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. For a full list of available versions, see the Directory of published versions

Resource Profile: CH LAB Observation Results: eGFR - MDRD Profile for males

Official URL: http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-observation-egfr-mdrd-male Version: 1.0.0-ballot
Active as of 2024-05-17 Computable Name: ChLabObservation_eGFR_MDRD_male

Copyright/Legal: CC0-1.0

Renal function can be determined by laboratory measurement of serum creatinine, from which the estimated glomerular (eGFR_MDMR) filtration rate can be calculated.

Usage:

Formal Views of Profile Content

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

This structure is derived from ChLabObservation_eGFR

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 eGFR_MDMR
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: 70969-1
..... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among males [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
... referenceRange
.... low
..... value 0..1 decimal Numerical value (with implicit precision)
Required Pattern: 60
..... unit 0..1 string Unit representation
Required Pattern: mL/min
... Slices for component S 2..2 BackboneElement Laboratory result
Slice: Unordered, Closed by value:code
.... component:blacks S 1..1 BackboneElement eGFR_MDMR among blacks
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value[x] Extension
..... code 1..1 CodeableConcept eGFR_MDMR among blacks code
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: 48643-1
....... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity S 0..1 QuantityEuLab Lab Result Component Value
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 1..1 string Unit representation
....... code 1..1 code Coded form of the unit
Fixed Value: mL/min
.... component:non-blacks S 1..1 BackboneElement eGFR_MDMR among non-blacks
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value[x] Extension
..... code 1..1 CodeableConcept eGFR_MDMR among non-blacks code
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: 48642-3
....... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among non-blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity S 0..1 QuantityEuLab Lab Result Component Value
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 1..1 string Unit representation
....... code 1..1 code Coded form of the unit
Fixed Value: mL/min

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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 eGFR_MDMR
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: 70969-1
..... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among males [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
... 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)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
... Slices for component SΣ 2..2 BackboneElement Laboratory result
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... Slices for extension Content/Rules for all slices
...... 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 ?!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)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
.... component:blacks SΣ 1..1 BackboneElement eGFR_MDMR among blacks
..... Slices for extension Content/Rules for all slices
...... value-r5 0..1 (Complex) Extension
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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept eGFR_MDMR among blacks code
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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: 48643-1
....... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
..... Slices for value[x] Σ 0..1 Actual component 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
...... value[x]:valueQuantity SC 0..1 QuantityEuLab Lab Result Component Value
qty-3: If a code for the unit is present, the system SHALL also be present
....... Slices for extension Content/Rules for all slices
........ uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
........ uncertaintyType 0..1 code Probability Distribution Type for uncertainty
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType
Binding: ProbabilityDistributionType (required)
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri UCUM system for units
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mL/min
...... 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]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
.... component:non-blacks SΣ 1..1 BackboneElement eGFR_MDMR among non-blacks
..... Slices for extension Content/Rules for all slices
...... value-r5 0..1 (Complex) Extension
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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept eGFR_MDMR among non-blacks code
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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: 48642-3
....... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among non-blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
..... Slices for value[x] Σ 0..1 Actual component 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
...... value[x]:valueQuantity SC 0..1 QuantityEuLab Lab Result Component Value
qty-3: If a code for the unit is present, the system SHALL also be present
....... Slices for extension Content/Rules for all slices
........ uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
........ uncertaintyType 0..1 code Probability Distribution Type for uncertainty
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType
Binding: ProbabilityDistributionType (required)
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri UCUM system for units
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mL/min
...... 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]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate

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:studyTyperequiredPattern: LOINC code 18719-5("Chemistry studies (set)")
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Observation.category:specialtyrequiredPattern: SNOMED CT code 394596001("Chemical pathology")
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Observation.codepreferredPattern: LOINC code 70969-1("Glomerular filtration rate/1.73 sq M.predicted among males [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)")
http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab
Observation.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.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:blacks.codeexamplePattern: LOINC code 48643-1("Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:blacks.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:blacks.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:non-blacks.codeexamplePattern: LOINC code 48642-3("Glomerular filtration rate/1.73 sq M.predicted among non-blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:non-blacks.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:non-blacks.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.value[x]:valueQuantity, Observation.component.value[x]:valueQuantity, Observation.component:blacks.value[x]:valueQuantity, Observation.component:non-blacks.value[x]:valueQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.value[x]:valueRatio, Observation.component.value[x]:valueRatio, Observation.component:blacks.value[x]:valueRatio, Observation.component:non-blacks.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.value[x]:valueRange, Observation.component.value[x]:valueRange, Observation.component:blacks.value[x]:valueRange, Observation.component:non-blacks.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..* 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.

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)

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 eGFR_MDMR
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: 70969-1
..... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among males [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
..... 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)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
... dataAbsentReason C 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 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
... 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
..... 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
.... text 0..1 string Text based reference range in an observation
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component SΣ 2..2 BackboneElement Laboratory result
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... 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)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:blacks SΣ 1..1 BackboneElement eGFR_MDMR among blacks
..... 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) Extension
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 eGFR_MDMR among blacks code
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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: 48643-1
....... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 0..1 Actual component 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
...... value[x]:valueQuantity SC 0..1 QuantityEuLab Lab Result Component Value
qty-3: If a code for the unit is present, the system SHALL also be present
....... 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
........ uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
........ uncertaintyType 0..1 code Probability Distribution Type for uncertainty
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType
Binding: ProbabilityDistributionType (required)
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri UCUM system for units
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mL/min
...... 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]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:non-blacks SΣ 1..1 BackboneElement eGFR_MDMR among non-blacks
..... 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) Extension
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 eGFR_MDMR among non-blacks code
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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: 48642-3
....... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among non-blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 0..1 Actual component 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
...... value[x]:valueQuantity SC 0..1 QuantityEuLab Lab Result Component Value
qty-3: If a code for the unit is present, the system SHALL also be present
....... 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
........ uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
........ uncertaintyType 0..1 code Probability Distribution Type for uncertainty
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType
Binding: ProbabilityDistributionType (required)
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri UCUM system for units
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mL/min
...... 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]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

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:studyTyperequiredPattern: LOINC code 18719-5("Chemistry studies (set)")
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Observation.category:specialtyrequiredPattern: SNOMED CT code 394596001("Chemical pathology")
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Observation.codepreferredPattern: LOINC code 70969-1("Glomerular filtration rate/1.73 sq M.predicted among males [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)")
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.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.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.methodpreferredPattern: 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.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
Observation.component:blacks.codeexamplePattern: LOINC code 48643-1("Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:blacks.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:blacks.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:blacks.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:blacks.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component:non-blacks.codeexamplePattern: LOINC code 48642-3("Glomerular filtration rate/1.73 sq M.predicted among non-blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:non-blacks.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:non-blacks.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:non-blacks.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:non-blacks.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.value[x]:valueQuantity, Observation.component.value[x]:valueQuantity, Observation.component:blacks.value[x]:valueQuantity, Observation.component:non-blacks.value[x]:valueQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.value[x]:valueRatio, Observation.component.value[x]:valueRatio, Observation.component:blacks.value[x]:valueRatio, Observation.component:non-blacks.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.value[x]:valueRange, Observation.component.value[x]:valueRange, Observation.component:blacks.value[x]:valueRange, Observation.component:non-blacks.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 ChLabObservation_eGFR

Summary

Mandatory: 2 elements(4 nested mandatory elements)
Must-Support: 10 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component (Closed)

Differential View

This structure is derived from ChLabObservation_eGFR

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 eGFR_MDMR
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: 70969-1
..... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among males [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
... referenceRange
.... low
..... value 0..1 decimal Numerical value (with implicit precision)
Required Pattern: 60
..... unit 0..1 string Unit representation
Required Pattern: mL/min
... Slices for component S 2..2 BackboneElement Laboratory result
Slice: Unordered, Closed by value:code
.... component:blacks S 1..1 BackboneElement eGFR_MDMR among blacks
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value[x] Extension
..... code 1..1 CodeableConcept eGFR_MDMR among blacks code
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: 48643-1
....... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity S 0..1 QuantityEuLab Lab Result Component Value
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 1..1 string Unit representation
....... code 1..1 code Coded form of the unit
Fixed Value: mL/min
.... component:non-blacks S 1..1 BackboneElement eGFR_MDMR among non-blacks
..... Slices for extension Content/Rules for all slices
...... extension:value-r5 0..1 R5 Observation.value[x] Extension
..... code 1..1 CodeableConcept eGFR_MDMR among non-blacks code
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: 48642-3
....... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among non-blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity S 0..1 QuantityEuLab Lab Result Component Value
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 1..1 string Unit representation
....... code 1..1 code Coded form of the unit
Fixed Value: mL/min

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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 eGFR_MDMR
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: 70969-1
..... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among males [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
... 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)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
... Slices for component SΣ 2..2 BackboneElement Laboratory result
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... Slices for extension Content/Rules for all slices
...... 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 ?!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)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
.... component:blacks SΣ 1..1 BackboneElement eGFR_MDMR among blacks
..... Slices for extension Content/Rules for all slices
...... value-r5 0..1 (Complex) Extension
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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept eGFR_MDMR among blacks code
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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: 48643-1
....... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
..... Slices for value[x] Σ 0..1 Actual component 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
...... value[x]:valueQuantity SC 0..1 QuantityEuLab Lab Result Component Value
qty-3: If a code for the unit is present, the system SHALL also be present
....... Slices for extension Content/Rules for all slices
........ uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
........ uncertaintyType 0..1 code Probability Distribution Type for uncertainty
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType
Binding: ProbabilityDistributionType (required)
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri UCUM system for units
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mL/min
...... 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]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
.... component:non-blacks SΣ 1..1 BackboneElement eGFR_MDMR among non-blacks
..... Slices for extension Content/Rules for all slices
...... value-r5 0..1 (Complex) Extension
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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept eGFR_MDMR among non-blacks code
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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: 48642-3
....... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among non-blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
..... Slices for value[x] Σ 0..1 Actual component 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
...... value[x]:valueQuantity SC 0..1 QuantityEuLab Lab Result Component Value
qty-3: If a code for the unit is present, the system SHALL also be present
....... Slices for extension Content/Rules for all slices
........ uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
........ uncertaintyType 0..1 code Probability Distribution Type for uncertainty
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType
Binding: ProbabilityDistributionType (required)
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri UCUM system for units
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mL/min
...... 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]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate

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:studyTyperequiredPattern: LOINC code 18719-5("Chemistry studies (set)")
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Observation.category:specialtyrequiredPattern: SNOMED CT code 394596001("Chemical pathology")
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Observation.codepreferredPattern: LOINC code 70969-1("Glomerular filtration rate/1.73 sq M.predicted among males [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)")
http://hl7.eu/fhir/laboratory/ValueSet/lab-obsCode-eu-lab
Observation.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.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:blacks.codeexamplePattern: LOINC code 48643-1("Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:blacks.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:blacks.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:non-blacks.codeexamplePattern: LOINC code 48642-3("Glomerular filtration rate/1.73 sq M.predicted among non-blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:non-blacks.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:non-blacks.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.value[x]:valueQuantity, Observation.component.value[x]:valueQuantity, Observation.component:blacks.value[x]:valueQuantity, Observation.component:non-blacks.value[x]:valueQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.value[x]:valueRatio, Observation.component.value[x]:valueRatio, Observation.component:blacks.value[x]:valueRatio, Observation.component:non-blacks.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.value[x]:valueRange, Observation.component.value[x]:valueRange, Observation.component:blacks.value[x]:valueRange, Observation.component:non-blacks.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..* 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.

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)

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 eGFR_MDMR
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: 70969-1
..... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among males [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
..... 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)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
... dataAbsentReason C 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 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
... 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
..... 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
.... text 0..1 string Text based reference range in an observation
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component SΣ 2..2 BackboneElement Laboratory result
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... 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)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:blacks SΣ 1..1 BackboneElement eGFR_MDMR among blacks
..... 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) Extension
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 eGFR_MDMR among blacks code
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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: 48643-1
....... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 0..1 Actual component 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
...... value[x]:valueQuantity SC 0..1 QuantityEuLab Lab Result Component Value
qty-3: If a code for the unit is present, the system SHALL also be present
....... 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
........ uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
........ uncertaintyType 0..1 code Probability Distribution Type for uncertainty
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType
Binding: ProbabilityDistributionType (required)
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri UCUM system for units
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mL/min
...... 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]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:non-blacks SΣ 1..1 BackboneElement eGFR_MDMR among non-blacks
..... 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) Extension
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 eGFR_MDMR among non-blacks code
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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: 48642-3
....... display 1..1 string Representation defined by the system
Fixed Value: Glomerular filtration rate/1.73 sq M.predicted among non-blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 0..1 Actual component 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
...... value[x]:valueQuantity SC 0..1 QuantityEuLab Lab Result Component Value
qty-3: If a code for the unit is present, the system SHALL also be present
....... 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
........ uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
........ uncertaintyType 0..1 code Probability Distribution Type for uncertainty
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType
Binding: ProbabilityDistributionType (required)
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri UCUM system for units
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mL/min
...... 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]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Set candidate
Results Presence Absence - SNOMED CT IPS Free Set candidate
Results Microorganism - SNOMED CT IPS Free Set candidate
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

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:studyTyperequiredPattern: LOINC code 18719-5("Chemistry studies (set)")
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Observation.category:specialtyrequiredPattern: SNOMED CT code 394596001("Chemical pathology")
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Observation.codepreferredPattern: LOINC code 70969-1("Glomerular filtration rate/1.73 sq M.predicted among males [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)")
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.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.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.methodpreferredPattern: 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.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
Observation.component:blacks.codeexamplePattern: LOINC code 48643-1("Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:blacks.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:blacks.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:blacks.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:blacks.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component:non-blacks.codeexamplePattern: LOINC code 48642-3("Glomerular filtration rate/1.73 sq M.predicted among non-blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:non-blacks.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:non-blacks.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:non-blacks.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:non-blacks.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.value[x]:valueQuantity, Observation.component.value[x]:valueQuantity, Observation.component:blacks.value[x]:valueQuantity, Observation.component:non-blacks.value[x]:valueQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.value[x]:valueRatio, Observation.component.value[x]:valueRatio, Observation.component:blacks.value[x]:valueRatio, Observation.component:non-blacks.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.value[x]:valueRange, Observation.component.value[x]:valueRange, Observation.component:blacks.value[x]:valueRange, Observation.component:non-blacks.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 ChLabObservation_eGFR

Summary

Mandatory: 2 elements(4 nested mandatory elements)
Must-Support: 10 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component (Closed)

 

Other representations of profile: CSV, Excel, Schematron