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

Ressourcenprofil: Observation Laboratory Study dgLP

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

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

Dieses Profil bildet eine Laboruntersuchung ab.

Laboruntersuchungen können als Messung oder als Berechnung erfolgen.

Eine Laboruntersuchung als Messung beschreibt die quantitative oder qualitative Untersuchung eines spezifischen Laborparameters in einem definierten Probenmaterial; z. B. die Untersuchung des Hämoglobin-(Hb-)Werts als Konzentration im Blut. Der Bezug zur Probe, anhand derer die Messung vorgenommen wurde, muss erkennbar sein.

Berechnete Laborergebnisse können auf Messungen basieren, z.B. kann die berechnete GFR (glomeruläre Filtrationsrate) auf einem gemessenen Kreatinin-Wert im Serum basieren.

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..* TIObservationLaboratoryStudy 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, obs-alt-result-1, obs-code-1
... 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:accredited S 0..1 (Complex) Kennzeichen Akkreditierte Laboruntersuchung
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/laboratory-accredited"
..... value[x] S 1..1 boolean Value of extension
.... extension:testProfile S 0..1 (Complex) Laboruntersuchungsgruppe / Test-Profil
URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe (example)
...... coding SΣ 0..* Coding Code defined by a terminology system
....... 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
...... text SΣ 0..1 string Plain text representation of the concept
.... extension:externalService S 0..1 (Complex) Kennzeichen Fremdleistung
URL: https://gematik.de/fhir/ti/StructureDefinition/external-service-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/external-service-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:associationService S 0..1 (Complex) Kennzeichen Verbundleistung
URL: https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:zlogValue S 0..1 (Complex) zLog-Wert
URL: https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension"
..... value[x] S 1..1 decimal Value of extension
.... extension:alternativeResult S 0..* (Complex) Messergebnis Alternative Einheit
URL: https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Extension
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "code"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding SΣ 1..1 Coding LOINC®-Code Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
......... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 0..1 code Symbol in syntax defined by the system
......... display SΣ 0..1 string Representation defined by the system
...... extension:value S 1..1 Extension Extension
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "value"
....... Slices for value[x] S 1..1 Value of extension
Slice: Unordered, Closed by type:$this
........ valueRange Range
........ valueRatio Ratio
....... Slices for value[x] Content/Rules for all slices
........ value[x]:valueRange SC 0..1 Range Ergebnisbereich mit Alternativeinheit
Constraints: obs-range-2
......... low SΣC 1..1 SimpleQuantity(4.0.1) Low limit
Constraints: qty-3, sqty-1
Required Pattern: At least the following
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
......... high SΣC 1..1 SimpleQuantity(4.0.1) High limit
Constraints: qty-3, sqty-1
Required Pattern: At least the following
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
........ value[x]:valueRatio S 0..1 Ratio Ratio mit Alternativeinheit
......... numerator SΣC 1..1 Quantity Numerator value
Constraints: qty-3
Required Pattern: At least the following
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
......... denominator SΣC 1..1 Quantity Denominator value
Constraints: qty-3
Required Pattern: At least the following
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
........ value[x]:valueQuantity S 0..1 Quantity Ergebniswert mit Alternativeinheit
Required Pattern: At least the following
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
......... unit SΣ 1..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
...... extension:referenceRange S 0..1 Extension Extension
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "referenceRange"
....... value[x] SC 1..1 Range Value of extension
Constraints: obs-range-1, obs-range-2
........ low SΣC 0..1 SimpleQuantity(4.0.1) Low limit
Constraints: qty-3, sqty-1
Required Pattern: At least the following
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 1..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
........ high SΣC 0..1 SimpleQuantity(4.0.1) High limit
Constraints: qty-3, sqty-1
Required Pattern: At least the following
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 1..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
...... extension:zlog S 0..1 Extension Extension
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "zlog"
....... value[x] S 1..1 decimal Value of extension
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension"
... Slices for identifier SΣ 0..2 Identifier Business Identifier for observation
Slice: Unordered, Closed by value:type
.... identifier:resultID SΣ 0..1 Identifier Business Identifier for observation
..... type Σ 1..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.
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 1..1 Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version SΣ 1..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
....... display SΣ 1..1 string Representation defined by the system
Fixed Value: Observation Instance Identifier
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:GTIN SΣ 0..1 Identifier Business Identifier for observation
..... type Σ 1..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.
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 1..1 Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version SΣ 1..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: UDI
....... display SΣ 1..1 string Representation defined by the system
Fixed Value: Universal Device Identifier
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... 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..2 CodeableConcept Fachliche Bezeichnung für die zugehörige Untersuchungsgruppe, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category
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
.... category:studyType S 0..1 CodeableConcept Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category:studyType
Binding: Laboratory Study Types (required): Codes for high level observation categories.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 0..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
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
.... Slices for extension Content/Rules for all slices
..... extension:data-absent-reason S 0..1 (Complex) Grund für das Nichtvorhandensein eines LOINC®-Codes
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
...... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
...... value[x] S 1..1 code Value of extension
Binding: https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory (required)
.... coding SΣ 0..1 Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... 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 Verwender-spezifische (vom Long Common Name des LOINC®-Codes ggf. abweichende) Bezeichnung für die Laboruntersuchung
... 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:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime Klinischer Bezugszeitpunkt
... issued SΣ 1..1 instant Dokumentationszeitpunkt
... performer SΣC 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
.... Slices for extension Content/Rules for all slices
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... Slices for value[x] SΣC 0..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueRange Range
.... valueRatio Ratio
.... value[x]:valueQuantity SΣC 0..1 QuantityEuLab Ergebniswert als Quantität
Constraints: qty-3
Required Pattern: At least the following
..... Slices for extension Content/Rules for all slices
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... value[x]:valueString SΣC 0..1 string Textergebnis als Freitext
.... value[x]:valueRange SΣC 0..1 RangeEuLab Messergebnisse, die als ein Wertebereich/Werteintervall angegeben werden
Constraints: rng-2, obs-range-2
..... Slices for extension Content/Rules for all slices
..... low SΣC 1..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
Required Pattern: At least the following
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
..... high SΣC 1..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
Required Pattern: At least the following
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
.... value[x]:valueRatio SΣC 0..1 RatioEuLab Titerangabe
Constraints: rat-1
..... Slices for extension Content/Rules for all slices
..... numerator SΣC 1..1 Quantity Numerator value
Constraints: qty-3
Required Pattern: At least the following
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣC 1..1 Quantity Denominator value
Constraints: qty-3
Required Pattern: At least the following
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Qualitatives Messergebnis (z.B. nominal oder ordinal)
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
Additional BindingsPurpose
​http://hl7.org/fhir/uv/ips/ValueSet/results-blood-group-snomed-ct-ips-free-set candidate
Laboratory Presence and Absence Findings Preferred
​http://hl7.org/fhir/uv/ips/ValueSet/results-microorganism-snomed-ct-ips-free-set candidate
..... 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 Σ 1..1 uri Identity of the terminology system
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 1..1 string Representation defined by the system
..... Slices for coding Content/Rules for all slices
...... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value (example)

Required Pattern: At least the following
....... 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
.... value[x]:valueTime ΣC 0..1 time Actual result
.... value[x]:valueDateTime ΣC 0..1 dateTime Actual result
.... value[x]:valuePeriod ΣC 0..1 Period Actual result
... dataAbsentReason SC 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... coding SΣ 1..1 Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... version SΣ 0..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
... interpretation S 0..* CodeableConcept Medizinische Interpretation des einzelnen Laborergebnisses
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of 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 Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
..... coding:hl7Interpretation SΣ 0..1 Coding Code defined by a terminology system
Binding: ObservationInterpretationCodes (extensible)

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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
...... version SΣ 0..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

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
... note S 0..* Annotation Comments about the observation
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... method S 0..1 CodeableConcept Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend)
Binding: Laboratory Techniques (preferred): Methods for simple observations.
.... coding SΣ 0..* Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/observation-methods (example)
..... system SΣ 1..1 uri Identity of the terminology system
..... version SΣ 0..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
... specimen SC 0..1 Reference(Specimen dgLP) Specimen used for the observation
Constraints: ref-1
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... device SC 0..1 Reference(Device Laboratory Analyzer dgLP) Laboranalysegerät
Constraints: ref-1
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3, obs-range-2
.... Slices for extension S 0..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:sourceReferenceRange S 0..1 (Complex) Quelle der Richtgrenzen
URL: https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension"
...... value[x] S 1..1 CodeableConcept Value of extension
....... coding SΣ 0..* Coding Code defined by a terminology system
........ system SΣ 1..1 uri Identity of the terminology system
........ version SΣ 0..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 1..1 string Plain text representation of the concept
..... extension:noLinearReferenceRange S 0..1 (Complex) Kennzeichen Nicht-linearer Referenzbereich
URL: https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension"
...... value[x] S 1..1 boolean Value of extension
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SC 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... high SC 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... type S 1..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 0..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
.... appliesTo S 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
..... coding SΣ 0..* Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to (example)
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 0..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
.... text S 0..1 string Text based reference range in an observation
... derivedFrom SΣC 0..* Reference(Observation Laboratory Study 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:testProfile.​value[x] Base example https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe Not State Unknown
Observation.extension:alternativeResult.​extension:value.value[x]:valueRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.extension:alternativeResult.​extension:value.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.identifier:resultID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Observation.identifier:GTIN.​type Base extensible IdentifierType 📍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.category:studyType Base required Laboratory Study Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code Base preferred Laboratory Code 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code.extension:data-absent-reason.​value[x] Base required https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory 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.value[x]:valueRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📦2.0.1 This IG
Observation.value[x]:valueCodeableConcept.​coding:snomed Base example https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value Not State Unknown
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.interpretation.​coding:hl7Interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.method Base preferred Laboratory Techniques 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.method.coding Base example https://gematik.de/fhir/terminology/ValueSet/observation-methods Not State Unknown
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.referenceRange.​appliesTo.coding Base example https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to Not State Unknown
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-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-alt-result-1 error Observation The extension AlternativeResultLaboratoryExtension SHALL not be used if Observation.code.coding is not provided. extension('https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension').exists() implies code.coding.exists()
obs-code-1 error Observation For Observation.code either a coding or a data absent reason MUST be provided. When stating a data absent reason, a text for Observation.code MUST be provided as well. code.coding.empty() or code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').empty() and (code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() implies code.text.exists())
obs-range-1 error Observation.extension:alternativeResult.extension:referenceRange.value[x] For Observation.referenceRange at least a lower or upper reference range MUST be provided. low.exists() or high.exists()
obs-range-2 error Observation.extension:alternativeResult.extension:value.value[x]:valueRange, Observation.extension:alternativeResult.extension:referenceRange.value[x], Observation.value[x]:valueRange, Observation.referenceRange The units of the upper and lower bounds of a reference range must be stated in the same unit. (high.unit = low.unit and high.code = low.code)
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.extension:alternativeResult.extension:value.value[x]:valueRange.low, Observation.extension:alternativeResult.extension:value.value[x]:valueRange.high, Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.numerator, Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.denominator, Observation.extension:alternativeResult.extension:referenceRange.value[x].low, Observation.extension:alternativeResult.extension:referenceRange.value[x].high, Observation.value[x]:valueQuantity, Observation.value[x]:valueRange.low, Observation.value[x]:valueRange.high, Observation.value[x]:valueRatio.numerator, Observation.value[x]:valueRatio.denominator, 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.value[x]:valueRatio, Observation.component.value[x]:valueRatio Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1 error Observation.subject, Observation.performer, Observation.specimen, Observation.device, 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.value[x]:valueRange, Observation.component.value[x]:valueRange If present, low SHALL have a lower value than high low.empty() or high.empty() or (low <= high)
sqty-1 error Observation.extension:alternativeResult.extension:value.value[x]:valueRange.low, Observation.extension:alternativeResult.extension:value.value[x]:valueRange.high, Observation.extension:alternativeResult.extension:referenceRange.value[x].low, Observation.extension:alternativeResult.extension:referenceRange.value[x].high, Observation.value[x]:valueRange.low, Observation.value[x]:valueRange.high, Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

Diese Struktur ist abgeleitet von TIObservationLaboratoryStudy

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TIObservationLaboratoryStudy Laboratory result for a simple test or for a panel/study
Constraints: obs-code-1
... 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 0..0 R5: value additional types
.... 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
.... extension:testProfile 0..1 TestProfileLaboratoryExtension Laboruntersuchungsgruppe / Test-Profil
..... value[x]
...... coding
....... version 1..1 string Version of the system - if relevant
....... userSelected 0..0 If this coding was chosen directly by the user
.... extension:alternativeResult 0..* AlternativeResultLaboratoryExtension Messergebnis Alternative Einheit
..... Slices for extension Content/Rules for all slices
...... extension:code 1..1 Extension Extension
....... value[x]
........ coding 1..1 Coding LOINC®-Code Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
......... system 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... extension:value 1..1 Extension Extension
....... Slices for value[x] Content/Rules for all slices
........ value[x]:valueRange C 0..1 Range Ergebnisbereich mit Alternativeinheit
Constraints: obs-range-2
......... low 1..1 SimpleQuantity(4.0.1) Low limit
......... high 1..1 SimpleQuantity(4.0.1) High limit
........ value[x]:valueRatio 0..1 Ratio Ratio mit Alternativeinheit
......... denominator
.......... comparator 0..0 < | <= | >= | > - how to understand the value
...... extension:referenceRange 0..1 Extension Extension
....... value[x] C 1..1 Range Value of extension
Constraints: obs-range-1, obs-range-2
... Slices for identifier 0..2 Identifier Business Identifier for observation
Slice: Unordered, Closed by value:type
.... identifier:resultID S 0..1 Identifier Business Identifier for observation
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding S 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version S 1..1 string Version of the system - if relevant
....... code S 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
....... display S 1..1 string Representation defined by the system
Fixed Value: Observation Instance Identifier
....... userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... system S 0..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:GTIN S 0..1 Identifier Business Identifier for observation
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding S 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version S 1..1 string Version of the system - if relevant
....... code S 1..1 code Symbol in syntax defined by the system
Fixed Value: UDI
....... display S 1..1 string Representation defined by the system
Fixed Value: Universal Device Identifier
....... userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... system S 0..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
... basedOn 0..0 Fulfills plan, proposal or order
... Slices for category 1..2 CodeableConcept Fachliche Bezeichnung für die zugehörige Untersuchungsgruppe, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category
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..1 CodeableConcept Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category:studyType
..... 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
.... category:specialty 0..0 The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
... code
.... Slices for extension Content/Rules for all slices
..... extension:data-absent-reason 0..1 DataAbsentReason(5.3.0) Grund für das Nichtvorhandensein eines LOINC®-Codes
.... coding 0..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... 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
.... text 0..1 string Verwender-spezifische (vom Long Common Name des LOINC®-Codes ggf. abweichende) Bezeichnung für die Laboruntersuchung
... 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 Klinischer Bezugszeitpunkt
... issued 1..1 instant Dokumentationszeitpunkt
... performer
.... Slices for extension Content/Rules for all slices
..... extension:performerFunction 0..0 Type of performance
... value[x] 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueRange Range
.... valueRatio Ratio
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueQuantity 0..1 QuantityEuLab Ergebniswert als Quantität
Required Pattern: At least the following
..... Slices for extension Content/Rules for all slices
...... extension:uncertainty 0..0 Standard Deviation (same units as the quantity)
..... value 1..1 decimal Numerical value (with implicit precision)
..... unit 1..1 string Unit representation
..... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code 1..1 code Coded form of the unit
.... value[x]:valueString 0..1 string Textergebnis als Freitext
.... value[x]:valueRange C 0..1 RangeEuLab Messergebnisse, die als ein Wertebereich/Werteintervall angegeben werden
Constraints: obs-range-2
..... Slices for extension Content/Rules for all slices
...... extension:uncertainty 0..0 Standard Deviation (same units as the quantity)
...... extension:uncertaintyType 0..0 Probability Distribution Type for uncertainty
..... low 1..1 SimpleQuantity Low limit
Required Pattern: At least the following
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 1..1 string Unit representation
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... high 1..1 SimpleQuantity High limit
Required Pattern: At least the following
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 1..1 string Unit representation
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... value[x]:valueRatio 0..1 RatioEuLab Titerangabe
..... Slices for extension Content/Rules for all slices
...... extension:uncertainty 0..0 Standard Deviation (same units as the quantity)
...... extension:uncertaintyType 0..0 Probability Distribution Type for uncertainty
..... numerator 1..1 Quantity Numerator value
Required Pattern: At least the following
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 1..1 string Unit representation
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... denominator 1..1 Quantity Denominator value
Required Pattern: At least the following
...... value 1..1 decimal Numerical value (with implicit precision)
...... comparator 0..0 < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Qualitatives Messergebnis (z.B. nominal oder ordinal)
..... coding 0..* Coding Code defined by a terminology system
...... 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
..... 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
... dataAbsentReason
.... coding 1..1 Coding Code defined by a terminology system
..... 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
... interpretation
.... coding 0..* Coding Code defined by a terminology system
..... 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
.... Slices for coding Content/Rules for all slices
..... coding:hl7Interpretation 0..1 Coding Code defined by a terminology system
...... 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
..... 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
... 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
.... 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
... specimen 0..1 Reference(Specimen dgLP) Specimen used for the observation
.... 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
... device 0..1 Reference(Device Laboratory Analyzer dgLP) Laboranalysegerät
.... 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
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-range-2
.... extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
.... low 0..1 SimpleQuantity Low Range, if relevant
Required Pattern: At least the following
..... value 1..1 decimal Numerical value (with implicit precision)
..... unit 1..1 string Unit representation
..... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code 1..1 code Coded form of the unit
.... high 0..1 SimpleQuantity High Range, if relevant
Required Pattern: At least the following
..... value 1..1 decimal Numerical value (with implicit precision)
..... unit 1..1 string Unit representation
..... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code 1..1 code Coded form of the unit
.... type 1..1 CodeableConcept Reference range qualifier
..... 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
.... appliesTo
..... 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
.... age 0..0 Applicable age range, if relevant
... derivedFrom 0..* Reference(Observation Laboratory Study 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

Constraints

Id Grade Path(s) Description Expression
obs-code-1 error Observation For Observation.code either a coding or a data absent reason MUST be provided. When stating a data absent reason, a text for Observation.code MUST be provided as well. code.coding.empty() or code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').empty() and (code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() implies code.text.exists())
obs-range-1 error Observation.extension:alternativeResult.extension:referenceRange.value[x] For Observation.referenceRange at least a lower or upper reference range MUST be provided. low.exists() or high.exists()
obs-range-2 error Observation.extension:alternativeResult.extension:value.value[x]:valueRange, Observation.extension:alternativeResult.extension:referenceRange.value[x], Observation.value[x]:valueRange, Observation.referenceRange The units of the upper and lower bounds of a reference range must be stated in the same unit. (high.unit = low.unit and high.code = low.code)
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TIObservationLaboratoryStudy 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, obs-alt-result-1, obs-code-1
... 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:accredited S 0..1 (Complex) Kennzeichen Akkreditierte Laboruntersuchung
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
..... 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.eu/fhir/StructureDefinition/laboratory-accredited"
..... value[x] S 1..1 boolean Value of extension
.... extension:testProfile S 0..1 (Complex) Laboruntersuchungsgruppe / Test-Profil
URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe (example)
...... 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
....... 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
...... text SΣ 0..1 string Plain text representation of the concept
.... extension:externalService S 0..1 (Complex) Kennzeichen Fremdleistung
URL: https://gematik.de/fhir/ti/StructureDefinition/external-service-extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/external-service-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:associationService S 0..1 (Complex) Kennzeichen Verbundleistung
URL: https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:zlogValue S 0..1 (Complex) zLog-Wert
URL: https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension"
..... value[x] S 1..1 decimal Value of extension
.... extension:alternativeResult S 0..* (Complex) Messergebnis Alternative Einheit
URL: https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "code"
....... value[x] S 1..1 CodeableConcept Value of extension
........ 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 1..1 Coding LOINC®-Code Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
......... 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 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 0..1 code Symbol in syntax defined by the system
......... display SΣ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ text Σ 0..1 string Plain text representation of the concept
...... extension:value S 1..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "value"
....... Slices for value[x] S 1..1 Value of extension
Slice: Unordered, Closed by type:$this
........ valueRange Range
........ valueRatio Ratio
....... Slices for value[x] Content/Rules for all slices
........ value[x]:valueRange SC 0..1 Range Ergebnisbereich mit Alternativeinheit
Constraints: obs-range-2
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... low SΣC 1..1 SimpleQuantity(4.0.1) Low limit
Constraints: qty-3, sqty-1
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
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
......... high SΣC 1..1 SimpleQuantity(4.0.1) High limit
Constraints: qty-3, sqty-1
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
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
........ value[x]:valueRatio S 0..1 Ratio Ratio mit Alternativeinheit
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... numerator SΣC 1..1 Quantity Numerator value
Constraints: qty-3
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
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
......... denominator SΣC 1..1 Quantity Denominator value
Constraints: qty-3
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
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
........ value[x]:valueQuantity S 0..1 Quantity Ergebniswert mit Alternativeinheit
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
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
......... unit SΣ 1..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
...... extension:referenceRange S 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "referenceRange"
....... value[x] SC 1..1 Range Value of extension
Constraints: obs-range-1, obs-range-2
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ low SΣC 0..1 SimpleQuantity(4.0.1) Low limit
Constraints: qty-3, sqty-1
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
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 1..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
........ high SΣC 0..1 SimpleQuantity(4.0.1) High limit
Constraints: qty-3, sqty-1
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
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 1..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
...... extension:zlog S 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "zlog"
....... value[x] S 1..1 decimal Value of extension
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... Slices for identifier SΣ 0..2 Identifier Business Identifier for observation
Slice: Unordered, Closed by value:type
.... identifier:resultID SΣ 0..1 Identifier Business Identifier for 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
..... type Σ 1..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.
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 1..1 Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version SΣ 1..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
....... display SΣ 1..1 string Representation defined by the system
Fixed Value: Observation Instance Identifier
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:GTIN SΣ 0..1 Identifier Business Identifier for 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
..... type Σ 1..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.
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 1..1 Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version SΣ 1..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: UDI
....... display SΣ 1..1 string Representation defined by the system
Fixed Value: Universal Device Identifier
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... 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..2 CodeableConcept Fachliche Bezeichnung für die zugehörige Untersuchungsgruppe, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category
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
.... category:studyType S 0..1 CodeableConcept Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category:studyType
Binding: Laboratory Study Types (required): Codes for high level observation categories.
..... 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
...... 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 0..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
... 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
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:data-absent-reason S 0..1 (Complex) Grund für das Nichtvorhandensein eines LOINC®-Codes
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
...... 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/StructureDefinition/data-absent-reason"
...... value[x] S 1..1 code Value of extension
Binding: https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory (required)
.... coding SΣ 0..1 Coding Code defined by a terminology system
..... 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://loinc.org
..... 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 Verwender-spezifische (vom Long Common Name des LOINC®-Codes ggf. abweichende) Bezeichnung für die Laboruntersuchung
... 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:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime Klinischer Bezugszeitpunkt
... issued SΣ 1..1 instant Dokumentationszeitpunkt
... performer SΣC 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... display SΣ 0..1 string Text alternative for the resource
... Slices for value[x] SΣC 0..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueRange Range
.... valueRatio Ratio
.... value[x]:valueQuantity SΣC 0..1 QuantityEuLab Ergebniswert als Quantität
Constraints: qty-3
Required Pattern: At least the following
..... 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
..... Slices for extension Content/Rules for all slices
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... value[x]:valueString SΣC 0..1 string Textergebnis als Freitext
.... value[x]:valueRange SΣC 0..1 RangeEuLab Messergebnisse, die als ein Wertebereich/Werteintervall angegeben werden
Constraints: rng-2, obs-range-2
..... 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
..... Slices for extension Content/Rules for all slices
..... low SΣC 1..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
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
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
..... high SΣC 1..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
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
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
.... value[x]:valueRatio SΣC 0..1 RatioEuLab Titerangabe
Constraints: rat-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
..... Slices for extension Content/Rules for all slices
..... numerator SΣC 1..1 Quantity Numerator value
Constraints: qty-3
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
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣC 1..1 Quantity Denominator value
Constraints: qty-3
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
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Qualitatives Messergebnis (z.B. nominal oder ordinal)
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
Additional BindingsPurpose
​http://hl7.org/fhir/uv/ips/ValueSet/results-blood-group-snomed-ct-ips-free-set candidate
Laboratory Presence and Absence Findings Preferred
​http://hl7.org/fhir/uv/ips/ValueSet/results-microorganism-snomed-ct-ips-free-set candidate
..... 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 Σ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 1..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... Slices for coding Content/Rules for all slices
...... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value (example)

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
.... value[x]:valueTime ΣC 0..1 time Actual result
.... value[x]:valueDateTime ΣC 0..1 dateTime Actual result
.... value[x]:valuePeriod ΣC 0..1 Period Actual result
... dataAbsentReason SC 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... 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 1..1 Coding Code defined by a terminology system
..... 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 0..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
... interpretation S 0..* CodeableConcept Medizinische Interpretation des einzelnen Laborergebnisses
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of 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 Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:hl7Interpretation SΣ 0..1 Coding Code defined by a terminology system
Binding: ObservationInterpretationCodes (extensible)

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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
...... version SΣ 0..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

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
... 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)
... method S 0..1 CodeableConcept Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend)
Binding: Laboratory Techniques (preferred): Methods for 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
.... coding SΣ 0..* Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/observation-methods (example)
..... 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 0..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
... specimen SC 0..1 Reference(Specimen dgLP) Specimen used for the observation
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
... device SC 0..1 Reference(Device Laboratory Analyzer dgLP) Laboranalysegerät
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
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3, obs-range-2
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension S 0..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:sourceReferenceRange S 0..1 (Complex) Quelle der Richtgrenzen
URL: https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension"
...... value[x] S 1..1 CodeableConcept Value of extension
....... 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
........ 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 0..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 1..1 string Plain text representation of the concept
..... extension:noLinearReferenceRange S 0..1 (Complex) Kennzeichen Nicht-linearer Referenzbereich
URL: https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension"
...... value[x] S 1..1 boolean Value of extension
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SC 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
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
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... high SC 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1
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
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... type S 1..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
..... 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
...... 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 0..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
.... appliesTo S 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
..... 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
Binding: https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to (example)
...... 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 0..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
.... text S 0..1 string Text based reference range in an observation
... derivedFrom SΣC 0..* Reference(Observation Laboratory Study 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:testProfile.​value[x] Base example https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe Not State Unknown
Observation.extension:alternativeResult.​extension:value.value[x]:valueRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.extension:alternativeResult.​extension:value.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.identifier:resultID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Observation.identifier:GTIN.​type Base extensible IdentifierType 📍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.category:studyType Base required Laboratory Study Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code Base preferred Laboratory Code 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code.extension:data-absent-reason.​value[x] Base required https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory 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.value[x]:valueRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📦2.0.1 This IG
Observation.value[x]:valueCodeableConcept.​coding:snomed Base example https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value Not State Unknown
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.interpretation.​coding:hl7Interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.method Base preferred Laboratory Techniques 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.method.coding Base example https://gematik.de/fhir/terminology/ValueSet/observation-methods Not State Unknown
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.referenceRange.​appliesTo.coding Base example https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to Not State Unknown
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-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-alt-result-1 error Observation The extension AlternativeResultLaboratoryExtension SHALL not be used if Observation.code.coding is not provided. extension('https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension').exists() implies code.coding.exists()
obs-code-1 error Observation For Observation.code either a coding or a data absent reason MUST be provided. When stating a data absent reason, a text for Observation.code MUST be provided as well. code.coding.empty() or code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').empty() and (code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() implies code.text.exists())
obs-range-1 error Observation.extension:alternativeResult.extension:referenceRange.value[x] For Observation.referenceRange at least a lower or upper reference range MUST be provided. low.exists() or high.exists()
obs-range-2 error Observation.extension:alternativeResult.extension:value.value[x]:valueRange, Observation.extension:alternativeResult.extension:referenceRange.value[x], Observation.value[x]:valueRange, Observation.referenceRange The units of the upper and lower bounds of a reference range must be stated in the same unit. (high.unit = low.unit and high.code = low.code)
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.extension:alternativeResult.extension:value.value[x]:valueRange.low, Observation.extension:alternativeResult.extension:value.value[x]:valueRange.high, Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.numerator, Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.denominator, Observation.extension:alternativeResult.extension:referenceRange.value[x].low, Observation.extension:alternativeResult.extension:referenceRange.value[x].high, Observation.value[x]:valueQuantity, Observation.value[x]:valueRange.low, Observation.value[x]:valueRange.high, Observation.value[x]:valueRatio.numerator, Observation.value[x]:valueRatio.denominator, 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.value[x]:valueRatio, Observation.component.value[x]:valueRatio Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1 error Observation.subject, Observation.subject.identifier.assigner, Observation.performer, Observation.performer.identifier.assigner, Observation.specimen, Observation.device, 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.value[x]:valueRange, Observation.component.value[x]:valueRange If present, low SHALL have a lower value than high low.empty() or high.empty() or (low <= high)
sqty-1 error Observation.extension:alternativeResult.extension:value.value[x]:valueRange.low, Observation.extension:alternativeResult.extension:value.value[x]:valueRange.high, Observation.extension:alternativeResult.extension:referenceRange.value[x].low, Observation.extension:alternativeResult.extension:referenceRange.value[x].high, Observation.value[x]:valueRange.low, Observation.value[x]:valueRange.high, Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

Diese Struktur ist abgeleitet von TIObservationLaboratoryStudy

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TIObservationLaboratoryStudy 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, obs-alt-result-1, obs-code-1
... 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:accredited S 0..1 (Complex) Kennzeichen Akkreditierte Laboruntersuchung
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/laboratory-accredited"
..... value[x] S 1..1 boolean Value of extension
.... extension:testProfile S 0..1 (Complex) Laboruntersuchungsgruppe / Test-Profil
URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe (example)
...... coding SΣ 0..* Coding Code defined by a terminology system
....... 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
...... text SΣ 0..1 string Plain text representation of the concept
.... extension:externalService S 0..1 (Complex) Kennzeichen Fremdleistung
URL: https://gematik.de/fhir/ti/StructureDefinition/external-service-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/external-service-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:associationService S 0..1 (Complex) Kennzeichen Verbundleistung
URL: https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:zlogValue S 0..1 (Complex) zLog-Wert
URL: https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension"
..... value[x] S 1..1 decimal Value of extension
.... extension:alternativeResult S 0..* (Complex) Messergebnis Alternative Einheit
URL: https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Extension
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "code"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding SΣ 1..1 Coding LOINC®-Code Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
......... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 0..1 code Symbol in syntax defined by the system
......... display SΣ 0..1 string Representation defined by the system
...... extension:value S 1..1 Extension Extension
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "value"
....... Slices for value[x] S 1..1 Value of extension
Slice: Unordered, Closed by type:$this
........ valueRange Range
........ valueRatio Ratio
....... Slices for value[x] Content/Rules for all slices
........ value[x]:valueRange SC 0..1 Range Ergebnisbereich mit Alternativeinheit
Constraints: obs-range-2
......... low SΣC 1..1 SimpleQuantity(4.0.1) Low limit
Constraints: qty-3, sqty-1
Required Pattern: At least the following
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
......... high SΣC 1..1 SimpleQuantity(4.0.1) High limit
Constraints: qty-3, sqty-1
Required Pattern: At least the following
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
........ value[x]:valueRatio S 0..1 Ratio Ratio mit Alternativeinheit
......... numerator SΣC 1..1 Quantity Numerator value
Constraints: qty-3
Required Pattern: At least the following
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
......... denominator SΣC 1..1 Quantity Denominator value
Constraints: qty-3
Required Pattern: At least the following
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
........ value[x]:valueQuantity S 0..1 Quantity Ergebniswert mit Alternativeinheit
Required Pattern: At least the following
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
......... unit SΣ 1..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
...... extension:referenceRange S 0..1 Extension Extension
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "referenceRange"
....... value[x] SC 1..1 Range Value of extension
Constraints: obs-range-1, obs-range-2
........ low SΣC 0..1 SimpleQuantity(4.0.1) Low limit
Constraints: qty-3, sqty-1
Required Pattern: At least the following
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 1..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
........ high SΣC 0..1 SimpleQuantity(4.0.1) High limit
Constraints: qty-3, sqty-1
Required Pattern: At least the following
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 1..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
...... extension:zlog S 0..1 Extension Extension
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "zlog"
....... value[x] S 1..1 decimal Value of extension
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension"
... Slices for identifier SΣ 0..2 Identifier Business Identifier for observation
Slice: Unordered, Closed by value:type
.... identifier:resultID SΣ 0..1 Identifier Business Identifier for observation
..... type Σ 1..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.
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 1..1 Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version SΣ 1..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
....... display SΣ 1..1 string Representation defined by the system
Fixed Value: Observation Instance Identifier
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:GTIN SΣ 0..1 Identifier Business Identifier for observation
..... type Σ 1..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.
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 1..1 Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version SΣ 1..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: UDI
....... display SΣ 1..1 string Representation defined by the system
Fixed Value: Universal Device Identifier
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... 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..2 CodeableConcept Fachliche Bezeichnung für die zugehörige Untersuchungsgruppe, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category
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
.... category:studyType S 0..1 CodeableConcept Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category:studyType
Binding: Laboratory Study Types (required): Codes for high level observation categories.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 0..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
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
.... Slices for extension Content/Rules for all slices
..... extension:data-absent-reason S 0..1 (Complex) Grund für das Nichtvorhandensein eines LOINC®-Codes
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
...... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
...... value[x] S 1..1 code Value of extension
Binding: https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory (required)
.... coding SΣ 0..1 Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... 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 Verwender-spezifische (vom Long Common Name des LOINC®-Codes ggf. abweichende) Bezeichnung für die Laboruntersuchung
... 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:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime Klinischer Bezugszeitpunkt
... issued SΣ 1..1 instant Dokumentationszeitpunkt
... performer SΣC 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
.... Slices for extension Content/Rules for all slices
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... Slices for value[x] SΣC 0..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueRange Range
.... valueRatio Ratio
.... value[x]:valueQuantity SΣC 0..1 QuantityEuLab Ergebniswert als Quantität
Constraints: qty-3
Required Pattern: At least the following
..... Slices for extension Content/Rules for all slices
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... value[x]:valueString SΣC 0..1 string Textergebnis als Freitext
.... value[x]:valueRange SΣC 0..1 RangeEuLab Messergebnisse, die als ein Wertebereich/Werteintervall angegeben werden
Constraints: rng-2, obs-range-2
..... Slices for extension Content/Rules for all slices
..... low SΣC 1..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
Required Pattern: At least the following
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
..... high SΣC 1..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
Required Pattern: At least the following
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
.... value[x]:valueRatio SΣC 0..1 RatioEuLab Titerangabe
Constraints: rat-1
..... Slices for extension Content/Rules for all slices
..... numerator SΣC 1..1 Quantity Numerator value
Constraints: qty-3
Required Pattern: At least the following
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣC 1..1 Quantity Denominator value
Constraints: qty-3
Required Pattern: At least the following
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Qualitatives Messergebnis (z.B. nominal oder ordinal)
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
Additional BindingsPurpose
​http://hl7.org/fhir/uv/ips/ValueSet/results-blood-group-snomed-ct-ips-free-set candidate
Laboratory Presence and Absence Findings Preferred
​http://hl7.org/fhir/uv/ips/ValueSet/results-microorganism-snomed-ct-ips-free-set candidate
..... 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 Σ 1..1 uri Identity of the terminology system
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 1..1 string Representation defined by the system
..... Slices for coding Content/Rules for all slices
...... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value (example)

Required Pattern: At least the following
....... 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
.... value[x]:valueTime ΣC 0..1 time Actual result
.... value[x]:valueDateTime ΣC 0..1 dateTime Actual result
.... value[x]:valuePeriod ΣC 0..1 Period Actual result
... dataAbsentReason SC 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... coding SΣ 1..1 Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... version SΣ 0..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
... interpretation S 0..* CodeableConcept Medizinische Interpretation des einzelnen Laborergebnisses
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of 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 Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
..... coding:hl7Interpretation SΣ 0..1 Coding Code defined by a terminology system
Binding: ObservationInterpretationCodes (extensible)

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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
...... version SΣ 0..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

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
... note S 0..* Annotation Comments about the observation
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... method S 0..1 CodeableConcept Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend)
Binding: Laboratory Techniques (preferred): Methods for simple observations.
.... coding SΣ 0..* Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/observation-methods (example)
..... system SΣ 1..1 uri Identity of the terminology system
..... version SΣ 0..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
... specimen SC 0..1 Reference(Specimen dgLP) Specimen used for the observation
Constraints: ref-1
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... device SC 0..1 Reference(Device Laboratory Analyzer dgLP) Laboranalysegerät
Constraints: ref-1
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3, obs-range-2
.... Slices for extension S 0..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:sourceReferenceRange S 0..1 (Complex) Quelle der Richtgrenzen
URL: https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension"
...... value[x] S 1..1 CodeableConcept Value of extension
....... coding SΣ 0..* Coding Code defined by a terminology system
........ system SΣ 1..1 uri Identity of the terminology system
........ version SΣ 0..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 1..1 string Plain text representation of the concept
..... extension:noLinearReferenceRange S 0..1 (Complex) Kennzeichen Nicht-linearer Referenzbereich
URL: https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension"
...... value[x] S 1..1 boolean Value of extension
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SC 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... high SC 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... type S 1..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 0..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
.... appliesTo S 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
..... coding SΣ 0..* Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to (example)
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 0..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
.... text S 0..1 string Text based reference range in an observation
... derivedFrom SΣC 0..* Reference(Observation Laboratory Study 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:testProfile.​value[x] Base example https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe Not State Unknown
Observation.extension:alternativeResult.​extension:value.value[x]:valueRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.extension:alternativeResult.​extension:value.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.identifier:resultID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Observation.identifier:GTIN.​type Base extensible IdentifierType 📍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.category:studyType Base required Laboratory Study Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code Base preferred Laboratory Code 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code.extension:data-absent-reason.​value[x] Base required https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory 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.value[x]:valueRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📦2.0.1 This IG
Observation.value[x]:valueCodeableConcept.​coding:snomed Base example https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value Not State Unknown
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.interpretation.​coding:hl7Interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.method Base preferred Laboratory Techniques 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.method.coding Base example https://gematik.de/fhir/terminology/ValueSet/observation-methods Not State Unknown
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.referenceRange.​appliesTo.coding Base example https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to Not State Unknown
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-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-alt-result-1 error Observation The extension AlternativeResultLaboratoryExtension SHALL not be used if Observation.code.coding is not provided. extension('https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension').exists() implies code.coding.exists()
obs-code-1 error Observation For Observation.code either a coding or a data absent reason MUST be provided. When stating a data absent reason, a text for Observation.code MUST be provided as well. code.coding.empty() or code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').empty() and (code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() implies code.text.exists())
obs-range-1 error Observation.extension:alternativeResult.extension:referenceRange.value[x] For Observation.referenceRange at least a lower or upper reference range MUST be provided. low.exists() or high.exists()
obs-range-2 error Observation.extension:alternativeResult.extension:value.value[x]:valueRange, Observation.extension:alternativeResult.extension:referenceRange.value[x], Observation.value[x]:valueRange, Observation.referenceRange The units of the upper and lower bounds of a reference range must be stated in the same unit. (high.unit = low.unit and high.code = low.code)
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.extension:alternativeResult.extension:value.value[x]:valueRange.low, Observation.extension:alternativeResult.extension:value.value[x]:valueRange.high, Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.numerator, Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.denominator, Observation.extension:alternativeResult.extension:referenceRange.value[x].low, Observation.extension:alternativeResult.extension:referenceRange.value[x].high, Observation.value[x]:valueQuantity, Observation.value[x]:valueRange.low, Observation.value[x]:valueRange.high, Observation.value[x]:valueRatio.numerator, Observation.value[x]:valueRatio.denominator, 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.value[x]:valueRatio, Observation.component.value[x]:valueRatio Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1 error Observation.subject, Observation.performer, Observation.specimen, Observation.device, 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.value[x]:valueRange, Observation.component.value[x]:valueRange If present, low SHALL have a lower value than high low.empty() or high.empty() or (low <= high)
sqty-1 error Observation.extension:alternativeResult.extension:value.value[x]:valueRange.low, Observation.extension:alternativeResult.extension:value.value[x]:valueRange.high, Observation.extension:alternativeResult.extension:referenceRange.value[x].low, Observation.extension:alternativeResult.extension:referenceRange.value[x].high, Observation.value[x]:valueRange.low, Observation.value[x]:valueRange.high, Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

Differential-Ansicht

Diese Struktur ist abgeleitet von TIObservationLaboratoryStudy

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TIObservationLaboratoryStudy Laboratory result for a simple test or for a panel/study
Constraints: obs-code-1
... 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 0..0 R5: value additional types
.... 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
.... extension:testProfile 0..1 TestProfileLaboratoryExtension Laboruntersuchungsgruppe / Test-Profil
..... value[x]
...... coding
....... version 1..1 string Version of the system - if relevant
....... userSelected 0..0 If this coding was chosen directly by the user
.... extension:alternativeResult 0..* AlternativeResultLaboratoryExtension Messergebnis Alternative Einheit
..... Slices for extension Content/Rules for all slices
...... extension:code 1..1 Extension Extension
....... value[x]
........ coding 1..1 Coding LOINC®-Code Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
......... system 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... extension:value 1..1 Extension Extension
....... Slices for value[x] Content/Rules for all slices
........ value[x]:valueRange C 0..1 Range Ergebnisbereich mit Alternativeinheit
Constraints: obs-range-2
......... low 1..1 SimpleQuantity(4.0.1) Low limit
......... high 1..1 SimpleQuantity(4.0.1) High limit
........ value[x]:valueRatio 0..1 Ratio Ratio mit Alternativeinheit
......... denominator
.......... comparator 0..0 < | <= | >= | > - how to understand the value
...... extension:referenceRange 0..1 Extension Extension
....... value[x] C 1..1 Range Value of extension
Constraints: obs-range-1, obs-range-2
... Slices for identifier 0..2 Identifier Business Identifier for observation
Slice: Unordered, Closed by value:type
.... identifier:resultID S 0..1 Identifier Business Identifier for observation
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding S 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version S 1..1 string Version of the system - if relevant
....... code S 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
....... display S 1..1 string Representation defined by the system
Fixed Value: Observation Instance Identifier
....... userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... system S 0..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:GTIN S 0..1 Identifier Business Identifier for observation
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding S 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version S 1..1 string Version of the system - if relevant
....... code S 1..1 code Symbol in syntax defined by the system
Fixed Value: UDI
....... display S 1..1 string Representation defined by the system
Fixed Value: Universal Device Identifier
....... userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... system S 0..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
... basedOn 0..0 Fulfills plan, proposal or order
... Slices for category 1..2 CodeableConcept Fachliche Bezeichnung für die zugehörige Untersuchungsgruppe, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category
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..1 CodeableConcept Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category:studyType
..... 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
.... category:specialty 0..0 The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
... code
.... Slices for extension Content/Rules for all slices
..... extension:data-absent-reason 0..1 DataAbsentReason(5.3.0) Grund für das Nichtvorhandensein eines LOINC®-Codes
.... coding 0..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... 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
.... text 0..1 string Verwender-spezifische (vom Long Common Name des LOINC®-Codes ggf. abweichende) Bezeichnung für die Laboruntersuchung
... 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 Klinischer Bezugszeitpunkt
... issued 1..1 instant Dokumentationszeitpunkt
... performer
.... Slices for extension Content/Rules for all slices
..... extension:performerFunction 0..0 Type of performance
... value[x] 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueRange Range
.... valueRatio Ratio
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueQuantity 0..1 QuantityEuLab Ergebniswert als Quantität
Required Pattern: At least the following
..... Slices for extension Content/Rules for all slices
...... extension:uncertainty 0..0 Standard Deviation (same units as the quantity)
..... value 1..1 decimal Numerical value (with implicit precision)
..... unit 1..1 string Unit representation
..... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code 1..1 code Coded form of the unit
.... value[x]:valueString 0..1 string Textergebnis als Freitext
.... value[x]:valueRange C 0..1 RangeEuLab Messergebnisse, die als ein Wertebereich/Werteintervall angegeben werden
Constraints: obs-range-2
..... Slices for extension Content/Rules for all slices
...... extension:uncertainty 0..0 Standard Deviation (same units as the quantity)
...... extension:uncertaintyType 0..0 Probability Distribution Type for uncertainty
..... low 1..1 SimpleQuantity Low limit
Required Pattern: At least the following
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 1..1 string Unit representation
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... high 1..1 SimpleQuantity High limit
Required Pattern: At least the following
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 1..1 string Unit representation
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... value[x]:valueRatio 0..1 RatioEuLab Titerangabe
..... Slices for extension Content/Rules for all slices
...... extension:uncertainty 0..0 Standard Deviation (same units as the quantity)
...... extension:uncertaintyType 0..0 Probability Distribution Type for uncertainty
..... numerator 1..1 Quantity Numerator value
Required Pattern: At least the following
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 1..1 string Unit representation
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... denominator 1..1 Quantity Denominator value
Required Pattern: At least the following
...... value 1..1 decimal Numerical value (with implicit precision)
...... comparator 0..0 < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Qualitatives Messergebnis (z.B. nominal oder ordinal)
..... coding 0..* Coding Code defined by a terminology system
...... 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
..... 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
... dataAbsentReason
.... coding 1..1 Coding Code defined by a terminology system
..... 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
... interpretation
.... coding 0..* Coding Code defined by a terminology system
..... 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
.... Slices for coding Content/Rules for all slices
..... coding:hl7Interpretation 0..1 Coding Code defined by a terminology system
...... 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
..... 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
... 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
.... 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
... specimen 0..1 Reference(Specimen dgLP) Specimen used for the observation
.... 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
... device 0..1 Reference(Device Laboratory Analyzer dgLP) Laboranalysegerät
.... 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
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-range-2
.... extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
.... low 0..1 SimpleQuantity Low Range, if relevant
Required Pattern: At least the following
..... value 1..1 decimal Numerical value (with implicit precision)
..... unit 1..1 string Unit representation
..... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code 1..1 code Coded form of the unit
.... high 0..1 SimpleQuantity High Range, if relevant
Required Pattern: At least the following
..... value 1..1 decimal Numerical value (with implicit precision)
..... unit 1..1 string Unit representation
..... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code 1..1 code Coded form of the unit
.... type 1..1 CodeableConcept Reference range qualifier
..... 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
.... appliesTo
..... 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
.... age 0..0 Applicable age range, if relevant
... derivedFrom 0..* Reference(Observation Laboratory Study 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

Constraints

Id Grade Path(s) Description Expression
obs-code-1 error Observation For Observation.code either a coding or a data absent reason MUST be provided. When stating a data absent reason, a text for Observation.code MUST be provided as well. code.coding.empty() or code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').empty() and (code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() implies code.text.exists())
obs-range-1 error Observation.extension:alternativeResult.extension:referenceRange.value[x] For Observation.referenceRange at least a lower or upper reference range MUST be provided. low.exists() or high.exists()
obs-range-2 error Observation.extension:alternativeResult.extension:value.value[x]:valueRange, Observation.extension:alternativeResult.extension:referenceRange.value[x], Observation.value[x]:valueRange, Observation.referenceRange The units of the upper and lower bounds of a reference range must be stated in the same unit. (high.unit = low.unit and high.code = low.code)

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TIObservationLaboratoryStudy 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, obs-alt-result-1, obs-code-1
... 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:accredited S 0..1 (Complex) Kennzeichen Akkreditierte Laboruntersuchung
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
..... 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.eu/fhir/StructureDefinition/laboratory-accredited"
..... value[x] S 1..1 boolean Value of extension
.... extension:testProfile S 0..1 (Complex) Laboruntersuchungsgruppe / Test-Profil
URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe (example)
...... 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
....... 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
...... text SΣ 0..1 string Plain text representation of the concept
.... extension:externalService S 0..1 (Complex) Kennzeichen Fremdleistung
URL: https://gematik.de/fhir/ti/StructureDefinition/external-service-extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/external-service-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:associationService S 0..1 (Complex) Kennzeichen Verbundleistung
URL: https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension"
..... value[x] S 1..1 boolean Value of extension
.... extension:zlogValue S 0..1 (Complex) zLog-Wert
URL: https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension"
..... value[x] S 1..1 decimal Value of extension
.... extension:alternativeResult S 0..* (Complex) Messergebnis Alternative Einheit
URL: https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "code"
....... value[x] S 1..1 CodeableConcept Value of extension
........ 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 1..1 Coding LOINC®-Code Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
......... 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 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 0..1 code Symbol in syntax defined by the system
......... display SΣ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ text Σ 0..1 string Plain text representation of the concept
...... extension:value S 1..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "value"
....... Slices for value[x] S 1..1 Value of extension
Slice: Unordered, Closed by type:$this
........ valueRange Range
........ valueRatio Ratio
....... Slices for value[x] Content/Rules for all slices
........ value[x]:valueRange SC 0..1 Range Ergebnisbereich mit Alternativeinheit
Constraints: obs-range-2
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... low SΣC 1..1 SimpleQuantity(4.0.1) Low limit
Constraints: qty-3, sqty-1
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
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
......... high SΣC 1..1 SimpleQuantity(4.0.1) High limit
Constraints: qty-3, sqty-1
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
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
........ value[x]:valueRatio S 0..1 Ratio Ratio mit Alternativeinheit
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... numerator SΣC 1..1 Quantity Numerator value
Constraints: qty-3
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
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
......... denominator SΣC 1..1 Quantity Denominator value
Constraints: qty-3
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
.......... value SΣ 1..1 decimal Numerical value (with implicit precision)
.......... unit SΣ 1..1 string Unit representation
.......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.......... code SΣ 1..1 code Coded form of the unit
........ value[x]:valueQuantity S 0..1 Quantity Ergebniswert mit Alternativeinheit
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
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
......... unit SΣ 1..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
...... extension:referenceRange S 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "referenceRange"
....... value[x] SC 1..1 Range Value of extension
Constraints: obs-range-1, obs-range-2
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ low SΣC 0..1 SimpleQuantity(4.0.1) Low limit
Constraints: qty-3, sqty-1
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
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 1..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
........ high SΣC 0..1 SimpleQuantity(4.0.1) High limit
Constraints: qty-3, sqty-1
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
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 1..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
...... extension:zlog S 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "zlog"
....... value[x] S 1..1 decimal Value of extension
..... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... Slices for identifier SΣ 0..2 Identifier Business Identifier for observation
Slice: Unordered, Closed by value:type
.... identifier:resultID SΣ 0..1 Identifier Business Identifier for 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
..... type Σ 1..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.
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 1..1 Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version SΣ 1..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
....... display SΣ 1..1 string Representation defined by the system
Fixed Value: Observation Instance Identifier
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:GTIN SΣ 0..1 Identifier Business Identifier for 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
..... type Σ 1..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.
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 1..1 Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version SΣ 1..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: UDI
....... display SΣ 1..1 string Representation defined by the system
Fixed Value: Universal Device Identifier
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... 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..2 CodeableConcept Fachliche Bezeichnung für die zugehörige Untersuchungsgruppe, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category
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
.... category:studyType S 0..1 CodeableConcept Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category:studyType
Binding: Laboratory Study Types (required): Codes for high level observation categories.
..... 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
...... 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 0..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
... 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
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:data-absent-reason S 0..1 (Complex) Grund für das Nichtvorhandensein eines LOINC®-Codes
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
...... 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/StructureDefinition/data-absent-reason"
...... value[x] S 1..1 code Value of extension
Binding: https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory (required)
.... coding SΣ 0..1 Coding Code defined by a terminology system
..... 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://loinc.org
..... 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 Verwender-spezifische (vom Long Common Name des LOINC®-Codes ggf. abweichende) Bezeichnung für die Laboruntersuchung
... 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:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime Klinischer Bezugszeitpunkt
... issued SΣ 1..1 instant Dokumentationszeitpunkt
... performer SΣC 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... display SΣ 0..1 string Text alternative for the resource
... Slices for value[x] SΣC 0..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueRange Range
.... valueRatio Ratio
.... value[x]:valueQuantity SΣC 0..1 QuantityEuLab Ergebniswert als Quantität
Constraints: qty-3
Required Pattern: At least the following
..... 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
..... Slices for extension Content/Rules for all slices
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... value[x]:valueString SΣC 0..1 string Textergebnis als Freitext
.... value[x]:valueRange SΣC 0..1 RangeEuLab Messergebnisse, die als ein Wertebereich/Werteintervall angegeben werden
Constraints: rng-2, obs-range-2
..... 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
..... Slices for extension Content/Rules for all slices
..... low SΣC 1..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
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
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
..... high SΣC 1..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
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
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
.... value[x]:valueRatio SΣC 0..1 RatioEuLab Titerangabe
Constraints: rat-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
..... Slices for extension Content/Rules for all slices
..... numerator SΣC 1..1 Quantity Numerator value
Constraints: qty-3
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
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣC 1..1 Quantity Denominator value
Constraints: qty-3
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
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded form of the unit
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Qualitatives Messergebnis (z.B. nominal oder ordinal)
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
Additional BindingsPurpose
​http://hl7.org/fhir/uv/ips/ValueSet/results-blood-group-snomed-ct-ips-free-set candidate
Laboratory Presence and Absence Findings Preferred
​http://hl7.org/fhir/uv/ips/ValueSet/results-microorganism-snomed-ct-ips-free-set candidate
..... 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 Σ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 1..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... Slices for coding Content/Rules for all slices
...... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value (example)

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
.... value[x]:valueTime ΣC 0..1 time Actual result
.... value[x]:valueDateTime ΣC 0..1 dateTime Actual result
.... value[x]:valuePeriod ΣC 0..1 Period Actual result
... dataAbsentReason SC 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... 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 1..1 Coding Code defined by a terminology system
..... 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 0..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
... interpretation S 0..* CodeableConcept Medizinische Interpretation des einzelnen Laborergebnisses
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of 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 Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:hl7Interpretation SΣ 0..1 Coding Code defined by a terminology system
Binding: ObservationInterpretationCodes (extensible)

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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
...... version SΣ 0..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

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
... 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)
... method S 0..1 CodeableConcept Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend)
Binding: Laboratory Techniques (preferred): Methods for 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
.... coding SΣ 0..* Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/observation-methods (example)
..... 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 0..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
... specimen SC 0..1 Reference(Specimen dgLP) Specimen used for the observation
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
... device SC 0..1 Reference(Device Laboratory Analyzer dgLP) Laboranalysegerät
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
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3, obs-range-2
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension S 0..* Extension Extension
Slice: Unordered, Closed by value:url
..... extension:sourceReferenceRange S 0..1 (Complex) Quelle der Richtgrenzen
URL: https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension"
...... value[x] S 1..1 CodeableConcept Value of extension
....... 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
........ 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 0..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 1..1 string Plain text representation of the concept
..... extension:noLinearReferenceRange S 0..1 (Complex) Kennzeichen Nicht-linearer Referenzbereich
URL: https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension"
...... value[x] S 1..1 boolean Value of extension
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SC 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
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
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... high SC 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1
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
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... type S 1..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
..... 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
...... 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 0..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
.... appliesTo S 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
..... 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
Binding: https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to (example)
...... 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 0..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
.... text S 0..1 string Text based reference range in an observation
... derivedFrom SΣC 0..* Reference(Observation Laboratory Study 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:testProfile.​value[x] Base example https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe Not State Unknown
Observation.extension:alternativeResult.​extension:value.value[x]:valueRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.extension:alternativeResult.​extension:value.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.identifier:resultID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Observation.identifier:GTIN.​type Base extensible IdentifierType 📍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.category:studyType Base required Laboratory Study Types 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code Base preferred Laboratory Code 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.code.extension:data-absent-reason.​value[x] Base required https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory 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.value[x]:valueRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📦2.0.1 This IG
Observation.value[x]:valueCodeableConcept.​coding:snomed Base example https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value Not State Unknown
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.interpretation.​coding:hl7Interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.method Base preferred Laboratory Techniques 📦2.0.0 HL7 Europe Laboratory Report v2.0
Observation.method.coding Base example https://gematik.de/fhir/terminology/ValueSet/observation-methods Not State Unknown
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.referenceRange.​appliesTo.coding Base example https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to Not State Unknown
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-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-alt-result-1 error Observation The extension AlternativeResultLaboratoryExtension SHALL not be used if Observation.code.coding is not provided. extension('https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension').exists() implies code.coding.exists()
obs-code-1 error Observation For Observation.code either a coding or a data absent reason MUST be provided. When stating a data absent reason, a text for Observation.code MUST be provided as well. code.coding.empty() or code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').empty() and (code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() implies code.text.exists())
obs-range-1 error Observation.extension:alternativeResult.extension:referenceRange.value[x] For Observation.referenceRange at least a lower or upper reference range MUST be provided. low.exists() or high.exists()
obs-range-2 error Observation.extension:alternativeResult.extension:value.value[x]:valueRange, Observation.extension:alternativeResult.extension:referenceRange.value[x], Observation.value[x]:valueRange, Observation.referenceRange The units of the upper and lower bounds of a reference range must be stated in the same unit. (high.unit = low.unit and high.code = low.code)
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.extension:alternativeResult.extension:value.value[x]:valueRange.low, Observation.extension:alternativeResult.extension:value.value[x]:valueRange.high, Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.numerator, Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.denominator, Observation.extension:alternativeResult.extension:referenceRange.value[x].low, Observation.extension:alternativeResult.extension:referenceRange.value[x].high, Observation.value[x]:valueQuantity, Observation.value[x]:valueRange.low, Observation.value[x]:valueRange.high, Observation.value[x]:valueRatio.numerator, Observation.value[x]:valueRatio.denominator, 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.value[x]:valueRatio, Observation.component.value[x]:valueRatio Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1 error Observation.subject, Observation.subject.identifier.assigner, Observation.performer, Observation.performer.identifier.assigner, Observation.specimen, Observation.device, 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.value[x]:valueRange, Observation.component.value[x]:valueRange If present, low SHALL have a lower value than high low.empty() or high.empty() or (low <= high)
sqty-1 error Observation.extension:alternativeResult.extension:value.value[x]:valueRange.low, Observation.extension:alternativeResult.extension:value.value[x]:valueRange.high, Observation.extension:alternativeResult.extension:referenceRange.value[x].low, Observation.extension:alternativeResult.extension:referenceRange.value[x].high, Observation.value[x]:valueRange.low, Observation.value[x]:valueRange.high, Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

Diese Struktur ist abgeleitet von TIObservationLaboratoryStudy

 

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