Implementation Guide
TI Common
Version 1.5.0-ballot.1 - ballot

Ressourcenprofil: TI Observation Image Attachment

Offizielle URL: https://gematik.de/fhir/ti/StructureDefinition/ti-observation-laboratory-image-attachment Version: 1.5.0
Active Stand: 2026-11-16 Maschinenlesbarer Name: TIObservationLaboratoryImageAttachment

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

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

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationResultsLaboratoryEu Laboratory result for a simple test or for a panel/study
Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, obs-value-1, eu-lab-1, eu-lab-2
... meta SΣ 0..1 Meta Metadata about the resource
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:bodyStructure N 0..1 Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) R5: Observed body structure (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
.... extension:triggeredBy N 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... Slices for extension 2..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:observation 1..1 Extension R5: Triggering observation (new)
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "observation"
....... value[x] N 1..1 Reference(Observation: Medical Test Result (EU core)) Triggering observation
...... extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
....... url 1..1 uri "type"
....... value[x] N 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
....... url 1..1 uri "reason"
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:value-r5 S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] S 1..1 Attachment Actual result
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Required Pattern: image/png
...... data S 1..1 base64Binary Data inline, base64ed
...... title SΣ 1..1 string Label to display in place of the data
Example General: Official Corporate Logo
.... extension:supportingInfo N 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:labTestKit N 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:certifiedRefMaterialCodeable N 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer N 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:accredited N 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... status ?!SΣ 1..1 code Status of this observation (e.g. preliminary, final,...)
Binding: https://gematik.de/fhir/terminology/ValueSet/observation-status (required)
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open 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
..... text 0..1 string Plain text representation of the concept
..... 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
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 0..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 0..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display SΣ 0..1 string Representation defined by the system
.... category:studyType N 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required): Codes for high level observation categories.
.... category:specialty N 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:All Slices Content/Rules for all slices
...... system SΣ 0..1 uri Identity of the terminology system
...... 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
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/diagram-type (preferred)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... 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
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(TI Patient) Who and/or what the observation is about
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... Slices for effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Clinically relevant time/time-period for observation
... performer SΣC 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
.... Slices for extension Content/Rules for all slices
..... extension:performerFunction N 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... dataAbsentReason C 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... note S 0..* Annotation Comments about the observation
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... derivedFrom SΣC 1..* Reference(TI Observation Laboratory Study Group | TI Observation Laboratory Study) Related measurements the observation is made from
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... display SΣ 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

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

Constraints

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

Diese Struktur ist abgeleitet von ObservationResultsLaboratoryEu

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* ObservationResultsLaboratoryEu Laboratory result for a simple test or for a panel/study
... meta S 0..1 Meta Metadata about the resource
.... versionId S 0..1 id Version specific identifier
.... lastUpdated S 0..1 instant When the resource version last changed
... extension S 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:value-r5 S 1..1 R5 Observation.value R5: value additional types
..... value[x] S 1..1 Attachment Actual result
...... contentType S 1..1 code Mime type of the content, with charset etc.
Required Pattern: image/png
...... data S 1..1 base64Binary Data inline, base64ed
...... title S 1..1 string Label to display in place of the data
... category S 1..* CodeableConcept Classification of type of observation
... Slices for category Content/Rules for all slices
.... category:laboratory S 1..1 CodeableConcept Classification of type of observation
..... coding S 0..* Coding Code defined by a terminology system
...... system S 0..1 uri Identity of the terminology system
...... version S 0..1 string Version of the system - if relevant
...... code S 0..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
... code S 1..1 CodeableConcept Type of observation (code / type)
.... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:All Slices Content/Rules for all slices
...... system S 0..1 uri Identity of the terminology system
...... version S 0..1 string Version of the system - if relevant
...... code S 0..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... coding:snomed S 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/diagram-type (preferred)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
.... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(TI Patient) Who and/or what the observation is about
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier S 0..1 Identifier Logical reference, when literal reference is not known
..... system S 0..1 uri The namespace for the identifier value
..... value S 0..1 string The value that is unique
.... display S 0..1 string Text alternative for the resource
... Slices for effective[x] S 1..1 dateTime, Period Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 0..1 dateTime Clinically relevant time/time-period for observation
... performer S 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier S 0..1 Identifier Logical reference, when literal reference is not known
..... system S 0..1 uri The namespace for the identifier value
..... value S 0..1 string The value that is unique
.... display S 0..1 string Text alternative for the resource
... value[x] 0..0 Actual result
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueQuantity 0..0 A measured amount using UCUM
.... value[x]:valueString 0..0 Actual result
.... value[x]:valueRange 0..0 A measured range using UCUM
.... value[x]:valueRatio 0..0 A measured ratio using UCUM
.... value[x]:valueTime 0..0 Actual result
.... value[x]:valueDateTime 0..0 Actual result
.... value[x]:valuePeriod 0..0 Actual result
.... value[x]:valueCodeableConcept 0..0 Actual result
.... value[x]:valueBoolean 0..0 Actual result
.... value[x]:valueInteger 0..0 Actual result
... note S 0..* Annotation Comments about the observation
.... text S 1..1 markdown The annotation - text content (as markdown)
... derivedFrom S 1..* Reference(TI Observation Laboratory Study Group | TI Observation Laboratory Study) Related measurements the observation is made from
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... display S 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.status Base required https://gematik.de/fhir/terminology/ValueSet/observation-status Not State Unknown
Observation.code.coding:snomed Base preferred https://gematik.de/fhir/terminology/ValueSet/diagram-type Not State Unknown
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationResultsLaboratoryEu Laboratory result for a simple test or for a panel/study
Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, obs-value-1, eu-lab-1, eu-lab-2
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the observation
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:bodyStructure N 0..1 Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) R5: Observed body structure (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
.... extension:triggeredBy N 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 2..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:observation 1..1 Extension R5: Triggering observation (new)
....... 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 "observation"
....... value[x] N 1..1 Reference(Observation: Medical Test Result (EU core)) Triggering observation
...... extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "type"
....... value[x] N 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "reason"
....... value[x] N 0..1 string Reason that the observation was triggered
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:value-r5 S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] S 1..1 Attachment Actual result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Required Pattern: image/png
...... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data S 1..1 base64Binary Data inline, base64ed
...... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title SΣ 1..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation Σ 0..1 dateTime Date attachment was first created
.... extension:supportingInfo N 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:labTestKit N 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:certifiedRefMaterialCodeable N 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer N 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:accredited N 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn ΣC 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Constraints: ref-1
... partOf ΣC 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Constraints: ref-1
... 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..* CodeableConcept Classification of type of observation
Slice: Unordered, Open 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 0..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 0..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... 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
.... category:studyType N 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required): Codes for high level observation categories.
.... category:specialty N 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri Identity of the terminology system
...... 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
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/diagram-type (preferred)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... 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 SΣ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(TI Patient) Who and/or what the observation is about
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... display SΣ 0..1 string Text alternative for the resource
... focus ΣC 0..* Reference(Patient (EU core) | RelatedPerson: AnimalSpecimen | Group | Device | Location (EU core)) What the observation is about, when it is not about the subject of record
Constraints: ref-1
... encounter ΣC 0..1 Reference(Encounter) Healthcare event during which this observation is made
Constraints: ref-1
... Slices for effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Clinically relevant time/time-period for observation
... issued Σ 0..1 instant Date/Time this result was made available
... performer SΣC 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:performerFunction N 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... display SΣ 0..1 string Text alternative for the resource
... dataAbsentReason C 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 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
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: Laboratory Techniques (preferred): Methods for simple observations.
... specimen C 0..1 Reference(Specimen: Laboratory) Specimen used for the observation
Constraints: ref-1
... device C 0..1 Reference(Device | DeviceMetric) Measuring instrument
Constraints: ref-1
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
.... high C 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age C 0..1 Range Applicable age range, if relevant
Constraints: rng-2
.... text 0..1 string Text based reference range in an observation
... hasMember ΣC 0..* Reference(Observation Results: laboratory) Related resource that belongs to the Observation group
Constraints: ref-1
... derivedFrom SΣC 1..* Reference(TI Observation Laboratory Study Group | TI Observation Laboratory Study) 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 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display SΣ 0..1 string Text alternative for the resource
... component Σ 0..* BackboneElement Laboratory result
.... 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:value-r5 N 0..1 (Complex) only for Diagrams or Pictures
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
...... value[x] N 0..1 Attachment Actual result
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
.... Slices for value[x] ΣN 0..1 Actual component result
Slice: Unordered, Closed by type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueQuantity ΣCN 0..1 QuantityEuLab A measured amount using UCUM
Constraints: qty-3
...... 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
....... extension:uncertainty N 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
..... value[x]:valueString ΣN 0..1 string Actual component result
..... value[x]:valueRange ΣCN 0..1 RangeEuLab A measured range using UCUM
Constraints: rng-2
..... value[x]:valueRatio ΣCN 0..1 RatioEuLab A measured ratio using UCUM
Constraints: rat-1
..... value[x]:valueTime ΣN 0..1 time Actual component result
..... value[x]:valueDateTime ΣN 0..1 dateTime Actual component result
..... value[x]:valuePeriod ΣN 0..1 Period Actual component result
..... value[x]:valueCodeableConcept ΣN 0..1 CodeableConcept Actual component result
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
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

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

Constraints

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

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationResultsLaboratoryEu Laboratory result for a simple test or for a panel/study
Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, obs-value-1, eu-lab-1, eu-lab-2
... meta SΣ 0..1 Meta Metadata about the resource
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:bodyStructure N 0..1 Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) R5: Observed body structure (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
.... extension:triggeredBy N 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... Slices for extension 2..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:observation 1..1 Extension R5: Triggering observation (new)
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "observation"
....... value[x] N 1..1 Reference(Observation: Medical Test Result (EU core)) Triggering observation
...... extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
....... url 1..1 uri "type"
....... value[x] N 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
....... url 1..1 uri "reason"
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:value-r5 S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] S 1..1 Attachment Actual result
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Required Pattern: image/png
...... data S 1..1 base64Binary Data inline, base64ed
...... title SΣ 1..1 string Label to display in place of the data
Example General: Official Corporate Logo
.... extension:supportingInfo N 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:labTestKit N 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:certifiedRefMaterialCodeable N 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer N 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:accredited N 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... status ?!SΣ 1..1 code Status of this observation (e.g. preliminary, final,...)
Binding: https://gematik.de/fhir/terminology/ValueSet/observation-status (required)
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open 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
..... text 0..1 string Plain text representation of the concept
..... 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
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 0..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 0..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display SΣ 0..1 string Representation defined by the system
.... category:studyType N 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required): Codes for high level observation categories.
.... category:specialty N 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:All Slices Content/Rules for all slices
...... system SΣ 0..1 uri Identity of the terminology system
...... 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
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/diagram-type (preferred)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... 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
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(TI Patient) Who and/or what the observation is about
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... Slices for effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Clinically relevant time/time-period for observation
... performer SΣC 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
.... Slices for extension Content/Rules for all slices
..... extension:performerFunction N 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... dataAbsentReason C 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... note S 0..* Annotation Comments about the observation
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... derivedFrom SΣC 1..* Reference(TI Observation Laboratory Study Group | TI Observation Laboratory Study) Related measurements the observation is made from
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... display SΣ 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

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

Constraints

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

Differential-Ansicht

Diese Struktur ist abgeleitet von ObservationResultsLaboratoryEu

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* ObservationResultsLaboratoryEu Laboratory result for a simple test or for a panel/study
... meta S 0..1 Meta Metadata about the resource
.... versionId S 0..1 id Version specific identifier
.... lastUpdated S 0..1 instant When the resource version last changed
... extension S 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:value-r5 S 1..1 R5 Observation.value R5: value additional types
..... value[x] S 1..1 Attachment Actual result
...... contentType S 1..1 code Mime type of the content, with charset etc.
Required Pattern: image/png
...... data S 1..1 base64Binary Data inline, base64ed
...... title S 1..1 string Label to display in place of the data
... category S 1..* CodeableConcept Classification of type of observation
... Slices for category Content/Rules for all slices
.... category:laboratory S 1..1 CodeableConcept Classification of type of observation
..... coding S 0..* Coding Code defined by a terminology system
...... system S 0..1 uri Identity of the terminology system
...... version S 0..1 string Version of the system - if relevant
...... code S 0..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
... code S 1..1 CodeableConcept Type of observation (code / type)
.... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:All Slices Content/Rules for all slices
...... system S 0..1 uri Identity of the terminology system
...... version S 0..1 string Version of the system - if relevant
...... code S 0..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... coding:snomed S 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/diagram-type (preferred)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
.... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(TI Patient) Who and/or what the observation is about
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier S 0..1 Identifier Logical reference, when literal reference is not known
..... system S 0..1 uri The namespace for the identifier value
..... value S 0..1 string The value that is unique
.... display S 0..1 string Text alternative for the resource
... Slices for effective[x] S 1..1 dateTime, Period Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 0..1 dateTime Clinically relevant time/time-period for observation
... performer S 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier S 0..1 Identifier Logical reference, when literal reference is not known
..... system S 0..1 uri The namespace for the identifier value
..... value S 0..1 string The value that is unique
.... display S 0..1 string Text alternative for the resource
... value[x] 0..0 Actual result
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueQuantity 0..0 A measured amount using UCUM
.... value[x]:valueString 0..0 Actual result
.... value[x]:valueRange 0..0 A measured range using UCUM
.... value[x]:valueRatio 0..0 A measured ratio using UCUM
.... value[x]:valueTime 0..0 Actual result
.... value[x]:valueDateTime 0..0 Actual result
.... value[x]:valuePeriod 0..0 Actual result
.... value[x]:valueCodeableConcept 0..0 Actual result
.... value[x]:valueBoolean 0..0 Actual result
.... value[x]:valueInteger 0..0 Actual result
... note S 0..* Annotation Comments about the observation
.... text S 1..1 markdown The annotation - text content (as markdown)
... derivedFrom S 1..* Reference(TI Observation Laboratory Study Group | TI Observation Laboratory Study) Related measurements the observation is made from
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... display S 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.status Base required https://gematik.de/fhir/terminology/ValueSet/observation-status Not State Unknown
Observation.code.coding:snomed Base preferred https://gematik.de/fhir/terminology/ValueSet/diagram-type Not State Unknown

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationResultsLaboratoryEu Laboratory result for a simple test or for a panel/study
Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, obs-value-1, eu-lab-1, eu-lab-2
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the observation
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:bodyStructure N 0..1 Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) R5: Observed body structure (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
.... extension:triggeredBy N 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 2..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:observation 1..1 Extension R5: Triggering observation (new)
....... 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 "observation"
....... value[x] N 1..1 Reference(Observation: Medical Test Result (EU core)) Triggering observation
...... extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "type"
....... value[x] N 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "reason"
....... value[x] N 0..1 string Reason that the observation was triggered
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:value-r5 S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] S 1..1 Attachment Actual result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Required Pattern: image/png
...... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data S 1..1 base64Binary Data inline, base64ed
...... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title SΣ 1..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation Σ 0..1 dateTime Date attachment was first created
.... extension:supportingInfo N 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:labTestKit N 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
.... extension:certifiedRefMaterialCodeable N 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
.... extension:certifiedRefMaterialIdentifer N 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
.... extension:accredited N 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn ΣC 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Constraints: ref-1
... partOf ΣC 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Constraints: ref-1
... 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..* CodeableConcept Classification of type of observation
Slice: Unordered, Open 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 0..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 0..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... 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
.... category:studyType N 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required): Codes for high level observation categories.
.... category:specialty N 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri Identity of the terminology system
...... 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
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: https://gematik.de/fhir/terminology/ValueSet/diagram-type (preferred)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... 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 SΣ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(TI Patient) Who and/or what the observation is about
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... display SΣ 0..1 string Text alternative for the resource
... focus ΣC 0..* Reference(Patient (EU core) | RelatedPerson: AnimalSpecimen | Group | Device | Location (EU core)) What the observation is about, when it is not about the subject of record
Constraints: ref-1
... encounter ΣC 0..1 Reference(Encounter) Healthcare event during which this observation is made
Constraints: ref-1
... Slices for effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Clinically relevant time/time-period for observation
... issued Σ 0..1 instant Date/Time this result was made available
... performer SΣC 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:performerFunction N 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... display SΣ 0..1 string Text alternative for the resource
... dataAbsentReason C 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 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
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: Laboratory Techniques (preferred): Methods for simple observations.
... specimen C 0..1 Reference(Specimen: Laboratory) Specimen used for the observation
Constraints: ref-1
... device C 0..1 Reference(Device | DeviceMetric) Measuring instrument
Constraints: ref-1
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
.... high C 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age C 0..1 Range Applicable age range, if relevant
Constraints: rng-2
.... text 0..1 string Text based reference range in an observation
... hasMember ΣC 0..* Reference(Observation Results: laboratory) Related resource that belongs to the Observation group
Constraints: ref-1
... derivedFrom SΣC 1..* Reference(TI Observation Laboratory Study Group | TI Observation Laboratory Study) 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 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display SΣ 0..1 string Text alternative for the resource
... component Σ 0..* BackboneElement Laboratory result
.... 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:value-r5 N 0..1 (Complex) only for Diagrams or Pictures
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
...... value[x] N 0..1 Attachment Actual result
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
.... Slices for value[x] ΣN 0..1 Actual component result
Slice: Unordered, Closed by type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueQuantity ΣCN 0..1 QuantityEuLab A measured amount using UCUM
Constraints: qty-3
...... 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
....... extension:uncertainty N 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
..... value[x]:valueString ΣN 0..1 string Actual component result
..... value[x]:valueRange ΣCN 0..1 RangeEuLab A measured range using UCUM
Constraints: rng-2
..... value[x]:valueRatio ΣCN 0..1 RatioEuLab A measured ratio using UCUM
Constraints: rat-1
..... value[x]:valueTime ΣN 0..1 time Actual component result
..... value[x]:valueDateTime ΣN 0..1 dateTime Actual component result
..... value[x]:valuePeriod ΣN 0..1 Period Actual component result
..... value[x]:valueCodeableConcept ΣN 0..1 CodeableConcept Actual component result
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
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

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

Constraints

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

 

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