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Ressourcenprofil: TI Observation Laboratory Study

Dieses Profil bildet eine Laboruntersuchung ab.

Laboruntersuchungen können als Messung oder als Berechnung erfolgen.

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

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

Usages:

• Refer to this Profile: TI Observation Image Attachment, TI Observation Laboratory Study Group and TI Observation Laboratory Study
• Examples for this Profile: Observation/035761c3-8934-499f-bf34-3963979afb56, Observation/6a2a44c6-92f8-40cf-a0bc-673404f7ac9b and Observation/c1b00183-b205-48a8-9d07-31fc8b6aa74e

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, obs-alt-result-1
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension: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	S	0..1	(Complex)	Kennzeichen Akkreditierte Laboruntersuchung URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/laboratory-accredited"
value[x]	S	1..1	boolean	Value of extension
extension:testProfile	S	0..1	(Complex)	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.extension:testProfile URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe (example)
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	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
extension:externalService	S	0..1	(Complex)	Kennzeichen Fremdleistung URL: https://gematik.de/fhir/ti/StructureDefinition/external-service-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/external-service-extension"
value[x]	S	1..1	boolean	Value of extension
extension:associationService	S	0..1	(Complex)	Kennzeichen Verbundleistung URL: https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension"
value[x]	S	1..1	boolean	Value of extension
extension:zlogValue	S	0..1	(Complex)	zLog-Wert URL: https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension"
value[x]	S	1..1	decimal	Value of extension
extension:alternativeResult	S	0..*	(Complex)	Messergebnis Alternative Einheit URL: https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:code	S	1..1	Extension	Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"code"
value[x]	S	1..1	CodeableConcept	Value of extension
coding	SΣ	1..1	Coding	Codierte Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
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
extension:value	S	1..1	Extension	Messergebnis quantitativ mit Alternativeinheit
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"value"
Slices for value[x]	S	1..1		Value of extension Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	Quantity	Ergebniswert mit Alternativeinheit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueRange	S	0..1	Range	Ergebnisbereich mit Alternativeinheit
low	SΣC	0..1	SimpleQuantity(4.0.1)	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣC	0..1	SimpleQuantity(4.0.1)	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueRatio	S	0..1	Ratio	Ratio mit Alternativeinheit
numerator	SΣC	1..1	Quantity	Numerator value Constraints: qty-3 Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣC	1..1	Quantity	Denominator value Constraints: qty-3 Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
extension:referenceRange	S	0..1	Extension	Richtgrenzen für Alternativeinheit
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"referenceRange"
value[x]	S	1..1	Range	Value of extension
low	SΣC	0..1	SimpleQuantity(4.0.1)	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣC	0..1	SimpleQuantity(4.0.1)	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
extension:zlog	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"zlog"
value[x]	S	1..1	decimal	Value of extension
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	SΣ	0..*	Identifier	Business Identifier for observation
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 die zugehörige Untersuchungsgruppe, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category 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
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
text	SΣ	0..1	string	Plain text representation of the concept
category:studyType	S	0..*	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category:studyType Binding: Laboratory Study Types (required): Codes for high level observation categories.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	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.
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	(Complex)	Grund für das Nichtvorhandensein eines Codes URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory (required)
coding	SΣ	0..*	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	Verwender-spezifische Bezeichnung für die Laboruntersuchung
subject	SΣC	1..1	Reference(TI Patient)	Who and/or what the observation is about Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
Slices for effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Klinischer Bezugszeitpunkt
issued	SΣ	0..1	instant	Dokumentationszeitpunkt
performer	SΣC	1..*	Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson)	Who is responsible for the observation Constraints: ref-1
Slices for extension				Content/Rules for all slices
extension:performerFunction	N	0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
Slices for value[x]	SΣC	0..1		Actual result Slice: Unordered, Closed by type:$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	SΣC	0..1	QuantityEuLab	A measured amount using UCUM Constraints: qty-3
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	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
value[x]:valueString	SΣC	0..1	string	Ergebnis uncodiert in Textform
value[x]:valueRange	SΣC	0..1	RangeEuLab	A measured range using UCUM Constraints: rng-2
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
extension:uncertaintyType	N	0..1	code	Probability Distribution Type for uncertainty URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType Binding: ProbabilityDistributionType (required)
low	SΣC	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣC	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueRatio	SΣC	0..1	RatioEuLab	A measured ratio using UCUM Constraints: rat-1
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
extension:uncertaintyType	N	0..1	code	Probability Distribution Type for uncertainty URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType Binding: ProbabilityDistributionType (required)
numerator	SΣC	0..1	Quantity	Numerator value Constraints: qty-3
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Constraints: qty-3
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Qualitatives Messergebnis (z.B. nominal oder ordinal) Binding: Results Coded Values Laboratory/Pathology - IPS (preferred) Additional 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
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value (example) Required Pattern: At least the following
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
value[x]:valueTime	ΣC	0..1	time	Actual result
value[x]:valueDateTime	ΣC	0..1	dateTime	Actual result
value[x]:valuePeriod	ΣC	0..1	Period	Actual result
dataAbsentReason	SC	0..1	CodeableConcept	Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation des einzelnen Laborergebnisses Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding: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)
method	S	0..1	CodeableConcept	Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend) Binding: Laboratory Techniques (preferred): Methods for simple observations.
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/observation-methods (example)
system	SΣ	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
specimen	SC	0..1	Reference(TI Specimen Laboratory)	Specimen used for the observation Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
display	SΣ	0..1	string	Text alternative for the resource
device	SC	0..1	Reference(TI Device Laboratory Analyzer)	Laboranalysegerät Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
display	SΣ	0..1	string	Text alternative for the resource
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:sourceReferenceRange	S	0..1	(Complex)	Quelle der Richtgrenzen URL: https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension"
value[x]	S	1..1	CodeableConcept	Value of extension
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	1..1	string	Plain text representation of the concept
extension:noLinearReferenceRange	S	0..1	(Complex)	Kennzeichen Nicht-linearer Referenzbereich URL: https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension"
value[x]	S	1..1	boolean	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity	Low Range, if relevant Constraints: qty-3, sqty-1
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
high	SC	0..1	SimpleQuantity	High Range, if relevant Constraints: qty-3, sqty-1
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
type	S	0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	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
appliesTo	S	0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to (example)
system	SΣ	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
text	S	0..1	string	Text based reference range in an observation
derivedFrom	SΣC	0..*	Reference(TI Observation Laboratory Study)	Related measurements the observation is made from Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
display	SΣ	0..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.extension:triggeredBy.​extension:type.value[x]	Base	required	Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4	📍0.1.0	Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.extension:testProfile.​value[x]	Base	example	https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe	Not State	Unknown
Observation.extension:alternativeResult.​extension:value.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.​extension:value.value[x]:valueRatio.​numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.​extension:value.value[x]:valueRatio.​denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.status	Base	required	https://gematik.de/fhir/terminology/ValueSet/observation-status	Not State	Unknown
Observation.category	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:laboratory	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:studyType	Base	required	Laboratory Study Types	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.category:specialty	Base	required	Laboratory Specialty	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.code	Base	preferred	Laboratory Code	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.code.extension:data-absent-reason.​value[x]	Base	required	https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory	Not State	Unknown
Observation.subject.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.performer.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueRatio.​numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueRatio.​denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	preferred	Results Coded Values Laboratory/Pathology - IPS	📦2.0.1	This IG
Observation.value[x]:valueCodeableConcept.​coding:snomed	Base	example	https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value	Not State	Unknown
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.interpretation.​coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method	Base	preferred	Laboratory Techniques	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.method.coding	Base	example	https://gematik.de/fhir/terminology/ValueSet/observation-methods	Not State	Unknown
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📦4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📦4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo.coding	Base	example	https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to	Not State	Unknown

Constraints

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

Diese Struktur ist abgeleitet von ObservationResultsLaboratoryEu

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: obs-alt-result-1
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:accredited	S	0..1	LaboratoryAccreditedEu	Kennzeichen Akkreditierte Laboruntersuchung
value[x]	S	1..1	boolean	Value of extension
extension:testProfile	S	0..1	(Complex)	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.extension:testProfile URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
value[x]	S	1..1	CodeableConcept	Value of extension
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
extension:externalService	S	0..1	(Complex)	Kennzeichen Fremdleistung URL: https://gematik.de/fhir/ti/StructureDefinition/external-service-extension
value[x]	S	1..1	boolean	Value of extension
extension:associationService	S	0..1	(Complex)	Kennzeichen Verbundleistung URL: https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension
value[x]	S	1..1	boolean	Value of extension
extension:zlogValue	S	0..1	(Complex)	zLog-Wert URL: https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension
value[x]	S	1..1	decimal	Value of extension
extension:alternativeResult	S	0..*	(Complex)	Messergebnis Alternative Einheit URL: https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension
Slices for extension				Content/Rules for all slices
extension:code	S	1..1	Extension	Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
value[x]	S	1..1	CodeableConcept	Value of extension
coding	S	1..1	Coding	Codierte Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
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
extension:value	S	1..1	Extension	Messergebnis quantitativ mit Alternativeinheit
value[x]	S	1..1	Quantity, Range, Ratio	Value of extension
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	Quantity	Ergebniswert mit Alternativeinheit
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
value[x]:valueRange	S	0..1	Range	Ergebnisbereich mit Alternativeinheit
low	S	0..1	SimpleQuantity(4.0.1)	Low limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity(4.0.1)	High limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
value[x]:valueRatio	S	0..1	Ratio	Ratio mit Alternativeinheit
numerator	S	1..1	Quantity	Numerator value
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
denominator	S	1..1	Quantity	Denominator value
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
extension:referenceRange	S	0..1	Extension	Richtgrenzen für Alternativeinheit
value[x]	S	1..1	Range	Value of extension
low	S	0..1	SimpleQuantity(4.0.1)	Low limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity(4.0.1)	High limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
extension:zlog	S	0..1	Extension	Extension
value[x]	S	1..1	decimal	Value of extension
identifier	S	0..*	Identifier	Business Identifier for observation
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 die zugehörige Untersuchungsgruppe, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category
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
text	S	0..1	string	Plain text representation of the concept
category:studyType	S	0..*	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category:studyType
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)
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	(Complex)	Grund für das Nichtvorhandensein eines Codes URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]	S	1..1	code	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory (required)
coding	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	Verwender-spezifische Bezeichnung für die Laboruntersuchung
subject	S	1..1	Reference(TI Patient)	Who and/or what the observation is about
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
display	S	0..1	string	Text alternative for the resource
Slices for effective[x]	S	1..1	dateTime, Period	Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	0..1	dateTime	Klinischer Bezugszeitpunkt
issued	S	0..1	instant	Dokumentationszeitpunkt
performer	S	1..*	Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson)	Who is responsible for the observation
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
display	S	0..1	string	Text alternative for the resource
value[x]	S	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	QuantityEuLab	A measured amount using UCUM
value	S	0..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
value[x]:valueString	S	0..1	string	Ergebnis uncodiert in Textform
value[x]:valueRange	S	0..1	RangeEuLab	A measured range using UCUM
low	S	0..1	SimpleQuantity	Low limit
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity	High limit
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
value[x]:valueRatio	S	0..1	RatioEuLab	A measured ratio using UCUM
numerator	S	0..1	Quantity	Numerator value
value	S	0..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
denominator	S	0..1	Quantity	Denominator value
value	S	0..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	S	0..1	CodeableConcept	Qualitatives Messergebnis (z.B. nominal oder ordinal)
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:snomed	S	0..1	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value (example) Required Pattern: At least the following
system	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
dataAbsentReason	S	0..1	CodeableConcept	Provides a reason why the expected value is missing.
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
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation des einzelnen Laborergebnisses
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)
method	S	0..1	CodeableConcept	Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend)
coding	S	0..*	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/observation-methods (example)
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
specimen	S	0..1	Reference(TI Specimen Laboratory)	Specimen used for the observation
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
display	S	0..1	string	Text alternative for the resource
device	S	0..1	Reference(TI Device Laboratory Analyzer)	Laboranalysegerät
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
display	S	0..1	string	Text alternative for the resource
referenceRange	S	0..*	BackboneElement	Provides guide for interpretation
extension	S	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:sourceReferenceRange	S	0..1	(Complex)	Quelle der Richtgrenzen URL: https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension
value[x]	S	1..1	CodeableConcept	Value of extension
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	1..1	string	Plain text representation of the concept
extension:noLinearReferenceRange	S	0..1	(Complex)	Kennzeichen Nicht-linearer Referenzbereich URL: https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension
value[x]	S	1..1	boolean	Value of extension
low	S	0..1	SimpleQuantity	Low Range, if relevant
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity	High Range, if relevant
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
type	S	0..1	CodeableConcept	Reference range qualifier
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
appliesTo	S	0..*	CodeableConcept	Reference range population
coding	S	0..*	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to (example)
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
text	S	0..1	string	Text based reference range in an observation
hasMember		0..0		Related resource that belongs to the Observation group
derivedFrom	S	0..*	Reference(TI Observation Laboratory Study)	Related measurements the observation is made from
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
display	S	0..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	https://gematik.de/fhir/terminology/ValueSet/observation-status	Not State	Unknown
Observation.code.extension:data-absent-reason.​value[x]	Base	required	https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory	Not State	Unknown
Observation.value[x]:valueCodeableConcept.​coding:snomed	Base	example	https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value	Not State	Unknown
Observation.interpretation.​coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method.coding	Base	example	https://gematik.de/fhir/terminology/ValueSet/observation-methods	Not State	Unknown
Observation.referenceRange.​appliesTo.coding	Base	example	https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
obs-alt-result-1	error	Observation	The extension AlternativeResultLaboratoryExtension SHALL not be used if Observation.code.coding is not provided.	extension('https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension').exists() implies code.coding.exists()

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, obs-alt-result-1
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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	S	0..1	(Complex)	Kennzeichen Akkreditierte Laboruntersuchung URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/laboratory-accredited"
value[x]	S	1..1	boolean	Value of extension
extension:testProfile	S	0..1	(Complex)	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.extension:testProfile URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	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
extension:externalService	S	0..1	(Complex)	Kennzeichen Fremdleistung URL: https://gematik.de/fhir/ti/StructureDefinition/external-service-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/external-service-extension"
value[x]	S	1..1	boolean	Value of extension
extension:associationService	S	0..1	(Complex)	Kennzeichen Verbundleistung URL: https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension"
value[x]	S	1..1	boolean	Value of extension
extension:zlogValue	S	0..1	(Complex)	zLog-Wert URL: https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension"
value[x]	S	1..1	decimal	Value of extension
extension:alternativeResult	S	0..*	(Complex)	Messergebnis Alternative Einheit URL: https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:code	S	1..1	Extension	Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"code"
value[x]	S	1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Codierte Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
extension:value	S	1..1	Extension	Messergebnis quantitativ mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"value"
Slices for value[x]	S	1..1		Value of extension Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	Quantity	Ergebniswert mit Alternativeinheit Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueRange	S	0..1	Range	Ergebnisbereich mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣC	0..1	SimpleQuantity(4.0.1)	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣC	0..1	SimpleQuantity(4.0.1)	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueRatio	S	0..1	Ratio	Ratio mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣC	1..1	Quantity	Numerator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣC	1..1	Quantity	Denominator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
extension:referenceRange	S	0..1	Extension	Richtgrenzen für Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"referenceRange"
value[x]	S	1..1	Range	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣC	0..1	SimpleQuantity(4.0.1)	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣC	0..1	SimpleQuantity(4.0.1)	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
extension:zlog	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"zlog"
value[x]	S	1..1	decimal	Value of extension
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	SΣ	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 die zugehörige Untersuchungsgruppe, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category 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	SΣ	0..1	string	Plain text representation of the concept
category:studyType	S	0..*	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category:studyType Binding: Laboratory Study Types (required): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	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.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:data-absent-reason	S	0..1	(Complex)	Grund für das Nichtvorhandensein eines Codes URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory (required)
coding	SΣ	0..*	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	Verwender-spezifische Bezeichnung für die Laboruntersuchung
subject	SΣC	1..1	Reference(TI Patient)	Who and/or what the observation is about Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	ΣC	0..1	Period	Time period when id is/was valid for use Constraints: per-1
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) Constraints: ref-1
display	SΣ	0..1	string	Text alternative for the resource
focus	ΣC	0..*	Reference(Patient (EU core) | RelatedPerson: AnimalSpecimen | Group | Device | Location (EU core))	What the observation is about, when it is not about the subject of record Constraints: ref-1
encounter	ΣC	0..1	Reference(Encounter)	Healthcare event during which this observation is made Constraints: ref-1
Slices for effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Klinischer Bezugszeitpunkt
issued	SΣ	0..1	instant	Dokumentationszeitpunkt
performer	SΣC	1..*	Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson)	Who is responsible for the observation Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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
Slices for value[x]	SΣC	0..1		Actual 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	SΣC	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	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
value[x]:valueString	SΣC	0..1	string	Ergebnis uncodiert in Textform
value[x]:valueRange	SΣC	0..1	RangeEuLab	A measured range using UCUM Constraints: rng-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:uncertainty	N	0..1	decimal	Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
extension:uncertaintyType	N	0..1	code	Probability Distribution Type for uncertainty URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType Binding: ProbabilityDistributionType (required)
low	SΣC	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-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
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣC	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-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
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueRatio	SΣC	0..1	RatioEuLab	A measured ratio using UCUM Constraints: rat-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:uncertainty	N	0..1	decimal	Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
extension:uncertaintyType	N	0..1	code	Probability Distribution Type for uncertainty URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType Binding: ProbabilityDistributionType (required)
numerator	SΣC	0..1	Quantity	Numerator value Constraints: qty-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
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Constraints: qty-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
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Qualitatives Messergebnis (z.B. nominal oder ordinal) Binding: Results Coded Values Laboratory/Pathology - IPS (preferred) Additional 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
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
Slices for coding				Content/Rules for all slices
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	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
value[x]:valueTime	ΣC	0..1	time	Actual result
value[x]:valueDateTime	ΣC	0..1	dateTime	Actual result
value[x]:valuePeriod	ΣC	0..1	Period	Actual result
dataAbsentReason	SC	0..1	CodeableConcept	Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	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	Σ	0..1	string	Plain text representation of the concept
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation des einzelnen Laborergebnisses Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding: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	S	0..1	CodeableConcept	Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend) Binding: Laboratory Techniques (preferred): Methods for simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/observation-methods (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	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
specimen	SC	0..1	Reference(TI Specimen Laboratory)	Specimen used for the observation Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	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
device	SC	0..1	Reference(TI Device Laboratory Analyzer)	Laboranalysegerät Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	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
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:sourceReferenceRange	S	0..1	(Complex)	Quelle der Richtgrenzen URL: https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension"
value[x]	S	1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	1..1	string	Plain text representation of the concept
extension:noLinearReferenceRange	S	0..1	(Complex)	Kennzeichen Nicht-linearer Referenzbereich URL: https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension"
value[x]	S	1..1	boolean	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity	Low Range, if relevant Constraints: qty-3, sqty-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
high	SC	0..1	SimpleQuantity	High Range, if relevant Constraints: qty-3, sqty-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
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
type	S	0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	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
appliesTo	S	0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	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
age	C	0..1	Range	Applicable age range, if relevant Constraints: rng-2
text	S	0..1	string	Text based reference range in an observation
derivedFrom	SΣC	0..*	Reference(TI Observation Laboratory Study)	Related measurements the observation is made from Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource
component	Σ	0..*	BackboneElement	Laboratory result
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:value-r5	N	0..1	(Complex)	only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
value[x]	N	0..1	Attachment	Actual result
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
Slices for value[x]	ΣN	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	ΣCN	0..1	QuantityEuLab	A measured amount using UCUM Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:uncertainty	N	0..1	decimal	Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
value[x]:valueString	ΣN	0..1	string	Actual component result
value[x]:valueRange	ΣCN	0..1	RangeEuLab	A measured range using UCUM Constraints: rng-2
value[x]:valueRatio	ΣCN	0..1	RatioEuLab	A measured ratio using UCUM Constraints: rat-1
value[x]:valueTime	ΣN	0..1	time	Actual component result
value[x]:valueDateTime	ΣN	0..1	dateTime	Actual component result
value[x]:valuePeriod	ΣN	0..1	Period	Actual component result
value[x]:valueCodeableConcept	ΣN	0..1	CodeableConcept	Actual component result Binding: Results Coded Values Laboratory/Pathology - IPS (preferred) Additional 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.extension:alternativeResult.​extension:value.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.​extension:value.value[x]:valueRatio.​numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.​extension:value.value[x]:valueRatio.​denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.status	Base	required	https://gematik.de/fhir/terminology/ValueSet/observation-status	Not State	Unknown
Observation.category	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:laboratory	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:studyType	Base	required	Laboratory Study Types	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.category:specialty	Base	required	Laboratory Specialty	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.code	Base	preferred	Laboratory Code	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.code.extension:data-absent-reason.​value[x]	Base	required	https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory	Not State	Unknown
Observation.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.subject.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.subject.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.performer.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Observation.performer.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.performer.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueRatio.​numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueRatio.​denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	preferred	Results Coded Values Laboratory/Pathology - IPS	📦2.0.1	This IG
Observation.value[x]:valueCodeableConcept.​coding:snomed	Base	example	https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value	Not State	Unknown
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.interpretation.​coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.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.method.coding	Base	example	https://gematik.de/fhir/terminology/ValueSet/observation-methods	Not State	Unknown
Observation.specimen.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.device.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📦4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📦4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo.coding	Base	example	https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to	Not State	Unknown
Observation.derivedFrom.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.component.​code	Base	preferred	Laboratory Code	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.component.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component.​value[x]:valueCodeableConcept	Base	preferred	Results Coded Values Laboratory/Pathology - IPS	📦2.0.1	This IG
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.

Constraints

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

Diese Struktur ist abgeleitet von ObservationResultsLaboratoryEu

Summary

Must-Support: 229 elements
Prohibited: 1 element

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 Specimen Laboratory (https://gematik.de/fhir/ti/StructureDefinition/ti-specimen-laboratory)
• TI Device Laboratory Analyzer (https://gematik.de/fhir/ti/StructureDefinition/ti-device-laboratory-analyzer)
• 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/external-service-extension
• https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension
• https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension
• https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension
• http://hl7.org/fhir/StructureDefinition/data-absent-reason
• https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension
• https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.effective[x]
• The element 1 is sliced based on the value of Observation.value[x].coding
• 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, obs-alt-result-1
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension: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	S	0..1	(Complex)	Kennzeichen Akkreditierte Laboruntersuchung URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/laboratory-accredited"
value[x]	S	1..1	boolean	Value of extension
extension:testProfile	S	0..1	(Complex)	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.extension:testProfile URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe (example)
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	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
extension:externalService	S	0..1	(Complex)	Kennzeichen Fremdleistung URL: https://gematik.de/fhir/ti/StructureDefinition/external-service-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/external-service-extension"
value[x]	S	1..1	boolean	Value of extension
extension:associationService	S	0..1	(Complex)	Kennzeichen Verbundleistung URL: https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension"
value[x]	S	1..1	boolean	Value of extension
extension:zlogValue	S	0..1	(Complex)	zLog-Wert URL: https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension"
value[x]	S	1..1	decimal	Value of extension
extension:alternativeResult	S	0..*	(Complex)	Messergebnis Alternative Einheit URL: https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:code	S	1..1	Extension	Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"code"
value[x]	S	1..1	CodeableConcept	Value of extension
coding	SΣ	1..1	Coding	Codierte Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
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
extension:value	S	1..1	Extension	Messergebnis quantitativ mit Alternativeinheit
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"value"
Slices for value[x]	S	1..1		Value of extension Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	Quantity	Ergebniswert mit Alternativeinheit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueRange	S	0..1	Range	Ergebnisbereich mit Alternativeinheit
low	SΣC	0..1	SimpleQuantity(4.0.1)	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣC	0..1	SimpleQuantity(4.0.1)	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueRatio	S	0..1	Ratio	Ratio mit Alternativeinheit
numerator	SΣC	1..1	Quantity	Numerator value Constraints: qty-3 Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣC	1..1	Quantity	Denominator value Constraints: qty-3 Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
extension:referenceRange	S	0..1	Extension	Richtgrenzen für Alternativeinheit
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"referenceRange"
value[x]	S	1..1	Range	Value of extension
low	SΣC	0..1	SimpleQuantity(4.0.1)	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣC	0..1	SimpleQuantity(4.0.1)	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
extension:zlog	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"zlog"
value[x]	S	1..1	decimal	Value of extension
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	SΣ	0..*	Identifier	Business Identifier for observation
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 die zugehörige Untersuchungsgruppe, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category 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
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
text	SΣ	0..1	string	Plain text representation of the concept
category:studyType	S	0..*	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category:studyType Binding: Laboratory Study Types (required): Codes for high level observation categories.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	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.
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	(Complex)	Grund für das Nichtvorhandensein eines Codes URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory (required)
coding	SΣ	0..*	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	Verwender-spezifische Bezeichnung für die Laboruntersuchung
subject	SΣC	1..1	Reference(TI Patient)	Who and/or what the observation is about Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
Slices for effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Klinischer Bezugszeitpunkt
issued	SΣ	0..1	instant	Dokumentationszeitpunkt
performer	SΣC	1..*	Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson)	Who is responsible for the observation Constraints: ref-1
Slices for extension				Content/Rules for all slices
extension:performerFunction	N	0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
Slices for value[x]	SΣC	0..1		Actual result Slice: Unordered, Closed by type:$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	SΣC	0..1	QuantityEuLab	A measured amount using UCUM Constraints: qty-3
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	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
value[x]:valueString	SΣC	0..1	string	Ergebnis uncodiert in Textform
value[x]:valueRange	SΣC	0..1	RangeEuLab	A measured range using UCUM Constraints: rng-2
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
extension:uncertaintyType	N	0..1	code	Probability Distribution Type for uncertainty URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType Binding: ProbabilityDistributionType (required)
low	SΣC	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣC	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueRatio	SΣC	0..1	RatioEuLab	A measured ratio using UCUM Constraints: rat-1
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
extension:uncertaintyType	N	0..1	code	Probability Distribution Type for uncertainty URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType Binding: ProbabilityDistributionType (required)
numerator	SΣC	0..1	Quantity	Numerator value Constraints: qty-3
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Constraints: qty-3
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Qualitatives Messergebnis (z.B. nominal oder ordinal) Binding: Results Coded Values Laboratory/Pathology - IPS (preferred) Additional 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
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value (example) Required Pattern: At least the following
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
value[x]:valueTime	ΣC	0..1	time	Actual result
value[x]:valueDateTime	ΣC	0..1	dateTime	Actual result
value[x]:valuePeriod	ΣC	0..1	Period	Actual result
dataAbsentReason	SC	0..1	CodeableConcept	Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation des einzelnen Laborergebnisses Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding: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)
method	S	0..1	CodeableConcept	Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend) Binding: Laboratory Techniques (preferred): Methods for simple observations.
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/observation-methods (example)
system	SΣ	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
specimen	SC	0..1	Reference(TI Specimen Laboratory)	Specimen used for the observation Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
display	SΣ	0..1	string	Text alternative for the resource
device	SC	0..1	Reference(TI Device Laboratory Analyzer)	Laboranalysegerät Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
display	SΣ	0..1	string	Text alternative for the resource
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:sourceReferenceRange	S	0..1	(Complex)	Quelle der Richtgrenzen URL: https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension"
value[x]	S	1..1	CodeableConcept	Value of extension
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	1..1	string	Plain text representation of the concept
extension:noLinearReferenceRange	S	0..1	(Complex)	Kennzeichen Nicht-linearer Referenzbereich URL: https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension"
value[x]	S	1..1	boolean	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity	Low Range, if relevant Constraints: qty-3, sqty-1
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
high	SC	0..1	SimpleQuantity	High Range, if relevant Constraints: qty-3, sqty-1
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
type	S	0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	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
appliesTo	S	0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to (example)
system	SΣ	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
text	S	0..1	string	Text based reference range in an observation
derivedFrom	SΣC	0..*	Reference(TI Observation Laboratory Study)	Related measurements the observation is made from Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
display	SΣ	0..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.extension:triggeredBy.​extension:type.value[x]	Base	required	Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4	📍0.1.0	Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.extension:testProfile.​value[x]	Base	example	https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe	Not State	Unknown
Observation.extension:alternativeResult.​extension:value.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.​extension:value.value[x]:valueRatio.​numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.​extension:value.value[x]:valueRatio.​denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.status	Base	required	https://gematik.de/fhir/terminology/ValueSet/observation-status	Not State	Unknown
Observation.category	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:laboratory	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:studyType	Base	required	Laboratory Study Types	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.category:specialty	Base	required	Laboratory Specialty	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.code	Base	preferred	Laboratory Code	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.code.extension:data-absent-reason.​value[x]	Base	required	https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory	Not State	Unknown
Observation.subject.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.performer.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueRatio.​numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueRatio.​denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	preferred	Results Coded Values Laboratory/Pathology - IPS	📦2.0.1	This IG
Observation.value[x]:valueCodeableConcept.​coding:snomed	Base	example	https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value	Not State	Unknown
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.interpretation.​coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method	Base	preferred	Laboratory Techniques	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.method.coding	Base	example	https://gematik.de/fhir/terminology/ValueSet/observation-methods	Not State	Unknown
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📦4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📦4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo.coding	Base	example	https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to	Not State	Unknown

Constraints

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

Differential-Ansicht

Diese Struktur ist abgeleitet von ObservationResultsLaboratoryEu

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: obs-alt-result-1
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:accredited	S	0..1	LaboratoryAccreditedEu	Kennzeichen Akkreditierte Laboruntersuchung
value[x]	S	1..1	boolean	Value of extension
extension:testProfile	S	0..1	(Complex)	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.extension:testProfile URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
value[x]	S	1..1	CodeableConcept	Value of extension
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
extension:externalService	S	0..1	(Complex)	Kennzeichen Fremdleistung URL: https://gematik.de/fhir/ti/StructureDefinition/external-service-extension
value[x]	S	1..1	boolean	Value of extension
extension:associationService	S	0..1	(Complex)	Kennzeichen Verbundleistung URL: https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension
value[x]	S	1..1	boolean	Value of extension
extension:zlogValue	S	0..1	(Complex)	zLog-Wert URL: https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension
value[x]	S	1..1	decimal	Value of extension
extension:alternativeResult	S	0..*	(Complex)	Messergebnis Alternative Einheit URL: https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension
Slices for extension				Content/Rules for all slices
extension:code	S	1..1	Extension	Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
value[x]	S	1..1	CodeableConcept	Value of extension
coding	S	1..1	Coding	Codierte Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
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
extension:value	S	1..1	Extension	Messergebnis quantitativ mit Alternativeinheit
value[x]	S	1..1	Quantity, Range, Ratio	Value of extension
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	Quantity	Ergebniswert mit Alternativeinheit
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
value[x]:valueRange	S	0..1	Range	Ergebnisbereich mit Alternativeinheit
low	S	0..1	SimpleQuantity(4.0.1)	Low limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity(4.0.1)	High limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
value[x]:valueRatio	S	0..1	Ratio	Ratio mit Alternativeinheit
numerator	S	1..1	Quantity	Numerator value
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
denominator	S	1..1	Quantity	Denominator value
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
extension:referenceRange	S	0..1	Extension	Richtgrenzen für Alternativeinheit
value[x]	S	1..1	Range	Value of extension
low	S	0..1	SimpleQuantity(4.0.1)	Low limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity(4.0.1)	High limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
extension:zlog	S	0..1	Extension	Extension
value[x]	S	1..1	decimal	Value of extension
identifier	S	0..*	Identifier	Business Identifier for observation
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 die zugehörige Untersuchungsgruppe, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category
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
text	S	0..1	string	Plain text representation of the concept
category:studyType	S	0..*	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category:studyType
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)
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	(Complex)	Grund für das Nichtvorhandensein eines Codes URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]	S	1..1	code	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory (required)
coding	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	Verwender-spezifische Bezeichnung für die Laboruntersuchung
subject	S	1..1	Reference(TI Patient)	Who and/or what the observation is about
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
display	S	0..1	string	Text alternative for the resource
Slices for effective[x]	S	1..1	dateTime, Period	Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	0..1	dateTime	Klinischer Bezugszeitpunkt
issued	S	0..1	instant	Dokumentationszeitpunkt
performer	S	1..*	Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson)	Who is responsible for the observation
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
display	S	0..1	string	Text alternative for the resource
value[x]	S	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	QuantityEuLab	A measured amount using UCUM
value	S	0..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
value[x]:valueString	S	0..1	string	Ergebnis uncodiert in Textform
value[x]:valueRange	S	0..1	RangeEuLab	A measured range using UCUM
low	S	0..1	SimpleQuantity	Low limit
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity	High limit
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
value[x]:valueRatio	S	0..1	RatioEuLab	A measured ratio using UCUM
numerator	S	0..1	Quantity	Numerator value
value	S	0..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
denominator	S	0..1	Quantity	Denominator value
value	S	0..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	S	0..1	CodeableConcept	Qualitatives Messergebnis (z.B. nominal oder ordinal)
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:snomed	S	0..1	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value (example) Required Pattern: At least the following
system	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
dataAbsentReason	S	0..1	CodeableConcept	Provides a reason why the expected value is missing.
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
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation des einzelnen Laborergebnisses
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)
method	S	0..1	CodeableConcept	Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend)
coding	S	0..*	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/observation-methods (example)
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
specimen	S	0..1	Reference(TI Specimen Laboratory)	Specimen used for the observation
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
display	S	0..1	string	Text alternative for the resource
device	S	0..1	Reference(TI Device Laboratory Analyzer)	Laboranalysegerät
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
display	S	0..1	string	Text alternative for the resource
referenceRange	S	0..*	BackboneElement	Provides guide for interpretation
extension	S	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:sourceReferenceRange	S	0..1	(Complex)	Quelle der Richtgrenzen URL: https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension
value[x]	S	1..1	CodeableConcept	Value of extension
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	1..1	string	Plain text representation of the concept
extension:noLinearReferenceRange	S	0..1	(Complex)	Kennzeichen Nicht-linearer Referenzbereich URL: https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension
value[x]	S	1..1	boolean	Value of extension
low	S	0..1	SimpleQuantity	Low Range, if relevant
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity	High Range, if relevant
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
type	S	0..1	CodeableConcept	Reference range qualifier
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
appliesTo	S	0..*	CodeableConcept	Reference range population
coding	S	0..*	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to (example)
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
text	S	0..1	string	Text based reference range in an observation
hasMember		0..0		Related resource that belongs to the Observation group
derivedFrom	S	0..*	Reference(TI Observation Laboratory Study)	Related measurements the observation is made from
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
display	S	0..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	https://gematik.de/fhir/terminology/ValueSet/observation-status	Not State	Unknown
Observation.code.extension:data-absent-reason.​value[x]	Base	required	https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory	Not State	Unknown
Observation.value[x]:valueCodeableConcept.​coding:snomed	Base	example	https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value	Not State	Unknown
Observation.interpretation.​coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method.coding	Base	example	https://gematik.de/fhir/terminology/ValueSet/observation-methods	Not State	Unknown
Observation.referenceRange.​appliesTo.coding	Base	example	https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
obs-alt-result-1	error	Observation	The extension AlternativeResultLaboratoryExtension SHALL not be used if Observation.code.coding is not provided.	extension('https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension').exists() implies code.coding.exists()

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, obs-alt-result-1
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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	S	0..1	(Complex)	Kennzeichen Akkreditierte Laboruntersuchung URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/laboratory-accredited"
value[x]	S	1..1	boolean	Value of extension
extension:testProfile	S	0..1	(Complex)	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.extension:testProfile URL: https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/laboruntersuchungsgruppe (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	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
extension:externalService	S	0..1	(Complex)	Kennzeichen Fremdleistung URL: https://gematik.de/fhir/ti/StructureDefinition/external-service-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/external-service-extension"
value[x]	S	1..1	boolean	Value of extension
extension:associationService	S	0..1	(Complex)	Kennzeichen Verbundleistung URL: https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension"
value[x]	S	1..1	boolean	Value of extension
extension:zlogValue	S	0..1	(Complex)	zLog-Wert URL: https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension"
value[x]	S	1..1	decimal	Value of extension
extension:alternativeResult	S	0..*	(Complex)	Messergebnis Alternative Einheit URL: https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:code	S	1..1	Extension	Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"code"
value[x]	S	1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Codierte Spezifikation der Laboruntersuchung zum Messergebnis mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
extension:value	S	1..1	Extension	Messergebnis quantitativ mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"value"
Slices for value[x]	S	1..1		Value of extension Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	Quantity	Ergebniswert mit Alternativeinheit Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueRange	S	0..1	Range	Ergebnisbereich mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣC	0..1	SimpleQuantity(4.0.1)	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣC	0..1	SimpleQuantity(4.0.1)	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueRatio	S	0..1	Ratio	Ratio mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣC	1..1	Quantity	Numerator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣC	1..1	Quantity	Denominator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
extension:referenceRange	S	0..1	Extension	Richtgrenzen für Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"referenceRange"
value[x]	S	1..1	Range	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣC	0..1	SimpleQuantity(4.0.1)	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣC	0..1	SimpleQuantity(4.0.1)	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
extension:zlog	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"zlog"
value[x]	S	1..1	decimal	Value of extension
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	SΣ	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 die zugehörige Untersuchungsgruppe, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category 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	SΣ	0..1	string	Plain text representation of the concept
category:studyType	S	0..*	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu TIObservationLaboratoryStudyGroup.category:studyType Binding: Laboratory Study Types (required): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	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.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:data-absent-reason	S	0..1	(Complex)	Grund für das Nichtvorhandensein eines Codes URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory (required)
coding	SΣ	0..*	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	Verwender-spezifische Bezeichnung für die Laboruntersuchung
subject	SΣC	1..1	Reference(TI Patient)	Who and/or what the observation is about Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	ΣC	0..1	Period	Time period when id is/was valid for use Constraints: per-1
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) Constraints: ref-1
display	SΣ	0..1	string	Text alternative for the resource
focus	ΣC	0..*	Reference(Patient (EU core) | RelatedPerson: AnimalSpecimen | Group | Device | Location (EU core))	What the observation is about, when it is not about the subject of record Constraints: ref-1
encounter	ΣC	0..1	Reference(Encounter)	Healthcare event during which this observation is made Constraints: ref-1
Slices for effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Klinischer Bezugszeitpunkt
issued	SΣ	0..1	instant	Dokumentationszeitpunkt
performer	SΣC	1..*	Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson)	Who is responsible for the observation Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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
Slices for value[x]	SΣC	0..1		Actual 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	SΣC	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	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
value[x]:valueString	SΣC	0..1	string	Ergebnis uncodiert in Textform
value[x]:valueRange	SΣC	0..1	RangeEuLab	A measured range using UCUM Constraints: rng-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:uncertainty	N	0..1	decimal	Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
extension:uncertaintyType	N	0..1	code	Probability Distribution Type for uncertainty URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType Binding: ProbabilityDistributionType (required)
low	SΣC	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-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
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣC	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-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
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueRatio	SΣC	0..1	RatioEuLab	A measured ratio using UCUM Constraints: rat-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:uncertainty	N	0..1	decimal	Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
extension:uncertaintyType	N	0..1	code	Probability Distribution Type for uncertainty URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType Binding: ProbabilityDistributionType (required)
numerator	SΣC	0..1	Quantity	Numerator value Constraints: qty-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
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Constraints: qty-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
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Qualitatives Messergebnis (z.B. nominal oder ordinal) Binding: Results Coded Values Laboratory/Pathology - IPS (preferred) Additional 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
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
Slices for coding				Content/Rules for all slices
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	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
value[x]:valueTime	ΣC	0..1	time	Actual result
value[x]:valueDateTime	ΣC	0..1	dateTime	Actual result
value[x]:valuePeriod	ΣC	0..1	Period	Actual result
dataAbsentReason	SC	0..1	CodeableConcept	Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	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	Σ	0..1	string	Plain text representation of the concept
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation des einzelnen Laborergebnisses Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding: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	S	0..1	CodeableConcept	Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend) Binding: Laboratory Techniques (preferred): Methods for simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/observation-methods (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	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
specimen	SC	0..1	Reference(TI Specimen Laboratory)	Specimen used for the observation Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	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
device	SC	0..1	Reference(TI Device Laboratory Analyzer)	Laboranalysegerät Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	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
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:sourceReferenceRange	S	0..1	(Complex)	Quelle der Richtgrenzen URL: https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension"
value[x]	S	1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	1..1	string	Plain text representation of the concept
extension:noLinearReferenceRange	S	0..1	(Complex)	Kennzeichen Nicht-linearer Referenzbereich URL: https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension"
value[x]	S	1..1	boolean	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity	Low Range, if relevant Constraints: qty-3, sqty-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
high	SC	0..1	SimpleQuantity	High Range, if relevant Constraints: qty-3, sqty-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
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
type	S	0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	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
appliesTo	S	0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	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
age	C	0..1	Range	Applicable age range, if relevant Constraints: rng-2
text	S	0..1	string	Text based reference range in an observation
derivedFrom	SΣC	0..*	Reference(TI Observation Laboratory Study)	Related measurements the observation is made from Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource
component	Σ	0..*	BackboneElement	Laboratory result
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:value-r5	N	0..1	(Complex)	only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
value[x]	N	0..1	Attachment	Actual result
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Laboratory Code (preferred): Codes identifying names of simple observations.
Slices for value[x]	ΣN	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	ΣCN	0..1	QuantityEuLab	A measured amount using UCUM Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:uncertainty	N	0..1	decimal	Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
value[x]:valueString	ΣN	0..1	string	Actual component result
value[x]:valueRange	ΣCN	0..1	RangeEuLab	A measured range using UCUM Constraints: rng-2
value[x]:valueRatio	ΣCN	0..1	RatioEuLab	A measured ratio using UCUM Constraints: rat-1
value[x]:valueTime	ΣN	0..1	time	Actual component result
value[x]:valueDateTime	ΣN	0..1	dateTime	Actual component result
value[x]:valuePeriod	ΣN	0..1	Period	Actual component result
value[x]:valueCodeableConcept	ΣN	0..1	CodeableConcept	Actual component result Binding: Results Coded Values Laboratory/Pathology - IPS (preferred) Additional 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.extension:alternativeResult.​extension:value.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.​extension:value.value[x]:valueRatio.​numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.​extension:value.value[x]:valueRatio.​denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.status	Base	required	https://gematik.de/fhir/terminology/ValueSet/observation-status	Not State	Unknown
Observation.category	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:laboratory	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:studyType	Base	required	Laboratory Study Types	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.category:specialty	Base	required	Laboratory Specialty	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.code	Base	preferred	Laboratory Code	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.code.extension:data-absent-reason.​value[x]	Base	required	https://gematik.de/fhir/terminology/ValueSet/data-absent-reason-laboratory	Not State	Unknown
Observation.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.subject.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.subject.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.performer.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Observation.performer.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.performer.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueRatio.​numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueRatio.​denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	preferred	Results Coded Values Laboratory/Pathology - IPS	📦2.0.1	This IG
Observation.value[x]:valueCodeableConcept.​coding:snomed	Base	example	https://gematik.de/fhir/terminology/ValueSet/laboratory-study-value	Not State	Unknown
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.interpretation.​coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.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.method.coding	Base	example	https://gematik.de/fhir/terminology/ValueSet/observation-methods	Not State	Unknown
Observation.specimen.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.device.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📦4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📦4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo.coding	Base	example	https://gematik.de/fhir/terminology/ValueSet/reference-range-applies-to	Not State	Unknown
Observation.derivedFrom.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.component.​code	Base	preferred	Laboratory Code	📦2.0.0	HL7 Europe Laboratory Report v2.0
Observation.component.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component.​value[x]:valueCodeableConcept	Base	preferred	Results Coded Values Laboratory/Pathology - IPS	📦2.0.1	This IG
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.

Constraints

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

Diese Struktur ist abgeleitet von ObservationResultsLaboratoryEu

Summary

Must-Support: 229 elements
Prohibited: 1 element

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 Specimen Laboratory (https://gematik.de/fhir/ti/StructureDefinition/ti-specimen-laboratory)
• TI Device Laboratory Analyzer (https://gematik.de/fhir/ti/StructureDefinition/ti-device-laboratory-analyzer)
• 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/external-service-extension
• https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension
• https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension
• https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension
• http://hl7.org/fhir/StructureDefinition/data-absent-reason
• https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension
• https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.effective[x]
• The element 1 is sliced based on the value of Observation.value[x].coding
• The element 1 is sliced based on the value of Observation.interpretation.coding