NHS North West Genomics
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NHS North West Genomics - Local Development build (v2.2.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Observation Panel

Official URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation-Panel Version: 2.2.5
Draft as of 2026-11-05 Computable Name: ObservationPanel

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Laboratory result for a simple test or for a panel/study
Constraints: obs-6, obs-7, obs-value-1, eu-lab-1, eu-lab-2, nw-panel-1
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.Slices for extension Content/Rules for all slices
Observation.Slices for extension.extension:bodyStructure 0..1 Reference(BodyStructure) R5: Observed body structure (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension Content/Rules for all slices
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation 1..1 Extension Extension
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.url 1..1 uri "observation"
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.value[x] 1..1 Reference(Observation: Medical Test Result (EU core)) Triggering observation
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type.url 1..1 uri "type"
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type.value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason.url 1..1 uri "reason"
Observation.Slices for extension.extension:triggeredBy.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
Observation.Slices for extension.extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
Observation.Slices for extension.extension:value-r5.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:value-r5.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
Observation.Slices for extension.extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
Observation.Slices for extension.extension:labTestKit 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
Observation.Slices for extension.extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
Observation.Slices for extension.extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
Observation.Slices for extension.extension:accredited 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
Observation.Slices for extension.extension:statusReason 0..1 CodeableConcept Reason for the current status
URL: http://hl7.org/fhir/StructureDefinition/event-statusReason
Binding Description: (example): Codes identifying the reason for the current state of an event.
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element must be supported. This element is included in summaries. 1..* Identifier Business Identifier for observation
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code Observation Status (HL7 v2 OBX-11)
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:laboratory 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }
  ]
}
Observation.Slices for category.category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
Observation.Slices for category.category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
Observation.Slices for category.category:geCategory 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
      "code" : "GE"
    }
  ]
}
Observation.code This element is included in summaries. 1..1 CodeableConcept The type of observation (code / type). (HL7 v2 OBX-3)
Binding: Laboratory Code (preferred)
Observation.subject This element is included in summaries. 1..1 Reference(Patient) Who and/or what the observation is about
Observation.subject.reference This element must be supported. This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
Observation.encounter This element must be supported. This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element has obligations. This element is included in summaries. 1..1 Clinically relevant time/time-period for observation (HL7 v2 OBX-14)
ObligationsActorSource
SHOULD:populate-if-known Order Filler from Observation
SHOULD:populate-if-known Order Placer from Observation
SHOULD:populate-if-known Automation Manager from Observation
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.performer This element is included in summaries. 1..* Reference(PractitionerRole) Who is responsible for the observation
Observation.performer.Slices for extension Content/Rules for all slices
Observation.performer.Slices for extension.extension:performerFunction 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
Observation.Slices for value[x] This element is included in summaries. C 0..1 Actual result (HL7 v2 OBX-5)
Slice: Unordered, Closed by type:$this
Observation.Slices for value[x].valueQuantity Quantity
Observation.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for value[x].valueString string
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 QuantityEuLab Actual result
Observation.Slices for value[x].value[x]:valueQuantity.Slices for extension Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueQuantity.Slices for extension.extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
Observation.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for value[x].value[x]:valueString This element must be supported. This element is included in summaries. C 0..1 string Actual result
Observation.Slices for value[x].value[x]:valueDateTime This element must be supported. This element is included in summaries. C 0..1 dateTime Actual result
Observation.Slices for value[x].value[x]:valueCodeableConcept This element must be supported. This element is included in summaries. C 0..1 CodeableConcept Actual result
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
Observation.Slices for value[x].value[x]:valueRange This element is included in summaries. C 0..1 RangeEuLab Actual result
Observation.Slices for value[x].value[x]:valueRatio This element is included in summaries. C 0..1 RatioEuLab Actual result
Observation.Slices for value[x].value[x]:valueTime This element is included in summaries. C 0..1 time Actual result
Observation.Slices for value[x].value[x]:valuePeriod This element is included in summaries. C 0..1 Period Actual result
Observation.Slices for value[x].value[x]:valueBoolean This element is included in summaries. C 0..1 boolean Actual result
Observation.Slices for value[x].value[x]:valueInteger This element is included in summaries. C 0..1 integer Actual result
Observation.Slices for value[x].value[x]:valueSampledData This element is included in summaries. C 0..1 SampledData Actual result
Observation.referenceRange This element must be supported. C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.Slices for modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extension
Slice: Unordered, Open by value:url
Observation.referenceRange.Slices for modifierExtension.modifierExtension:lowComparator This element is a modifier element. This element is included in summaries. 0..1 code Observation Reference Range Low Comparator
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-reference-range-low-comparator
Binding: Reference Range Low Comparator (required)
Observation.referenceRange.Slices for modifierExtension.modifierExtension:highComparator This element is a modifier element. This element is included in summaries. 0..1 code Observation Reference Range High Comparator
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-reference-range-high-comparator
Binding: Reference Range High Comparator (required)
Observation.hasMember This element must be supported. This element is included in summaries. 1..* Reference(Observation Results: laboratory) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(Observation: Medical Test Result (EU core) | ImagingStudy) Related measurements the observation is made from
Slice: Unordered, Open by profile:resolve()

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

doco Documentation for this format
NameOrder FillerOrder PlacerAutomation Managerdoco
Observation
Observation / Slices for extension
Observation / Slices for category
Observation / effective[x]
Observation / Slices for value[x]

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
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 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.category:specialty Base required Laboratory Specialty 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.category:geCategory Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base preferred Laboratory Code 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
Observation.component.​code Base preferred Laboratory Code 📦2.1.0 HL7 Europe Laboratory Report v2.1
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 International Patient Summary Implementation Guide v2.0

Constraints

Id Grade Path(s) Description Expression
nw-panel-1 error Observation A panel has no value of its own; results are carried in hasMember value.empty()

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Laboratory result for a simple test or for a panel/study
Constraints: nw-panel-1
Observation.hasMember This element must be supported. 1..* Reference(Observation Results: laboratory) Related resource that belongs to the Observation group
Observation.component 0..0 Laboratory result

doco Documentation for this format
Namedoco

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
nw-panel-1 error Observation A panel has no value of its own; results are carried in hasMember value.empty()
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Laboratory result for a simple test or for a panel/study
Constraints: obs-6, obs-7, obs-value-1, eu-lab-1, eu-lab-2, nw-panel-1
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the observation
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.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
Observation.contained 0..* Resource Contained, inline Resources
Observation.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:bodyStructure 0..1 Reference(BodyStructure) R5: Observed body structure (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.id 0..1 string Unique id for inter-element referencing
Observation.Slices for extension.extension:triggeredBy.Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension Content/Rules for all slices
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation 1..1 Extension Extension
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.id 0..1 string Unique id for inter-element referencing
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.url 1..1 uri "observation"
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.value[x] 1..1 Reference(Observation: Medical Test Result (EU core)) Triggering observation
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type.id 0..1 string Unique id for inter-element referencing
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type.url 1..1 uri "type"
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type.value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason.id 0..1 string Unique id for inter-element referencing
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason.url 1..1 uri "reason"
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason.value[x] 0..1 string Reason that the observation was triggered
Observation.Slices for extension.extension:triggeredBy.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
Observation.Slices for extension.extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
Observation.Slices for extension.extension:value-r5.id 0..1 string Unique id for inter-element referencing
Observation.Slices for extension.extension:value-r5.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:value-r5.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
Observation.Slices for extension.extension:value-r5.value[x] 0..1 Attachment Actual result
Observation.Slices for extension.extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
Observation.Slices for extension.extension:labTestKit 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
Observation.Slices for extension.extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
Observation.Slices for extension.extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
Observation.Slices for extension.extension:accredited 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
Observation.Slices for extension.extension:statusReason 0..1 CodeableConcept Reason for the current status
URL: http://hl7.org/fhir/StructureDefinition/event-statusReason
Binding Description: (example): Codes identifying the reason for the current state of an event.
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element must be supported. This element is included in summaries. 1..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code Observation Status (HL7 v2 OBX-11)
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:laboratory 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }
  ]
}
Observation.Slices for category.category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
Observation.Slices for category.category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
Observation.Slices for category.category:geCategory 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
      "code" : "GE"
    }
  ]
}
Observation.code This element is included in summaries. 1..1 CodeableConcept The type of observation (code / type). (HL7 v2 OBX-3)
Binding: Laboratory Code (preferred)
Observation.subject This element is included in summaries. 1..1 Reference(Patient) Who and/or what the observation is about
Observation.subject.id 0..1 string Unique id for inter-element referencing
Observation.subject.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.subject.reference This element must be supported. This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
Observation.subject.type This element is included in summaries. 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).
Observation.subject.identifier This element is included in summaries. 0..1 NHSIdentifier Logical reference, when literal reference is not known
Observation.subject.display This element is included in summaries. 0..1 string Text alternative for the resource
Observation.focus This element is included in summaries. 0..* Reference(Patient (EU core) | RelatedPerson: AnimalSpecimen | Group | Device | Location (EU core) | Substance | BiologicallyDerivedProduct) What the observation is about, when it is not about the subject of record
Observation.encounter This element must be supported. This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.encounter.id 0..1 string Unique id for inter-element referencing
Observation.encounter.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.encounter.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Observation.encounter.type This element is included in summaries. 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).
Observation.encounter.identifier This element has obligations. This element is included in summaries. 0..1 CorrelationIdentifier Logical reference, when literal reference is not known
ObligationsActorSource
SHALL:populate-if-known Order Filler from Observation
SHALL:populate-if-known Order Placer from Observation
SHALL:populate-if-known Automation Manager from Observation
Observation.encounter.display This element is included in summaries. 0..1 string Text alternative for the resource
Observation.effective[x] This element has obligations. This element is included in summaries. 1..1 Clinically relevant time/time-period for observation (HL7 v2 OBX-14)
ObligationsActorSource
SHOULD:populate-if-known Order Filler from Observation
SHOULD:populate-if-known Order Placer from Observation
SHOULD:populate-if-known Automation Manager from Observation
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.issued This element is included in summaries. 0..1 instant Date/Time this result was made available
Observation.performer This element is included in summaries. 1..* Reference(PractitionerRole) Who is responsible for the observation
Observation.performer.id 0..1 string Unique id for inter-element referencing
Observation.performer.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.performer.Slices for extension.extension:performerFunction 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
Observation.performer.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Observation.performer.type This element is included in summaries. 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).
Observation.performer.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
Observation.performer.display This element is included in summaries. 0..1 string Text alternative for the resource
Observation.Slices for value[x] This element is included in summaries. C 0..1 Actual result (HL7 v2 OBX-5)
Slice: Unordered, Closed by type:$this
Observation.Slices for value[x].valueQuantity Quantity
Observation.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for value[x].valueString string
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 QuantityEuLab Actual result
Observation.Slices for value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Slices for value[x].value[x]:valueQuantity.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for value[x].value[x]:valueQuantity.Slices for extension Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueQuantity.Slices for extension.extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
Observation.Slices for value[x].value[x]:valueQuantity.value This element is included in summaries. 0..1 decimal Numerical value (with implicit precision)
Observation.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for value[x].value[x]:valueQuantity.unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for value[x].value[x]:valueQuantity.system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for value[x].value[x]:valueQuantity.code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for value[x].value[x]:valueString This element must be supported. This element is included in summaries. C 0..1 string Actual result
Observation.Slices for value[x].value[x]:valueDateTime This element must be supported. This element is included in summaries. C 0..1 dateTime Actual result
Observation.Slices for value[x].value[x]:valueCodeableConcept This element must be supported. This element is included in summaries. C 0..1 CodeableConcept Actual result
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
Observation.Slices for value[x].value[x]:valueRange This element is included in summaries. C 0..1 RangeEuLab Actual result
Observation.Slices for value[x].value[x]:valueRatio This element is included in summaries. C 0..1 RatioEuLab Actual result
Observation.Slices for value[x].value[x]:valueTime This element is included in summaries. C 0..1 time Actual result
Observation.Slices for value[x].value[x]:valuePeriod This element is included in summaries. C 0..1 Period Actual result
Observation.Slices for value[x].value[x]:valueBoolean This element is included in summaries. C 0..1 boolean Actual result
Observation.Slices for value[x].value[x]:valueInteger This element is included in summaries. C 0..1 integer Actual result
Observation.Slices for value[x].value[x]:valueSampledData This element is included in summaries. C 0..1 SampledData Actual result
Observation.dataAbsentReason C 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: Laboratory Techniques (preferred)
Observation.specimen 0..1 Reference(Specimen: Laboratory) Specimen used for the observation
Observation.device 0..1 Reference(Device | DeviceMetric) Measuring instrument
Observation.referenceRange This element must be supported. C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.Slices for modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extension
Slice: Unordered, Open by value:url
Observation.referenceRange.Slices for modifierExtension.modifierExtension:lowComparator This element is a modifier element. This element is included in summaries. 0..1 code Observation Reference Range Low Comparator
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-reference-range-low-comparator
Binding: Reference Range Low Comparator (required)
Observation.referenceRange.Slices for modifierExtension.modifierExtension:highComparator This element is a modifier element. This element is included in summaries. 0..1 code Observation Reference Range High Comparator
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-reference-range-high-comparator
Binding: Reference Range High Comparator (required)
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element must be supported. This element is included in summaries. 1..* Reference(Observation Results: laboratory) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(Observation: Medical Test Result (EU core) | ImagingStudy) Related measurements the observation is made from
Slice: Unordered, Open by profile:resolve()

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

doco Documentation for this format
NameOrder FillerOrder PlacerAutomation Managerdoco
Observation
Observation / Slices for extension
Observation / Slices for category
Observation / encounter
Observation / encounter / identifier
Observation / effective[x]
Observation / Slices for value[x]

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.status Base required ObservationStatus 📍4.0.1 FHIR Std.
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 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.category:specialty Base required Laboratory Specialty 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.category:geCategory Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base preferred Laboratory Code 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.performer.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base preferred Laboratory Techniques 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base preferred Laboratory Code 📦2.1.0 HL7 Europe Laboratory Report v2.1
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 International Patient Summary Implementation Guide v2.0
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
nw-panel-1 error Observation A panel has no value of its own; results are carried in hasMember value.empty()
NameOrder FillerOrder PlacerAutomation Managerdoco
Observation
Observation / Slices for extension
Observation / Slices for category
Observation / encounter
Observation / encounter / identifier
Observation / effective[x]
Observation / Slices for value[x]

doco Documentation for this format

This structure is derived from Observation

Summary

Mandatory: 1 element
Must-Support: 1 element
Prohibited: 1 element

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Laboratory result for a simple test or for a panel/study
Constraints: obs-6, obs-7, obs-value-1, eu-lab-1, eu-lab-2, nw-panel-1
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.Slices for extension Content/Rules for all slices
Observation.Slices for extension.extension:bodyStructure 0..1 Reference(BodyStructure) R5: Observed body structure (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension Content/Rules for all slices
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation 1..1 Extension Extension
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.url 1..1 uri "observation"
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.value[x] 1..1 Reference(Observation: Medical Test Result (EU core)) Triggering observation
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type.url 1..1 uri "type"
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type.value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason.url 1..1 uri "reason"
Observation.Slices for extension.extension:triggeredBy.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
Observation.Slices for extension.extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
Observation.Slices for extension.extension:value-r5.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:value-r5.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
Observation.Slices for extension.extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
Observation.Slices for extension.extension:labTestKit 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
Observation.Slices for extension.extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
Observation.Slices for extension.extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
Observation.Slices for extension.extension:accredited 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
Observation.Slices for extension.extension:statusReason 0..1 CodeableConcept Reason for the current status
URL: http://hl7.org/fhir/StructureDefinition/event-statusReason
Binding Description: (example): Codes identifying the reason for the current state of an event.
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element must be supported. This element is included in summaries. 1..* Identifier Business Identifier for observation
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code Observation Status (HL7 v2 OBX-11)
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:laboratory 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }
  ]
}
Observation.Slices for category.category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
Observation.Slices for category.category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
Observation.Slices for category.category:geCategory 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
      "code" : "GE"
    }
  ]
}
Observation.code This element is included in summaries. 1..1 CodeableConcept The type of observation (code / type). (HL7 v2 OBX-3)
Binding: Laboratory Code (preferred)
Observation.subject This element is included in summaries. 1..1 Reference(Patient) Who and/or what the observation is about
Observation.subject.reference This element must be supported. This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
Observation.encounter This element must be supported. This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element has obligations. This element is included in summaries. 1..1 Clinically relevant time/time-period for observation (HL7 v2 OBX-14)
ObligationsActorSource
SHOULD:populate-if-known Order Filler from Observation
SHOULD:populate-if-known Order Placer from Observation
SHOULD:populate-if-known Automation Manager from Observation
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.performer This element is included in summaries. 1..* Reference(PractitionerRole) Who is responsible for the observation
Observation.performer.Slices for extension Content/Rules for all slices
Observation.performer.Slices for extension.extension:performerFunction 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
Observation.Slices for value[x] This element is included in summaries. C 0..1 Actual result (HL7 v2 OBX-5)
Slice: Unordered, Closed by type:$this
Observation.Slices for value[x].valueQuantity Quantity
Observation.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for value[x].valueString string
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 QuantityEuLab Actual result
Observation.Slices for value[x].value[x]:valueQuantity.Slices for extension Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueQuantity.Slices for extension.extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
Observation.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for value[x].value[x]:valueString This element must be supported. This element is included in summaries. C 0..1 string Actual result
Observation.Slices for value[x].value[x]:valueDateTime This element must be supported. This element is included in summaries. C 0..1 dateTime Actual result
Observation.Slices for value[x].value[x]:valueCodeableConcept This element must be supported. This element is included in summaries. C 0..1 CodeableConcept Actual result
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
Observation.Slices for value[x].value[x]:valueRange This element is included in summaries. C 0..1 RangeEuLab Actual result
Observation.Slices for value[x].value[x]:valueRatio This element is included in summaries. C 0..1 RatioEuLab Actual result
Observation.Slices for value[x].value[x]:valueTime This element is included in summaries. C 0..1 time Actual result
Observation.Slices for value[x].value[x]:valuePeriod This element is included in summaries. C 0..1 Period Actual result
Observation.Slices for value[x].value[x]:valueBoolean This element is included in summaries. C 0..1 boolean Actual result
Observation.Slices for value[x].value[x]:valueInteger This element is included in summaries. C 0..1 integer Actual result
Observation.Slices for value[x].value[x]:valueSampledData This element is included in summaries. C 0..1 SampledData Actual result
Observation.referenceRange This element must be supported. C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.Slices for modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extension
Slice: Unordered, Open by value:url
Observation.referenceRange.Slices for modifierExtension.modifierExtension:lowComparator This element is a modifier element. This element is included in summaries. 0..1 code Observation Reference Range Low Comparator
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-reference-range-low-comparator
Binding: Reference Range Low Comparator (required)
Observation.referenceRange.Slices for modifierExtension.modifierExtension:highComparator This element is a modifier element. This element is included in summaries. 0..1 code Observation Reference Range High Comparator
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-reference-range-high-comparator
Binding: Reference Range High Comparator (required)
Observation.hasMember This element must be supported. This element is included in summaries. 1..* Reference(Observation Results: laboratory) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(Observation: Medical Test Result (EU core) | ImagingStudy) Related measurements the observation is made from
Slice: Unordered, Open by profile:resolve()

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

doco Documentation for this format
NameOrder FillerOrder PlacerAutomation Managerdoco
Observation
Observation / Slices for extension
Observation / Slices for category
Observation / effective[x]
Observation / Slices for value[x]

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
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 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.category:specialty Base required Laboratory Specialty 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.category:geCategory Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base preferred Laboratory Code 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
Observation.component.​code Base preferred Laboratory Code 📦2.1.0 HL7 Europe Laboratory Report v2.1
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 International Patient Summary Implementation Guide v2.0

Constraints

Id Grade Path(s) Description Expression
nw-panel-1 error Observation A panel has no value of its own; results are carried in hasMember value.empty()

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Laboratory result for a simple test or for a panel/study
Constraints: nw-panel-1
Observation.hasMember This element must be supported. 1..* Reference(Observation Results: laboratory) Related resource that belongs to the Observation group
Observation.component 0..0 Laboratory result

doco Documentation for this format
Namedoco

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
nw-panel-1 error Observation A panel has no value of its own; results are carried in hasMember value.empty()

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Laboratory result for a simple test or for a panel/study
Constraints: obs-6, obs-7, obs-value-1, eu-lab-1, eu-lab-2, nw-panel-1
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the observation
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.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
Observation.contained 0..* Resource Contained, inline Resources
Observation.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:bodyStructure 0..1 Reference(BodyStructure) R5: Observed body structure (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.id 0..1 string Unique id for inter-element referencing
Observation.Slices for extension.extension:triggeredBy.Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension Content/Rules for all slices
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation 1..1 Extension Extension
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.id 0..1 string Unique id for inter-element referencing
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.url 1..1 uri "observation"
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:observation.value[x] 1..1 Reference(Observation: Medical Test Result (EU core)) Triggering observation
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type.id 0..1 string Unique id for inter-element referencing
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type.url 1..1 uri "type"
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:type.value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason.id 0..1 string Unique id for inter-element referencing
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason.url 1..1 uri "reason"
Observation.Slices for extension.extension:triggeredBy.Slices for extension.extension:reason.value[x] 0..1 string Reason that the observation was triggered
Observation.Slices for extension.extension:triggeredBy.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
Observation.Slices for extension.extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
Observation.Slices for extension.extension:value-r5.id 0..1 string Unique id for inter-element referencing
Observation.Slices for extension.extension:value-r5.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
Observation.Slices for extension.extension:value-r5.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
Observation.Slices for extension.extension:value-r5.value[x] 0..1 Attachment Actual result
Observation.Slices for extension.extension:supportingInfo 0..* Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
Observation.Slices for extension.extension:labTestKit 0..* Reference(Device) Laboratory Test Kit
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit
Observation.Slices for extension.extension:certifiedRefMaterialCodeable 0..* CodeableConcept Certified Reference Material: CodeableConcept
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable
Binding: Laboratory Certified Reference Material (example)
Observation.Slices for extension.extension:certifiedRefMaterialIdentifer 0..* Identifier Certified Reference Material: Identifier
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer
Observation.Slices for extension.extension:accredited 0..1 boolean Accredited test
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
Observation.Slices for extension.extension:statusReason 0..1 CodeableConcept Reason for the current status
URL: http://hl7.org/fhir/StructureDefinition/event-statusReason
Binding Description: (example): Codes identifying the reason for the current state of an event.
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element must be supported. This element is included in summaries. 1..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code Observation Status (HL7 v2 OBX-11)
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:laboratory 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }
  ]
}
Observation.Slices for category.category:studyType 0..* CodeableConcept The way of grouping of the test results into clinically meaningful domains (e.g. hematology study, microbiology study, etc.)
Binding: Laboratory Study Types (required)
Observation.Slices for category.category:specialty 0..* CodeableConcept The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry)
Binding: Laboratory Specialty (required)
Observation.Slices for category.category:geCategory 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
      "code" : "GE"
    }
  ]
}
Observation.code This element is included in summaries. 1..1 CodeableConcept The type of observation (code / type). (HL7 v2 OBX-3)
Binding: Laboratory Code (preferred)
Observation.subject This element is included in summaries. 1..1 Reference(Patient) Who and/or what the observation is about
Observation.subject.id 0..1 string Unique id for inter-element referencing
Observation.subject.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.subject.reference This element must be supported. This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
Observation.subject.type This element is included in summaries. 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).
Observation.subject.identifier This element is included in summaries. 0..1 NHSIdentifier Logical reference, when literal reference is not known
Observation.subject.display This element is included in summaries. 0..1 string Text alternative for the resource
Observation.focus This element is included in summaries. 0..* Reference(Patient (EU core) | RelatedPerson: AnimalSpecimen | Group | Device | Location (EU core) | Substance | BiologicallyDerivedProduct) What the observation is about, when it is not about the subject of record
Observation.encounter This element must be supported. This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.encounter.id 0..1 string Unique id for inter-element referencing
Observation.encounter.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.encounter.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Observation.encounter.type This element is included in summaries. 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).
Observation.encounter.identifier This element has obligations. This element is included in summaries. 0..1 CorrelationIdentifier Logical reference, when literal reference is not known
ObligationsActorSource
SHALL:populate-if-known Order Filler from Observation
SHALL:populate-if-known Order Placer from Observation
SHALL:populate-if-known Automation Manager from Observation
Observation.encounter.display This element is included in summaries. 0..1 string Text alternative for the resource
Observation.effective[x] This element has obligations. This element is included in summaries. 1..1 Clinically relevant time/time-period for observation (HL7 v2 OBX-14)
ObligationsActorSource
SHOULD:populate-if-known Order Filler from Observation
SHOULD:populate-if-known Order Placer from Observation
SHOULD:populate-if-known Automation Manager from Observation
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.issued This element is included in summaries. 0..1 instant Date/Time this result was made available
Observation.performer This element is included in summaries. 1..* Reference(PractitionerRole) Who is responsible for the observation
Observation.performer.id 0..1 string Unique id for inter-element referencing
Observation.performer.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.performer.Slices for extension.extension:performerFunction 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
Observation.performer.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Observation.performer.type This element is included in summaries. 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).
Observation.performer.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
Observation.performer.display This element is included in summaries. 0..1 string Text alternative for the resource
Observation.Slices for value[x] This element is included in summaries. C 0..1 Actual result (HL7 v2 OBX-5)
Slice: Unordered, Closed by type:$this
Observation.Slices for value[x].valueQuantity Quantity
Observation.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for value[x].valueString string
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 QuantityEuLab Actual result
Observation.Slices for value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Slices for value[x].value[x]:valueQuantity.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for value[x].value[x]:valueQuantity.Slices for extension Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueQuantity.Slices for extension.extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
Observation.Slices for value[x].value[x]:valueQuantity.value This element is included in summaries. 0..1 decimal Numerical value (with implicit precision)
Observation.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for value[x].value[x]:valueQuantity.unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for value[x].value[x]:valueQuantity.system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for value[x].value[x]:valueQuantity.code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for value[x].value[x]:valueString This element must be supported. This element is included in summaries. C 0..1 string Actual result
Observation.Slices for value[x].value[x]:valueDateTime This element must be supported. This element is included in summaries. C 0..1 dateTime Actual result
Observation.Slices for value[x].value[x]:valueCodeableConcept This element must be supported. This element is included in summaries. C 0..1 CodeableConcept Actual result
Binding: Results Coded Values Laboratory/Pathology - IPS (preferred)
Observation.Slices for value[x].value[x]:valueRange This element is included in summaries. C 0..1 RangeEuLab Actual result
Observation.Slices for value[x].value[x]:valueRatio This element is included in summaries. C 0..1 RatioEuLab Actual result
Observation.Slices for value[x].value[x]:valueTime This element is included in summaries. C 0..1 time Actual result
Observation.Slices for value[x].value[x]:valuePeriod This element is included in summaries. C 0..1 Period Actual result
Observation.Slices for value[x].value[x]:valueBoolean This element is included in summaries. C 0..1 boolean Actual result
Observation.Slices for value[x].value[x]:valueInteger This element is included in summaries. C 0..1 integer Actual result
Observation.Slices for value[x].value[x]:valueSampledData This element is included in summaries. C 0..1 SampledData Actual result
Observation.dataAbsentReason C 0..1 CodeableConcept Provides a reason why the expected value is missing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: Laboratory Techniques (preferred)
Observation.specimen 0..1 Reference(Specimen: Laboratory) Specimen used for the observation
Observation.device 0..1 Reference(Device | DeviceMetric) Measuring instrument
Observation.referenceRange This element must be supported. C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.Slices for modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extension
Slice: Unordered, Open by value:url
Observation.referenceRange.Slices for modifierExtension.modifierExtension:lowComparator This element is a modifier element. This element is included in summaries. 0..1 code Observation Reference Range Low Comparator
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-reference-range-low-comparator
Binding: Reference Range Low Comparator (required)
Observation.referenceRange.Slices for modifierExtension.modifierExtension:highComparator This element is a modifier element. This element is included in summaries. 0..1 code Observation Reference Range High Comparator
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-reference-range-high-comparator
Binding: Reference Range High Comparator (required)
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element must be supported. This element is included in summaries. 1..* Reference(Observation Results: laboratory) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(Observation: Medical Test Result (EU core) | ImagingStudy) Related measurements the observation is made from
Slice: Unordered, Open by profile:resolve()

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

doco Documentation for this format
NameOrder FillerOrder PlacerAutomation Managerdoco
Observation
Observation / Slices for extension
Observation / Slices for category
Observation / encounter
Observation / encounter / identifier
Observation / effective[x]
Observation / Slices for value[x]

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.status Base required ObservationStatus 📍4.0.1 FHIR Std.
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 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.category:specialty Base required Laboratory Specialty 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.category:geCategory Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base preferred Laboratory Code 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.performer.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base preferred Results Coded Values Laboratory/Pathology - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base preferred Laboratory Techniques 📦2.1.0 HL7 Europe Laboratory Report v2.1
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base preferred Laboratory Code 📦2.1.0 HL7 Europe Laboratory Report v2.1
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 International Patient Summary Implementation Guide v2.0
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
nw-panel-1 error Observation A panel has no value of its own; results are carried in hasMember value.empty()
NameOrder FillerOrder PlacerAutomation Managerdoco
Observation
Observation / Slices for extension
Observation / Slices for category
Observation / encounter
Observation / encounter / identifier
Observation / effective[x]
Observation / Slices for value[x]

doco Documentation for this format

This structure is derived from Observation

Summary

Mandatory: 1 element
Must-Support: 1 element
Prohibited: 1 element

 

Other representations of profile: CSV, Excel, Schematron