationPanel

Summary

Mandatory: 8 elements
Must-Support: 12 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron