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Ressourcenprofil: TI Observation Laboratory Study Group

Dieses Profil bildet eine Untersuchungsgruppe ab.

Untersuchungsgruppen sind ein technisches Mittel, um fachlich zusammengehörige Laborergebnisse innerhalb des Laborgesamtbefundes gruppiert und sortiert anzuordnen. Die Struktur "Laborgesamtbefund/Ergebnisse" enthält mindestens eine Struktur "Untersuchungsgruppe" im Abschnitt Ergebnisse.

Für die gruppierte Darstellung von Laboruntersuchungen können (optional) aus den fachlichen Gruppierungsmerkmalen fachliche Bezeichner als Gruppenüberschrift abgeleitet werden.

Untersuchungsgruppen, deren Sortierreihenfolge und die Sortierreihenfolge der einzelnen Untersuchungen innerhalb einer Gruppe werden Labor-intern definiert. Das empfangende System muss diese Gruppierungen und Sortierungen interpretieren können. Diese Strukturierung dient dem Erhalt des fachlichen Kontextes von digital kommunizierten Laboruntersuchungen.

Usages:

• Refer to this Profile: TI Observation Image Attachment
• Examples for this Profile: Observation/51b6129a-b68c-485d-a37b-9593fee4354f

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

• Schlüsselelemente-Tabelle
• Differential-Tabelle
• Snapshot-Tabelle
• Statistiken/Referenzen
• Alle

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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	0..*	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	N	0..1	(Complex)	only for Diagrams or Pictures 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"
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
extension:testProfile	S	0..1	(Complex)	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden. URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension"
value[x]		1..1	CodeableConcept	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe (example)
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
status	?!SΣ	1..1	code	Status of this observation (e.g. preliminary, final,...) Binding: https://gematik.de/fhir/terminology/ValueSet/observation-status (required)
Slices for category	S	1..*	CodeableConcept	Fachliche Bezeichnung für eine Untersuchungsgruppe 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	S	0..*	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden Binding: Laboratory Study Types (required): Codes for high level observation categories.
coding	SΣ	0..*	Coding	Code defined by a terminology system
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
text	SΣ	0..1	string	Plain text representation of the concept
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. 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	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/terminology/CodeSystem/laboratory-study-group
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: laboruntersuchungsgruppe
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Laboruntersuchungsgruppe
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
effective[x]	Σ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣC	1..*	Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson)	Durchführendes Labor 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
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation der Untersuchungsgruppe Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:hl7Interpretation	SΣ	0..1	Coding	Code defined by a terminology system Binding: ObservationInterpretationCodes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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/v3-ObservationInterpretation
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 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
note	S	0..*	Annotation	Comments about the observation
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
hasMember	SΣC	1..*	Reference(TI Observation Laboratory Study)	Related resource that belongs to the Observation group Constraints: ref-1
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:sortingNumberResult	S	0..1	(Complex)	Sortiernummer Laboruntersuchung innerhalb der Untersuchungsgruppe URL: https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension"
value[x]	S	1..1	positiveInt	Value of extension
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
display	SΣ	0..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.extension:triggeredBy.​extension:type.value[x]	Base	required	Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4	📍0.1.0	Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.extension:testProfile.​value[x]	Base	example	https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe	Not State	Unknown
Observation.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.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.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.interpretation.​coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.

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.hasMember	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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:testProfile	S	0..1	(Complex)	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden. URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
value[x]
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
status	S	1..1	code	Status of this observation (e.g. preliminary, final,...) Binding: https://gematik.de/fhir/terminology/ValueSet/observation-status (required)
category	S	1..*	CodeableConcept	Fachliche Bezeichnung für eine Untersuchungsgruppe
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
category:studyType	S	0..*	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden
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
text	S	0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of observation (code / type) Required Pattern: At least the following
coding	S	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/terminology/CodeSystem/laboratory-study-group
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: laboruntersuchungsgruppe
display	S	1..1	string	Representation defined by the system Fixed Value: Laboruntersuchungsgruppe
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
performer	S	1..*	Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson)	Durchführendes Labor
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
dataAbsentReason		0..0		Provides a reason why the expected value is missing.
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation der Untersuchungsgruppe
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:hl7Interpretation	S	0..1	Coding	Code defined by a terminology system Binding: ObservationInterpretationCodes (extensible) Required Pattern: At least the following
system	S	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
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 Required Pattern: At least the following
system	S	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
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
text	S	0..1	string	Plain text representation of the concept
note	S	0..*	Annotation	Comments about the observation
text	S	1..1	markdown	The annotation - text content (as markdown)
hasMember	S	1..*	Reference(TI Observation Laboratory Study)	Related resource that belongs to the Observation group
extension	S	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:sortingNumberResult	S	0..1	(Complex)	Sortiernummer Laboruntersuchung innerhalb der Untersuchungsgruppe URL: https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension
value[x]	S	1..1	positiveInt	Value of extension
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
display	S	0..1	string	Text alternative for the resource
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.interpretation.​coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 Bindings Purpose 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	0..*	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	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
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
extension:testProfile	S	0..1	(Complex)	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden. URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension"
value[x]		1..1	CodeableConcept	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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
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	Fachliche Bezeichnung für eine Untersuchungsgruppe 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	S	0..*	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden Binding: Laboratory Study Types (required): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	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
text	SΣ	0..1	string	Plain text representation of the concept
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/terminology/CodeSystem/laboratory-study-group
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: laboruntersuchungsgruppe
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Laboruntersuchungsgruppe
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
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
effective[x]	Σ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
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)	Durchführendes Labor 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
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation der Untersuchungsgruppe Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:hl7Interpretation	SΣ	0..1	Coding	Code defined by a terminology system Binding: ObservationInterpretationCodes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	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 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
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	SΣC	1..*	Reference(TI Observation Laboratory Study)	Related resource that belongs to the Observation group Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:sortingNumberResult	S	0..1	(Complex)	Sortiernummer Laboruntersuchung innerhalb der Untersuchungsgruppe URL: https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension"
value[x]	S	1..1	positiveInt	Value of extension
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
derivedFrom	ΣC	0..*	Reference(Observation: Medical Test Result (EU core) | ImagingStudy)	Related measurements the observation is made from Constraints: ref-1
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 Bindings Purpose ​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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Observation.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Observation.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Observation.extension:triggeredBy.​extension:type.value[x]	Base	required	Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4	📍0.1.0	Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.extension:testProfile.​value[x]	Base	example	https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe	Not State	Unknown
Observation.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.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.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.interpretation.​coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.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.hasMember.​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()

Diese Struktur ist abgeleitet von ObservationResultsLaboratoryEu

Summary

Mandatory: 5 elements
Must-Support: 65 elements
Prohibited: 12 elements

Structures

This structure refers to these other structures:

• TI Patient (https://gematik.de/fhir/ti/StructureDefinition/ti-patient)
• Quantity (Eu Lab) (http://hl7.eu/fhir/laboratory/StructureDefinition/Quantity-eu-lab)
• Range (Eu Lab) (http://hl7.eu/fhir/laboratory/StructureDefinition/Range-eu-lab)
• Ratio (Eu Lab) (http://hl7.eu/fhir/laboratory/StructureDefinition/Ratio-eu-lab)
• TI Observation Laboratory Study (https://gematik.de/fhir/ti/StructureDefinition/ti-observation-laboratory-study)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
• https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.interpretation.coding

Schlüsselelemente-Ansicht

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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	0..*	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	N	0..1	(Complex)	only for Diagrams or Pictures 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"
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
extension:testProfile	S	0..1	(Complex)	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden. URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension"
value[x]		1..1	CodeableConcept	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe (example)
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
status	?!SΣ	1..1	code	Status of this observation (e.g. preliminary, final,...) Binding: https://gematik.de/fhir/terminology/ValueSet/observation-status (required)
Slices for category	S	1..*	CodeableConcept	Fachliche Bezeichnung für eine Untersuchungsgruppe 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	S	0..*	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden Binding: Laboratory Study Types (required): Codes for high level observation categories.
coding	SΣ	0..*	Coding	Code defined by a terminology system
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
text	SΣ	0..1	string	Plain text representation of the concept
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. 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	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/terminology/CodeSystem/laboratory-study-group
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: laboruntersuchungsgruppe
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Laboruntersuchungsgruppe
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
effective[x]	Σ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣC	1..*	Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson)	Durchführendes Labor 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
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation der Untersuchungsgruppe Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:hl7Interpretation	SΣ	0..1	Coding	Code defined by a terminology system Binding: ObservationInterpretationCodes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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/v3-ObservationInterpretation
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 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
note	S	0..*	Annotation	Comments about the observation
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
hasMember	SΣC	1..*	Reference(TI Observation Laboratory Study)	Related resource that belongs to the Observation group Constraints: ref-1
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:sortingNumberResult	S	0..1	(Complex)	Sortiernummer Laboruntersuchung innerhalb der Untersuchungsgruppe URL: https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension"
value[x]	S	1..1	positiveInt	Value of extension
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
display	SΣ	0..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.extension:triggeredBy.​extension:type.value[x]	Base	required	Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4	📍0.1.0	Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.extension:testProfile.​value[x]	Base	example	https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe	Not State	Unknown
Observation.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.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.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.interpretation.​coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.

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.hasMember	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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:testProfile	S	0..1	(Complex)	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden. URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
value[x]
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
status	S	1..1	code	Status of this observation (e.g. preliminary, final,...) Binding: https://gematik.de/fhir/terminology/ValueSet/observation-status (required)
category	S	1..*	CodeableConcept	Fachliche Bezeichnung für eine Untersuchungsgruppe
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
category:studyType	S	0..*	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden
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
text	S	0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of observation (code / type) Required Pattern: At least the following
coding	S	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/terminology/CodeSystem/laboratory-study-group
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: laboruntersuchungsgruppe
display	S	1..1	string	Representation defined by the system Fixed Value: Laboruntersuchungsgruppe
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
performer	S	1..*	Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson)	Durchführendes Labor
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
dataAbsentReason		0..0		Provides a reason why the expected value is missing.
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation der Untersuchungsgruppe
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:hl7Interpretation	S	0..1	Coding	Code defined by a terminology system Binding: ObservationInterpretationCodes (extensible) Required Pattern: At least the following
system	S	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
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 Required Pattern: At least the following
system	S	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
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
text	S	0..1	string	Plain text representation of the concept
note	S	0..*	Annotation	Comments about the observation
text	S	1..1	markdown	The annotation - text content (as markdown)
hasMember	S	1..*	Reference(TI Observation Laboratory Study)	Related resource that belongs to the Observation group
extension	S	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:sortingNumberResult	S	0..1	(Complex)	Sortiernummer Laboruntersuchung innerhalb der Untersuchungsgruppe URL: https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension
value[x]	S	1..1	positiveInt	Value of extension
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
display	S	0..1	string	Text alternative for the resource
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.interpretation.​coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.

Snapshot-AnsichtView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 Bindings Purpose 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	0..*	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	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
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
extension:testProfile	S	0..1	(Complex)	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden. URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension"
value[x]		1..1	CodeableConcept	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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
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	Fachliche Bezeichnung für eine Untersuchungsgruppe 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	S	0..*	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden Binding: Laboratory Study Types (required): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	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
text	SΣ	0..1	string	Plain text representation of the concept
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/terminology/CodeSystem/laboratory-study-group
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: laboruntersuchungsgruppe
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Laboruntersuchungsgruppe
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
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
effective[x]	Σ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
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)	Durchführendes Labor 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
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation der Untersuchungsgruppe Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:hl7Interpretation	SΣ	0..1	Coding	Code defined by a terminology system Binding: ObservationInterpretationCodes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	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 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
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	SΣC	1..*	Reference(TI Observation Laboratory Study)	Related resource that belongs to the Observation group Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:sortingNumberResult	S	0..1	(Complex)	Sortiernummer Laboruntersuchung innerhalb der Untersuchungsgruppe URL: https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension"
value[x]	S	1..1	positiveInt	Value of extension
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
derivedFrom	ΣC	0..*	Reference(Observation: Medical Test Result (EU core) | ImagingStudy)	Related measurements the observation is made from Constraints: ref-1
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 Bindings Purpose ​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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Observation.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Observation.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Observation.extension:triggeredBy.​extension:type.value[x]	Base	required	Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4	📍0.1.0	Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.extension:testProfile.​value[x]	Base	example	https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe	Not State	Unknown
Observation.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.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.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.interpretation.​coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.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.hasMember.​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()

Diese Struktur ist abgeleitet von ObservationResultsLaboratoryEu

Summary

Mandatory: 5 elements
Must-Support: 65 elements
Prohibited: 12 elements

Structures

This structure refers to these other structures:

• TI Patient (https://gematik.de/fhir/ti/StructureDefinition/ti-patient)
• Quantity (Eu Lab) (http://hl7.eu/fhir/laboratory/StructureDefinition/Quantity-eu-lab)
• Range (Eu Lab) (http://hl7.eu/fhir/laboratory/StructureDefinition/Range-eu-lab)
• Ratio (Eu Lab) (http://hl7.eu/fhir/laboratory/StructureDefinition/Ratio-eu-lab)
• TI Observation Laboratory Study (https://gematik.de/fhir/ti/StructureDefinition/ti-observation-laboratory-study)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
• https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.interpretation.coding