HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use Italy flag

This page is part of the HL7 FHIR Implementation Guide Laboratory Report (v0.2.0: Release 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: Observation Document - Lab Report

Official URL: http://hl7.it/fhir/lab-report/StructureDefinition/observation-doc-it-lab Version: 0.2.0
Standards status: Trial-use Maturity Level: 1 Computable Name: ObservationDocRefertoLabIt

Descrizione dei vincoli aggiuntivi per Observation-Lab Report tramite il profilo della risorsa Observation per il referto di laboratorio..

Usage:

Formal Views of Profile Content

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

This structure is derived from ObservationRefertoLabIt

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation ObservationRefertoLabIt
... status 1..1codeDescrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended +
Binding: Observation status code (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.statusrequiredObservationStatusCodeLabReport
http://hl7.it/fhir/lab-report/ValueSet/valueset-status-obs-it
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationRefertoLabItObservation Referto di Laboratorio
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 ?!Σ0..1uriA set of rules under which this content was created
... 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
.... extension:observation 0..*ExtensionTriggering observation.
..... extension 0..0
..... url 1..1uri"observation"
..... value[x] 1..1Reference(Observation)Value of extension
.... extension:type 0..*ExtensionThe type of trigger
..... extension 0..0
..... url 1..1uri"type"
..... value[x] 1..1codeValue of extension
.... extension:reason 0..*ExtensionExtension
..... extension 0..0
..... url 1..1uri"reason"
..... value[x] 1..1stringValue of extension
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
... certifiedRefMaterialIdentifer 0..*IdentifierCertified 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..1Attachment, Reference(MolecularSequence)only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
.... value[x] 1..1AttachmentValue of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codeDescrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended +
Binding: Observation status code (required)
... Slices for category 1..*CodeableConceptIPSCodice che classifica il tipo di osservazione.
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:laboratory 1..1CodeableConceptIndica genericamente che si riferisce ad un esame di Laboratorio
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
.... category:studyType 0..*CodeableConceptClassificazione per tipo di studio
Binding: Laboratory Study Types (required)
.... category:specialty 0..*CodeableConceptClassificazione per specialità
Binding: Laboratory Specialty (required)
... code 1..1CodeableConceptIPSTipo di osservazione tramite codice.
Binding: Tipo Osservazione (preferred)
... subject Σ1..1Reference(Patient - Lab Report)Soggetto della rilevazione clinica.
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... effective[x] Σ1..1Clinically relevant time/time-period for observation
.... effective[x]:All Types Content/Rules for all Types
..... data-absent-reason 0..1codeeffective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... performer Σ1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson)Soggetto responsabile dell'osservazione.
.... performerFunction 0..*CodeableConceptType of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
... Slices for value[x] ΣC0..1Risultato dell'osservazione.
Slice: Unordered, Closed by type:$this
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
.... value[x]:valueQuantity C0..1QuantityLabRisultato misurabile tramite una quantità.
qty-3: If a code for the unit is present, the system SHALL also be present
.... value[x]:valueCodeableConcept 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Risultato osservazione codificato (preferred)
.... value[x]:valueString ΣC0..1stringActual result
.... value[x]:valueRange C0..1RangeIPSSet of values bounded by low and high
rng-2: If present, low SHALL have a lower value than high
.... value[x]:valueRatio C0..1RatioEuLabA 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 ΣC0..1timeActual result
.... value[x]:valueDateTime ΣC0..1dateTimeActual result
.... value[x]:valuePeriod ΣC0..1PeriodActual result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatusCodeLabReport
http://hl7.it/fhir/lab-report/ValueSet/valueset-status-obs-it
from this IG
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:laboratorypreferredPattern: laboratory
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Observation.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Observation.codepreferredVsResultsLaboratoryObservation
http://hl7.it/fhir/lab-report/ValueSet/risultato-osservazione
from this IG
Observation.value[x]:valueCodeableConceptpreferredVsObservationValueCodeableConcept
http://hl7.it/fhir/lab-report/ValueSet/valueset-valuecodeableconcept-obs-it
from this IG

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]:valueQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.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]:valueRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationRefertoLabItObservation Referto di Laboratorio
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 Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionLaboratory 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..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:observation 0..*ExtensionTriggering observation.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"observation"
..... value[x] 1..1Reference(Observation)Value of extension
.... extension:type 0..*ExtensionThe type of trigger
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"type"
..... value[x] 1..1codeValue of extension
.... extension:reason 0..*ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"reason"
..... value[x] 1..1stringValue of extension
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
... certifiedRefMaterialCodeable 0..*CodeableConceptCertified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
... certifiedRefMaterialIdentifer 0..*IdentifierCertified 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..1Attachment, Reference(MolecularSequence)only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
.... value[x] 1..1AttachmentValue of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1codeDescrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended +
Binding: Observation status code (required)
... Slices for category 1..*CodeableConceptIPSCodice che classifica il tipo di osservazione.
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:laboratory 1..1CodeableConceptIndica genericamente che si riferisce ad un esame di Laboratorio
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
.... category:studyType 0..*CodeableConceptClassificazione per tipo di studio
Binding: Laboratory Study Types (required)
.... category:specialty 0..*CodeableConceptClassificazione per specialità
Binding: Laboratory Specialty (required)
... code 1..1CodeableConceptIPSTipo di osservazione tramite codice.
Binding: Tipo Osservazione (preferred)
... subject Σ1..1Reference(Patient - Lab Report)Soggetto della rilevazione clinica.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter - Lab Report)Contesto in cui è stata prodotta l'osservazione.
... effective[x] Σ1..1Clinically relevant time/time-period for observation
.... effective[x]:All Types Content/Rules for all Types
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... data-absent-reason 0..1codeeffective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this result was made available
... performer Σ1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson)Soggetto responsabile dell'osservazione.
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... performerFunction 0..*CodeableConceptType of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... Slices for value[x] ΣC0..1Risultato dell'osservazione.
Slice: Unordered, Closed by type:$this
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
.... value[x]:valueQuantity C0..1QuantityLabRisultato misurabile tramite una quantità.
qty-3: If a code for the unit is present, the system SHALL also be present
.... value[x]:valueCodeableConcept 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Risultato osservazione codificato (preferred)
.... value[x]:valueString ΣC0..1stringActual result
.... value[x]:valueRange C0..1RangeIPSSet of values bounded by low and high
rng-2: If present, low SHALL have a lower value than high
.... value[x]:valueRatio C0..1RatioEuLabA 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 ΣC0..1timeActual result
.... value[x]:valueDateTime ΣC0..1dateTimeActual result
.... value[x]:valuePeriod ΣC0..1PeriodActual result
... dataAbsentReason C0..1CodeableConceptProvides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptIPSInterpretazione del risultato (Alto, Basso, Normale, ecc.)
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptSito corporeo dell'osservazione.
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptIPSMetodo di rilevazione dell'osservazione.
Binding: ObservationMethods (preferred)
... specimen 0..1Reference(Specimen - Lab Report)Reference al campione su cui si basa l'osservazione.
... device 0..1Reference(Device - Lab Report | DeviceMetric)Dispositivo utilizzato per ottenere l'osservazione.
... referenceRange C0..*BackboneElementRange di riferimento per la caratterizzazione dell'osservazione sulla base di un criterio. Esempio: Range di normalità per uomo adulto.
obs-3: Must have at least a low or a high or text
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLimite inferiore del range di riferimento, se rilevante.
.... high C0..1SimpleQuantityLimite superiore del range di riferimento, se rilevante.
.... type 0..1CodeableConceptContesto del range di riferimento. Esempio: Un intervallo atteso in un individuo prima della pubertà.
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptCategoria della popolazione a cui si applica il range di riferimento.
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeEtà a cui si applica, se rilevante.
.... text 0..1stringNote testuali.
... hasMember Σ0..*Reference(Observation - Lab Report)Osservazioni correlate alla risorsa.
... derivedFrom Σ0..*Reference(Observation - Lab Report | Media - Lab Report)Reference dell'osservazione da cui deriva questo valore di osservazione. Ad esempio, un gap anionico calcolato o una misurazione fetale basata su un'immagine ecografica.
... component Σ0..*BackboneElementLaboratory result
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... value-r5 0..1Attachment, Reference(MolecularSequence)only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
..... value[x] 1..1AttachmentValue of extension
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Laboratory Observation - IPS (preferred)
.... Slices for value[x] Σ0..1Actual component result
Slice: Unordered, Open by type:$this
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
..... value[x]:valueString Σ0..1stringActual component result
..... value[x]:valueRange C0..1RangeIPSSet of values bounded by low and high
rng-2: If present, low SHALL have a lower value than high
..... value[x]:valueRatio C0..1RatioEuLabA 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 Σ0..1timeActual component result
..... value[x]:valueDateTime Σ0..1dateTimeActual component result
..... value[x]:valuePeriod Σ0..1PeriodActual component result
..... value[x]:valueQuantity C0..1QuantityEuLabA measured amount using UCUM
qty-3: If a code for the unit is present, the system SHALL also be present
..... value[x]:valueCodeableConcept 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Setcandidate
Results Presence Absence - SNOMED CT IPS Free Setcandidate
Results Microorganism - SNOMED CT IPS Free Setcandidate
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, 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.statusrequiredObservationStatusCodeLabReport
http://hl7.it/fhir/lab-report/ValueSet/valueset-status-obs-it
from this IG
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:laboratorypreferredPattern: laboratory
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Observation.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Observation.codepreferredVsResultsLaboratoryObservation
http://hl7.it/fhir/lab-report/ValueSet/risultato-osservazione
from this IG
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]:valueCodeableConceptpreferredVsObservationValueCodeableConcept
http://hl7.it/fhir/lab-report/ValueSet/valueset-valuecodeableconcept-obs-it
from this IG
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.methodpreferredObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
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.codepreferredResultsLaboratoryObservationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.component.value[x]:valueCodeableConceptpreferredResultsCodedValuesLaboratoryUvIps
Additional Bindings Purpose Documentation
Results Blood Group - SNOMED CT IPS Free Set candidate

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

Results Presence Absence - SNOMED CT IPS Free Set candidate

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

Results Microorganism - SNOMED CT IPS Free Set candidate

Additional conformance binding to a microorganisms value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).

http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
eu-lab-1errorObservationIf observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component"
: (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2errorObservationIf observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason"
: component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists()
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3errorObservation.value[x]:valueQuantity, Observation.component.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]: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]:valueRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)

This structure is derived from ObservationRefertoLabIt

Summary

Maturity: 1

Differential View

This structure is derived from ObservationRefertoLabIt

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation ObservationRefertoLabIt
... status 1..1codeDescrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended +
Binding: Observation status code (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.statusrequiredObservationStatusCodeLabReport
http://hl7.it/fhir/lab-report/ValueSet/valueset-status-obs-it
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationRefertoLabItObservation Referto di Laboratorio
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 ?!Σ0..1uriA set of rules under which this content was created
... 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
.... extension:observation 0..*ExtensionTriggering observation.
..... extension 0..0
..... url 1..1uri"observation"
..... value[x] 1..1Reference(Observation)Value of extension
.... extension:type 0..*ExtensionThe type of trigger
..... extension 0..0
..... url 1..1uri"type"
..... value[x] 1..1codeValue of extension
.... extension:reason 0..*ExtensionExtension
..... extension 0..0
..... url 1..1uri"reason"
..... value[x] 1..1stringValue of extension
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
... certifiedRefMaterialIdentifer 0..*IdentifierCertified 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..1Attachment, Reference(MolecularSequence)only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
.... value[x] 1..1AttachmentValue of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codeDescrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended +
Binding: Observation status code (required)
... Slices for category 1..*CodeableConceptIPSCodice che classifica il tipo di osservazione.
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:laboratory 1..1CodeableConceptIndica genericamente che si riferisce ad un esame di Laboratorio
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
.... category:studyType 0..*CodeableConceptClassificazione per tipo di studio
Binding: Laboratory Study Types (required)
.... category:specialty 0..*CodeableConceptClassificazione per specialità
Binding: Laboratory Specialty (required)
... code 1..1CodeableConceptIPSTipo di osservazione tramite codice.
Binding: Tipo Osservazione (preferred)
... subject Σ1..1Reference(Patient - Lab Report)Soggetto della rilevazione clinica.
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... effective[x] Σ1..1Clinically relevant time/time-period for observation
.... effective[x]:All Types Content/Rules for all Types
..... data-absent-reason 0..1codeeffective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... performer Σ1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson)Soggetto responsabile dell'osservazione.
.... performerFunction 0..*CodeableConceptType of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
... Slices for value[x] ΣC0..1Risultato dell'osservazione.
Slice: Unordered, Closed by type:$this
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
.... value[x]:valueQuantity C0..1QuantityLabRisultato misurabile tramite una quantità.
qty-3: If a code for the unit is present, the system SHALL also be present
.... value[x]:valueCodeableConcept 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Risultato osservazione codificato (preferred)
.... value[x]:valueString ΣC0..1stringActual result
.... value[x]:valueRange C0..1RangeIPSSet of values bounded by low and high
rng-2: If present, low SHALL have a lower value than high
.... value[x]:valueRatio C0..1RatioEuLabA 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 ΣC0..1timeActual result
.... value[x]:valueDateTime ΣC0..1dateTimeActual result
.... value[x]:valuePeriod ΣC0..1PeriodActual result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatusCodeLabReport
http://hl7.it/fhir/lab-report/ValueSet/valueset-status-obs-it
from this IG
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:laboratorypreferredPattern: laboratory
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Observation.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Observation.codepreferredVsResultsLaboratoryObservation
http://hl7.it/fhir/lab-report/ValueSet/risultato-osservazione
from this IG
Observation.value[x]:valueCodeableConceptpreferredVsObservationValueCodeableConcept
http://hl7.it/fhir/lab-report/ValueSet/valueset-valuecodeableconcept-obs-it
from this IG

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]:valueQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorObservation.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]:valueRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationRefertoLabItObservation Referto di Laboratorio
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 Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionLaboratory 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..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:observation 0..*ExtensionTriggering observation.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"observation"
..... value[x] 1..1Reference(Observation)Value of extension
.... extension:type 0..*ExtensionThe type of trigger
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"type"
..... value[x] 1..1codeValue of extension
.... extension:reason 0..*ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"reason"
..... value[x] 1..1stringValue of extension
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
... certifiedRefMaterialCodeable 0..*CodeableConceptCertified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
... certifiedRefMaterialIdentifer 0..*IdentifierCertified 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..1Attachment, Reference(MolecularSequence)only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
.... value[x] 1..1AttachmentValue of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1codeDescrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended +
Binding: Observation status code (required)
... Slices for category 1..*CodeableConceptIPSCodice che classifica il tipo di osservazione.
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:laboratory 1..1CodeableConceptIndica genericamente che si riferisce ad un esame di Laboratorio
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
.... category:studyType 0..*CodeableConceptClassificazione per tipo di studio
Binding: Laboratory Study Types (required)
.... category:specialty 0..*CodeableConceptClassificazione per specialità
Binding: Laboratory Specialty (required)
... code 1..1CodeableConceptIPSTipo di osservazione tramite codice.
Binding: Tipo Osservazione (preferred)
... subject Σ1..1Reference(Patient - Lab Report)Soggetto della rilevazione clinica.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter - Lab Report)Contesto in cui è stata prodotta l'osservazione.
... effective[x] Σ1..1Clinically relevant time/time-period for observation
.... effective[x]:All Types Content/Rules for all Types
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... data-absent-reason 0..1codeeffective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this result was made available
... performer Σ1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson)Soggetto responsabile dell'osservazione.
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... performerFunction 0..*CodeableConceptType of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... Slices for value[x] ΣC0..1Risultato dell'osservazione.
Slice: Unordered, Closed by type:$this
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
.... value[x]:valueQuantity C0..1QuantityLabRisultato misurabile tramite una quantità.
qty-3: If a code for the unit is present, the system SHALL also be present
.... value[x]:valueCodeableConcept 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Risultato osservazione codificato (preferred)
.... value[x]:valueString ΣC0..1stringActual result
.... value[x]:valueRange C0..1RangeIPSSet of values bounded by low and high
rng-2: If present, low SHALL have a lower value than high
.... value[x]:valueRatio C0..1RatioEuLabA 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 ΣC0..1timeActual result
.... value[x]:valueDateTime ΣC0..1dateTimeActual result
.... value[x]:valuePeriod ΣC0..1PeriodActual result
... dataAbsentReason C0..1CodeableConceptProvides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptIPSInterpretazione del risultato (Alto, Basso, Normale, ecc.)
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptSito corporeo dell'osservazione.
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptIPSMetodo di rilevazione dell'osservazione.
Binding: ObservationMethods (preferred)
... specimen 0..1Reference(Specimen - Lab Report)Reference al campione su cui si basa l'osservazione.
... device 0..1Reference(Device - Lab Report | DeviceMetric)Dispositivo utilizzato per ottenere l'osservazione.
... referenceRange C0..*BackboneElementRange di riferimento per la caratterizzazione dell'osservazione sulla base di un criterio. Esempio: Range di normalità per uomo adulto.
obs-3: Must have at least a low or a high or text
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLimite inferiore del range di riferimento, se rilevante.
.... high C0..1SimpleQuantityLimite superiore del range di riferimento, se rilevante.
.... type 0..1CodeableConceptContesto del range di riferimento. Esempio: Un intervallo atteso in un individuo prima della pubertà.
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptCategoria della popolazione a cui si applica il range di riferimento.
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeEtà a cui si applica, se rilevante.
.... text 0..1stringNote testuali.
... hasMember Σ0..*Reference(Observation - Lab Report)Osservazioni correlate alla risorsa.
... derivedFrom Σ0..*Reference(Observation - Lab Report | Media - Lab Report)Reference dell'osservazione da cui deriva questo valore di osservazione. Ad esempio, un gap anionico calcolato o una misurazione fetale basata su un'immagine ecografica.
... component Σ0..*BackboneElementLaboratory result
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... value-r5 0..1Attachment, Reference(MolecularSequence)only for result of type Attachment
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
..... value[x] 1..1AttachmentValue of extension
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Laboratory Observation - IPS (preferred)
.... Slices for value[x] Σ0..1Actual component result
Slice: Unordered, Open by type:$this
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
..... value[x]:valueString Σ0..1stringActual component result
..... value[x]:valueRange C0..1RangeIPSSet of values bounded by low and high
rng-2: If present, low SHALL have a lower value than high
..... value[x]:valueRatio C0..1RatioEuLabA 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 Σ0..1timeActual component result
..... value[x]:valueDateTime Σ0..1dateTimeActual component result
..... value[x]:valuePeriod Σ0..1PeriodActual component result
..... value[x]:valueQuantity C0..1QuantityEuLabA measured amount using UCUM
qty-3: If a code for the unit is present, the system SHALL also be present
..... value[x]:valueCodeableConcept 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Results Coded Values Laboratory - IPS (preferred)
Additional BindingsPurpose
Results Blood Group - SNOMED CT IPS Free Setcandidate
Results Presence Absence - SNOMED CT IPS Free Setcandidate
Results Microorganism - SNOMED CT IPS Free Setcandidate
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, 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.statusrequiredObservationStatusCodeLabReport
http://hl7.it/fhir/lab-report/ValueSet/valueset-status-obs-it
from this IG
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:laboratorypreferredPattern: laboratory
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:studyTyperequiredLabStudyTypesEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-studyType-eu-lab
Observation.category:specialtyrequiredLabSpecialtyEuVs
http://hl7.eu/fhir/laboratory/ValueSet/lab-specialty-eu-lab
Observation.codepreferredVsResultsLaboratoryObservation
http://hl7.it/fhir/lab-report/ValueSet/risultato-osservazione
from this IG
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]:valueCodeableConceptpreferredVsObservationValueCodeableConcept
http://hl7.it/fhir/lab-report/ValueSet/valueset-valuecodeableconcept-obs-it
from this IG
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.methodpreferredObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
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.codepreferredResultsLaboratoryObservationUvIps
http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.component.value[x]:valueCodeableConceptpreferredResultsCodedValuesLaboratoryUvIps
Additional Bindings Purpose Documentation
Results Blood Group - SNOMED CT IPS Free Set candidate

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

Results Presence Absence - SNOMED CT IPS Free Set candidate

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

Results Microorganism - SNOMED CT IPS Free Set candidate

Additional conformance binding to a microorganisms value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions).

http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
eu-lab-1errorObservationIf observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component"
: (status in ('registered'|'cancelled')) or value.exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2errorObservationIf observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason"
: component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.dataAbsentReason.exists()
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3errorObservation.value[x]:valueQuantity, Observation.component.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]: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]:valueRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)