ePA Laboratory Report Implementation Guide
Version 1.0.0-ballot.1 - ballot

Ressourcenprofil: Observation Image Attachment dgLP

Offizielle URL: https://gematik.de/fhir/epa-laboratory/StructureDefinition/observation-image-attachment-dglp Version: 1.0.0
Active Stand: 2026-09-30 Maschinenlesbarer Name: ObservationImageAttachmentdgLP

Copyright/Rechtliches: gematik GmbH / Dieses Artefakt ist lizenziert unter Apache License, Version 2.0.

Abbildung, die zu einer Laboruntersuchung oder einer Untersuchungsgruppe als Ergänzung mitgegeben wird. Beispielsweise kann die Ausprägung einer Elektrophorese-Kurve eine hilfreiche oder wichtige Zusatzinformation zu einer Erkrankung geben, die durch den quantitativen Ergebniswert allein nicht hinreichend erkennbar wird.

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TIObservationLaboratoryImageAttachment Laboratory result for a simple test or for a panel/study
Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, obs-value-1, eu-lab-1, eu-lab-2
... meta SΣ 0..1 Meta Metadata about the resource
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:value-r5 S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] S 1..1 Attachment Actual result
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Required Pattern: image/png
...... data S 1..1 base64Binary Data inline, base64ed
...... title SΣ 1..1 string Label to display in place of the data
Example General: Official Corporate Logo
.... extension:accredited N 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... status ?!SΣ 1..1 code Status of this observation (e.g. preliminary, final,...)
Binding: https://gematik.de/fhir/terminology/ValueSet/observation-status (required)
... Slices for category S 1..1 CodeableConcept Classification of type of observation
Slice: Unordered, Closed by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:laboratory S 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 SΣ 0..* 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display SΣ 1..1 string Representation defined by the system
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/diagram-type (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
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(TI Patient) Who and/or what the observation is about
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... Slices for effective[x] SΣ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime Clinically relevant time/time-period for observation
... performer SΣC 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
.... Slices for extension Content/Rules for all slices
..... extension:performerFunction N 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... note S 0..* Annotation Comments about the observation
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... derivedFrom SΣC 1..* Reference(Observation Laboratory Study dgLP | Observation Laboratory Study Group dgLP) Related measurements the observation is made from
Constraints: ref-1
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.extension:value-r5.​value[x].contentType Base required MimeType 📍4.0.1 FHIR Std.
Observation.status Base required https://gematik.de/fhir/terminology/ValueSet/observation-status Not State Unknown
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratory Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base preferred Laboratory Code 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code.coding:snomed Base preferred https://gematik.de/fhir/terminology/ValueSet/diagram-type Not State Unknown
Observation.subject.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.performer.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​code Base preferred Laboratory Code 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📦2.0.1 This IG
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
eu-lab-1 error Observation If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" (status in ('registered'|'cancelled')) or value.exists() or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2 error Observation If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value').exists() or component.dataAbsentReason.exists()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-value-1 error Observation The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()
qty-3 error Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.value[x]:valueQuantity If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
rat-1 error Observation.component.value[x]:valueRatio Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1 error Observation.subject, Observation.performer, Observation.derivedFrom SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
rng-2 error Observation.component.value[x]:valueRange If present, low SHALL have a lower value than high low.empty() or high.empty() or (low <= high)
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

Diese Struktur ist abgeleitet von TIObservationLaboratoryImageAttachment

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation TIObservationLaboratoryImageAttachment
... Slices for extension Content/Rules for all slices
.... extension:bodyStructure 0..0 R5: Observed body structure (new)
.... extension:triggeredBy 0..0 R5: Triggering observation(s) (new)
.... extension:value-r5 1..1 R5 Observation.value R5: value additional types
..... value[x]
...... language 0..0 Human language of the content (BCP-47)
...... url 0..0 Uri where the data can be found
...... size 0..0 Number of bytes of content (if url provided)
...... hash 0..0 Hash of the data (sha-1, base64ed)
...... creation 0..0 Date attachment was first created
.... extension:supportingInfo 0..0 Other information that may be relevant to this event.
.... extension:labTestKit 0..0 Device Laboratory Test Kit
.... extension:certifiedRefMaterialCodeable 0..0 Certified Reference Material: CodeableConcept
.... extension:certifiedRefMaterialIdentifer 0..0 Certified Reference Material: Identifier
... identifier 0..0 Business Identifier for observation
... basedOn 0..0 Fulfills plan, proposal or order
... Slices for category 1..1 CodeableConcept Classification of type of observation
Slice: Unordered, Closed by pattern:$this
.... category:laboratory 1..1 CodeableConcept Classification of type of observation
..... coding
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
...... display 1..1 string Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
..... text 0..0 Plain text representation of the concept
.... category:studyType 0..0 The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
.... category:specialty 0..0 The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
... code
.... coding 0..* Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... version 1..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
..... display 1..1 string Representation defined by the system
.... Slices for coding Content/Rules for all slices
..... coding:snomed 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
...... version 1..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
...... display 1..1 string Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
... focus 0..0 What the observation is about, when it is not about the subject of record
... encounter 0..0 Healthcare event during which this observation is made
... effective[x] 1..1 dateTime Clinically relevant time/time-period for observation
... Slices for effective[x] Content/Rules for all slices
.... effective[x]:effectiveDateTime 1..1 dateTime Clinically relevant time/time-period for observation
... issued 0..0 Date/Time this result was made available
... dataAbsentReason 0..0 Provides a reason why the expected value is missing.
... interpretation 0..0 High, low, normal, etc.
... note
.... author[x] 0..0 Individual responsible for the annotation
.... time 0..0 When the annotation was made
... bodySite 0..0 Observed body part
... method 0..0 How it was done
... specimen 0..0 Specimen used for the observation
... device 0..0 Measuring instrument
... referenceRange 0..0 Provides guide for interpretation
... hasMember 0..0 Related resource that belongs to the Observation group
... derivedFrom 1..* Reference(Observation Laboratory Study dgLP | Observation Laboratory Study Group dgLP) Related measurements the observation is made from
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
.... type 0..0 Type the reference refers to (e.g. "Patient")
.... identifier 0..0 Logical reference, when literal reference is not known
.... display 0..0 Text alternative for the resource
... component 0..0 Laboratory result

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TIObservationLaboratoryImageAttachment Laboratory result for a simple test or for a panel/study
Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, obs-value-1, eu-lab-1, eu-lab-2
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:value-r5 S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] S 1..1 Attachment Actual result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Required Pattern: image/png
...... data S 1..1 base64Binary Data inline, base64ed
...... title SΣ 1..1 string Label to display in place of the data
Example General: Official Corporate Logo
.... extension:accredited N 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... status ?!SΣ 1..1 code Status of this observation (e.g. preliminary, final,...)
Binding: https://gematik.de/fhir/terminology/ValueSet/observation-status (required)
... Slices for category S 1..1 CodeableConcept Classification of type of observation
Slice: Unordered, Closed by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:laboratory S 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
Slice: Unordered, Open by value:url
..... coding SΣ 0..* 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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display SΣ 1..1 string Representation defined by the system
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/diagram-type (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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(TI Patient) Who and/or what the observation is about
Constraints: ref-1
.... 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 SΣC 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 SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... display SΣ 0..1 string Text alternative for the resource
... Slices for effective[x] SΣ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime Clinically relevant time/time-period for observation
... performer SΣC 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
.... 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:performerFunction N 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference SΣC 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 SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... display SΣ 0..1 string Text alternative for the resource
... note S 0..* Annotation Comments about the observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... derivedFrom SΣC 1..* Reference(Observation Laboratory Study dgLP | Observation Laboratory Study Group dgLP) Related measurements the observation is made from
Constraints: ref-1
.... 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 SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.extension:value-r5.​value[x].contentType Base required MimeType 📍4.0.1 FHIR Std.
Observation.status Base required https://gematik.de/fhir/terminology/ValueSet/observation-status Not State Unknown
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratory Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base preferred Laboratory Code 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code.coding:snomed Base preferred https://gematik.de/fhir/terminology/ValueSet/diagram-type Not State Unknown
Observation.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.subject.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.subject.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Observation.performer.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Observation.performer.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.performer.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📦4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base preferred Laboratory Code 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📦2.0.1 This IG
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
eu-lab-1 error Observation If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" (status in ('registered'|'cancelled')) or value.exists() or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2 error Observation If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value').exists() or component.dataAbsentReason.exists()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-value-1 error Observation The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()
per-1 error Observation.subject.identifier.period, Observation.performer.identifier.period If present, start SHALL have a lower value than end start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3 error Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.value[x]:valueQuantity If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
rat-1 error Observation.component.value[x]:valueRatio Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1 error Observation.subject, Observation.subject.identifier.assigner, Observation.performer, Observation.performer.identifier.assigner, Observation.derivedFrom SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
rng-2 error Observation.referenceRange.age, Observation.component.value[x]:valueRange If present, low SHALL have a lower value than high low.empty() or high.empty() or (low <= high)
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

Diese Struktur ist abgeleitet von TIObservationLaboratoryImageAttachment

Summary

Mandatory: 2 elements(11 nested mandatory elements)
Prohibited: 36 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.category (Closed)

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TIObservationLaboratoryImageAttachment Laboratory result for a simple test or for a panel/study
Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, obs-value-1, eu-lab-1, eu-lab-2
... meta SΣ 0..1 Meta Metadata about the resource
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:value-r5 S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] S 1..1 Attachment Actual result
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Required Pattern: image/png
...... data S 1..1 base64Binary Data inline, base64ed
...... title SΣ 1..1 string Label to display in place of the data
Example General: Official Corporate Logo
.... extension:accredited N 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... status ?!SΣ 1..1 code Status of this observation (e.g. preliminary, final,...)
Binding: https://gematik.de/fhir/terminology/ValueSet/observation-status (required)
... Slices for category S 1..1 CodeableConcept Classification of type of observation
Slice: Unordered, Closed by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:laboratory S 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 SΣ 0..* 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display SΣ 1..1 string Representation defined by the system
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/diagram-type (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
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(TI Patient) Who and/or what the observation is about
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... Slices for effective[x] SΣ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime Clinically relevant time/time-period for observation
... performer SΣC 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
.... Slices for extension Content/Rules for all slices
..... extension:performerFunction N 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... note S 0..* Annotation Comments about the observation
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... derivedFrom SΣC 1..* Reference(Observation Laboratory Study dgLP | Observation Laboratory Study Group dgLP) Related measurements the observation is made from
Constraints: ref-1
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.extension:value-r5.​value[x].contentType Base required MimeType 📍4.0.1 FHIR Std.
Observation.status Base required https://gematik.de/fhir/terminology/ValueSet/observation-status Not State Unknown
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratory Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base preferred Laboratory Code 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code.coding:snomed Base preferred https://gematik.de/fhir/terminology/ValueSet/diagram-type Not State Unknown
Observation.subject.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.performer.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​code Base preferred Laboratory Code 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📦2.0.1 This IG
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
eu-lab-1 error Observation If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" (status in ('registered'|'cancelled')) or value.exists() or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2 error Observation If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value').exists() or component.dataAbsentReason.exists()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-value-1 error Observation The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()
qty-3 error Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.value[x]:valueQuantity If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
rat-1 error Observation.component.value[x]:valueRatio Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1 error Observation.subject, Observation.performer, Observation.derivedFrom SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
rng-2 error Observation.component.value[x]:valueRange If present, low SHALL have a lower value than high low.empty() or high.empty() or (low <= high)
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

Differential-Ansicht

Diese Struktur ist abgeleitet von TIObservationLaboratoryImageAttachment

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation TIObservationLaboratoryImageAttachment
... Slices for extension Content/Rules for all slices
.... extension:bodyStructure 0..0 R5: Observed body structure (new)
.... extension:triggeredBy 0..0 R5: Triggering observation(s) (new)
.... extension:value-r5 1..1 R5 Observation.value R5: value additional types
..... value[x]
...... language 0..0 Human language of the content (BCP-47)
...... url 0..0 Uri where the data can be found
...... size 0..0 Number of bytes of content (if url provided)
...... hash 0..0 Hash of the data (sha-1, base64ed)
...... creation 0..0 Date attachment was first created
.... extension:supportingInfo 0..0 Other information that may be relevant to this event.
.... extension:labTestKit 0..0 Device Laboratory Test Kit
.... extension:certifiedRefMaterialCodeable 0..0 Certified Reference Material: CodeableConcept
.... extension:certifiedRefMaterialIdentifer 0..0 Certified Reference Material: Identifier
... identifier 0..0 Business Identifier for observation
... basedOn 0..0 Fulfills plan, proposal or order
... Slices for category 1..1 CodeableConcept Classification of type of observation
Slice: Unordered, Closed by pattern:$this
.... category:laboratory 1..1 CodeableConcept Classification of type of observation
..... coding
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
...... display 1..1 string Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
..... text 0..0 Plain text representation of the concept
.... category:studyType 0..0 The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
.... category:specialty 0..0 The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
... code
.... coding 0..* Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... version 1..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
..... display 1..1 string Representation defined by the system
.... Slices for coding Content/Rules for all slices
..... coding:snomed 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
...... version 1..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
...... display 1..1 string Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
... focus 0..0 What the observation is about, when it is not about the subject of record
... encounter 0..0 Healthcare event during which this observation is made
... effective[x] 1..1 dateTime Clinically relevant time/time-period for observation
... Slices for effective[x] Content/Rules for all slices
.... effective[x]:effectiveDateTime 1..1 dateTime Clinically relevant time/time-period for observation
... issued 0..0 Date/Time this result was made available
... dataAbsentReason 0..0 Provides a reason why the expected value is missing.
... interpretation 0..0 High, low, normal, etc.
... note
.... author[x] 0..0 Individual responsible for the annotation
.... time 0..0 When the annotation was made
... bodySite 0..0 Observed body part
... method 0..0 How it was done
... specimen 0..0 Specimen used for the observation
... device 0..0 Measuring instrument
... referenceRange 0..0 Provides guide for interpretation
... hasMember 0..0 Related resource that belongs to the Observation group
... derivedFrom 1..* Reference(Observation Laboratory Study dgLP | Observation Laboratory Study Group dgLP) Related measurements the observation is made from
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
.... type 0..0 Type the reference refers to (e.g. "Patient")
.... identifier 0..0 Logical reference, when literal reference is not known
.... display 0..0 Text alternative for the resource
... component 0..0 Laboratory result

doco Documentation for this format

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TIObservationLaboratoryImageAttachment Laboratory result for a simple test or for a panel/study
Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, obs-value-1, eu-lab-1, eu-lab-2
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:value-r5 S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] S 1..1 Attachment Actual result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Required Pattern: image/png
...... data S 1..1 base64Binary Data inline, base64ed
...... title SΣ 1..1 string Label to display in place of the data
Example General: Official Corporate Logo
.... extension:accredited N 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... status ?!SΣ 1..1 code Status of this observation (e.g. preliminary, final,...)
Binding: https://gematik.de/fhir/terminology/ValueSet/observation-status (required)
... Slices for category S 1..1 CodeableConcept Classification of type of observation
Slice: Unordered, Closed by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:laboratory S 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
Slice: Unordered, Open by value:url
..... coding SΣ 0..* 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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display SΣ 1..1 string Representation defined by the system
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/diagram-type (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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(TI Patient) Who and/or what the observation is about
Constraints: ref-1
.... 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 SΣC 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 SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... display SΣ 0..1 string Text alternative for the resource
... Slices for effective[x] SΣ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime Clinically relevant time/time-period for observation
... performer SΣC 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
.... 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:performerFunction N 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference SΣC 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 SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... display SΣ 0..1 string Text alternative for the resource
... note S 0..* Annotation Comments about the observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... derivedFrom SΣC 1..* Reference(Observation Laboratory Study dgLP | Observation Laboratory Study Group dgLP) Related measurements the observation is made from
Constraints: ref-1
.... 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 SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.extension:value-r5.​value[x].contentType Base required MimeType 📍4.0.1 FHIR Std.
Observation.status Base required https://gematik.de/fhir/terminology/ValueSet/observation-status Not State Unknown
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratory Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base preferred Laboratory Code 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code.coding:snomed Base preferred https://gematik.de/fhir/terminology/ValueSet/diagram-type Not State Unknown
Observation.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.subject.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.subject.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Observation.performer.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Observation.performer.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.performer.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📦4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base preferred Laboratory Code 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📦2.0.1 This IG
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
eu-lab-1 error Observation If observation status is other then "registered" or "cancelled", at least one of these Observation elements shall be provided: "value", "dataAbsentReason", "hasMember" or "component" (status in ('registered'|'cancelled')) or value.exists() or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').exists() or hasMember.exists() or component.exists() or dataAbsentReason.exists()
eu-lab-2 error Observation If observation has components and observation status is other then "registered" or "cancelled", at least one of these Observation.component elements shall be provided: "value" or "dataAbsentReason" component.exists() implies (status in ('registered'|'cancelled')) or component.value.exists() or component.extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value').exists() or component.dataAbsentReason.exists()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-value-1 error Observation The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()
per-1 error Observation.subject.identifier.period, Observation.performer.identifier.period If present, start SHALL have a lower value than end start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3 error Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.value[x]:valueQuantity If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
rat-1 error Observation.component.value[x]:valueRatio Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1 error Observation.subject, Observation.subject.identifier.assigner, Observation.performer, Observation.performer.identifier.assigner, Observation.derivedFrom SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
rng-2 error Observation.referenceRange.age, Observation.component.value[x]:valueRange If present, low SHALL have a lower value than high low.empty() or high.empty() or (low <= high)
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

Diese Struktur ist abgeleitet von TIObservationLaboratoryImageAttachment

Summary

Mandatory: 2 elements(11 nested mandatory elements)
Prohibited: 36 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.category (Closed)

 

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