NHS North West Genomics
2.2.5 - ci-build
NHS North West Genomics
2.2.5 - ci-build
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
| Official URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation | Version: 2.2.5 | ||||
| Draft as of 2026-11-05 | Computable Name: Observation | ||||
Diagnostic - Core
classDiagram
BaseObservation <|-- ObservationPanel : implements
BaseObservation <|-- LaboratoryAnalyte : implements
BaseObservation <|-- GenomicObservation : implements
ObservationPanel <|-- GenomicStudyPanel : implements
GenomicObservation <|-- GenomicFinding
GenomicObservation <|-- GenomicImplication
GenomicFinding <|-- Variant :implements
GenomicFinding <|-- Haplotype :implements
GenomicFinding <|-- Genotype :implements
GenomicImplication <|-- DiagnosticImplication :implements
GenomicImplication <|-- TherapeuticImplication :implements
GenomicImplication <|-- GenomicAnnotation :implements
GenomicImplication <|-- MolecularConsequence :implements
GenomicStudyPanel *-- Observation : member
class ObservationPanel {
code
hasMember
}
class Observation {
code
value
dataAbsentReason
}
class GenomicObservation {
code
value
dataAbsentReason
component
}
class LaboratoryAnalyte {
code
value
dataAbsentReason
component
}
| Type | Use | value | hasMember | component |
|---|---|---|---|---|
| Observation | Observations with code and values | ✔ | ❌ | |
| Component Observation Laboratory Analyte Result | Used for transmission of results from analysers to LIMS | ✔ | ❌ | ✔ |
| Genomic Observation | Used for Genomic Results e.g. Variants and Diagnostic Implications | ❌ | ✔ | |
| Observation Panel | Used to group Laboratory Results (also known as battery results) e.g. Full Blood Count (FBC) and Ask At Order Questions. In HL7 v2 this is similar to the use of OBR segments | ❌ | ✔ | ❌ |
| Type | Name |
|---|---|
| Observation Panel | Genomic Study Panel |
| Genomic Finding | Variant |
| Haplotype | |
| Genotype | |
| Genomic Implication | DiagnosticImplication |
| TherapeuticImplication |
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Observation |
C | 0..* | ObservationResultsLaboratoryEu | 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 | ||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||
   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 | |||||||||
| extension:triggeredBy |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |||||||||
   Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
 extension:observation |
1..1 | Extension | Extension Constraints: ext-1 | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "observation" | |||||||||
  value[x] |
1..1 | Reference(Observation: Medical Test Result (EU core)) | Triggering observation | |||||||||
| extension:type |
1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
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) Constraints: ext-1 | |||||||||
 url |
1..1 | uri | "reason" | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| 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 | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||
| extension:supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
| extension:labTestKit |
0..* | Reference(Device) | Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| extension:certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| extension:certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| extension:accredited |
0..1 | boolean | Accredited test URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited | |||||||||
| 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. | |||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
 identifier |
1..* | Identifier | Business Identifier for observation | |||||||||
| status |
1..1 | code | Observation Status (HL7 v2 OBX-11) Binding: ObservationStatus (required): Codes providing the status of an 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. | |||||||||
| category:laboratory |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: | |||||||||
| 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) | |||||||||
| category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |||||||||
| category:geCategory |
0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: | |||||||||
| code |
1..1 | CodeableConcept | The type of observation (code / type). (HL7 v2 OBX-3) Binding: Laboratory Code (preferred) | |||||||||
| subject |
1..1 | Reference(Patient) | Who and/or what the observation is about | |||||||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
 identifier |
0..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||
| encounter |
0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||||||
| identifier |
0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| |||||||||
 effective[x] |
1..1 | Clinically relevant time/time-period for observation (HL7 v2 OBX-14)
| ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| performer |
1..* | Reference(PractitionerRole) | Who is responsible for the observation | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| Slices for value[x] |
C | 0..1 | Actual result (HL7 v2 OBX-5) 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 |
C | 0..1 | QuantityEuLab | Actual result | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| value[x]:valueString |
C | 0..1 | string | Actual result | ||||||||
| value[x]:valueDateTime |
C | 0..1 | dateTime | Actual result | ||||||||
| value[x]:valueCodeableConcept |
C | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (preferred) | ||||||||
| value[x]:valueRange |
C | 0..1 | RangeEuLab | Actual result | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | Actual result | ||||||||
| value[x]:valueTime |
C | 0..1 | time | Actual result | ||||||||
| value[x]:valuePeriod |
C | 0..1 | Period | Actual result | ||||||||
| value[x]:valueBoolean |
C | 0..1 | boolean | Actual result | ||||||||
| value[x]:valueInteger |
C | 0..1 | integer | Actual result | ||||||||
| value[x]:valueSampledData |
C | 0..1 | SampledData | Actual result | ||||||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||||||
| Slices for modifierExtension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| modifierExtension:lowComparator |
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) | |||||||||
| modifierExtension:highComparator |
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) | |||||||||
| derivedFrom |
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 | |||||||||
| Documentation for this format | ||||||||||||
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| Observation |
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| Slices for extension |
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| Slices for category |
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| encounter |
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| identifier |
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| effective[x] |
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| Slices for value[x] |
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| Documentation for this format | |||
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from ObservationResultsLaboratoryEu
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
ObservationResultsLaboratoryEu | |||||||||||
 identifier |
1..* | Identifier | Business Identifier for observation | |||||||||
| status |
1..1 | code | Observation Status (HL7 v2 OBX-11) | |||||||||
| Slices for category |
Content/Rules for all slices | |||||||||||
| category:geCategory |
0..1 | CodeableConcept | Classification of type of observation Required Pattern: | |||||||||
| code |
1..1 | CodeableConcept | The type of observation (code / type). (HL7 v2 OBX-3) | |||||||||
| subject |
1..1 | Reference(Patient) | Who and/or what the observation is about | |||||||||
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |||||||||
| identifier |
0..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||
| encounter |
0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||||||
| identifier |
0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| |||||||||
| effective[x] |
1..1 | dateTime, Period | Clinically relevant time/time-period for observation (HL7 v2 OBX-14)
| |||||||||
| performer |
1..* | Reference(PractitionerRole) | Who is responsible for the observation | |||||||||
| value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result (HL7 v2 OBX-5) | |||||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||||||
| value[x]:valueQuantity |
0..1 | QuantityEuLab | Actual result | |||||||||
| value[x]:valueString |
0..1 | string | Actual result | |||||||||
| value[x]:valueDateTime |
0..1 | dateTime | Actual result | |||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConcept | Actual result | |||||||||
| referenceRange |
0..* | BackboneElement | Provides guide for interpretation | |||||||||
| derivedFrom |
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 | |||||||||
| Documentation for this format | ||||||||||||
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| Observation |
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| Slices for category |
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| encounter |
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| identifier |
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| effective[x] |
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| Slices for value[x] |
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| Documentation for this format | |||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ObservationResultsLaboratoryEu | 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 | ||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
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.
| |||||||||
| 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| 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 | |||||||||
| extension:triggeredBy |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:observation |
1..1 | Extension | Extension Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "observation" | |||||||||
| value[x] |
1..1 | Reference(Observation: Medical Test Result (EU core)) | Triggering observation | |||||||||
| extension:type |
1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-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 Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
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) Constraints: ext-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 Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "reason" | |||||||||
| value[x] |
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 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||
| value[x] |
0..1 | Attachment | Actual result | |||||||||
| extension:supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
| extension:labTestKit |
0..* | Reference(Device) | Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| extension:certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| extension:certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| extension:accredited |
0..1 | boolean | Accredited test URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited | |||||||||
| 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. | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
1..* | Identifier | Business Identifier for observation | |||||||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | |||||||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | |||||||||
| status |
1..1 | code | Observation Status (HL7 v2 OBX-11) Binding: ObservationStatus (required): Codes providing the status of an 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. | |||||||||
| category:laboratory |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: | |||||||||
| 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) | |||||||||
| category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |||||||||
| category:geCategory |
0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: | |||||||||
| code |
1..1 | CodeableConcept | The type of observation (code / type). (HL7 v2 OBX-3) Binding: Laboratory Code (preferred) | |||||||||
| subject |
1..1 | Reference(Patient) | Who and/or what the observation is about | |||||||||
| 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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
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 |
0..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| focus |
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 | |||||||||
| encounter |
0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||||||
| 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 |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
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 |
0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| effective[x] |
1..1 | Clinically relevant time/time-period for observation (HL7 v2 OBX-14)
| ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| issued |
0..1 | instant | Date/Time this result was made available | |||||||||
| performer |
1..* | Reference(PractitionerRole) | Who is responsible for the observation | |||||||||
| 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 |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| Slices for value[x] |
C | 0..1 | Actual result (HL7 v2 OBX-5) 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 |
C | 0..1 | QuantityEuLab | Actual 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 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| value |
0..1 | decimal | Numerical value (with implicit precision) | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| unit |
0..1 | string | Unit representation | |||||||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
0..1 | code | Coded form of the unit | |||||||||
| value[x]:valueString |
C | 0..1 | string | Actual result | ||||||||
| value[x]:valueDateTime |
C | 0..1 | dateTime | Actual result | ||||||||
| value[x]:valueCodeableConcept |
C | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (preferred) | ||||||||
| value[x]:valueRange |
C | 0..1 | RangeEuLab | Actual result | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | Actual result | ||||||||
| value[x]:valueTime |
C | 0..1 | time | Actual result | ||||||||
| value[x]:valuePeriod |
C | 0..1 | Period | Actual result | ||||||||
| value[x]:valueBoolean |
C | 0..1 | boolean | Actual result | ||||||||
| value[x]:valueInteger |
C | 0..1 | integer | Actual result | ||||||||
| value[x]:valueSampledData |
C | 0..1 | SampledData | Actual result | ||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
| note |
0..* | Annotation | Comments about the observation | |||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
| method |
0..1 | CodeableConcept | How it was done Binding: Laboratory Techniques (preferred) | |||||||||
| specimen |
0..1 | Reference(Specimen: Laboratory) | Specimen used for the observation | |||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | Measuring instrument | |||||||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| Slices for modifierExtension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| modifierExtension:lowComparator |
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) | |||||||||
| modifierExtension:highComparator |
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) | |||||||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1 | ||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1 | ||||||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||||||
| text |
0..1 | string | Text based reference range in an observation | |||||||||
| hasMember |
0..* | Reference(Observation Results: laboratory) | Related resource that belongs to the Observation group | |||||||||
| derivedFrom |
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 | |||||||||
| component |
C | 0..* | BackboneElement | Laboratory result Constraints: obs-value-2 | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:value-r5 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value" | |||||||||
| value[x] |
0..1 | Attachment | Actual component result | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| code |
1..1 | CodeableConcept | Type of component observation (code / type) Binding: Laboratory Code (preferred) | |||||||||
| Slices for value[x] |
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 |
0..1 | QuantityEuLab | Actual component 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 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| value |
0..1 | decimal | Numerical value (with implicit precision) | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| unit |
0..1 | string | Unit representation | |||||||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
0..1 | code | Coded form of the unit | |||||||||
| value[x]:valueString |
0..1 | string | Actual component result | |||||||||
| value[x]:valueRange |
0..1 | RangeEuLab | Actual component result | |||||||||
| value[x]:valueRatio |
0..1 | RatioEuLab | Actual component result | |||||||||
| value[x]:valueTime |
0..1 | time | Actual component result | |||||||||
| value[x]:valueDateTime |
0..1 | dateTime | Actual component result | |||||||||
| value[x]:valuePeriod |
0..1 | Period | Actual component result | |||||||||
| value[x]:valueBoolean |
0..1 | boolean | Actual component result | |||||||||
| value[x]:valueInteger |
0..1 | integer | Actual component result | |||||||||
| value[x]:valueSampledData |
0..1 | SampledData | Actual component result | |||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConcept | Actual component result Binding: Results Coded Values Laboratory/Pathology - IPS (preferred) | |||||||||
| 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 | ||||||||||||
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| Observation |
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| Slices for extension |
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| Slices for category |
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| encounter |
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| identifier |
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| effective[x] |
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| Slices for value[x] |
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| Documentation for this format | |||
| Id | Grade | Path(s) | Description | Expression |
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| Observation |
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| Slices for extension |
|||
| Slices for category |
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| encounter |
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| identifier |
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| effective[x] |
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| Slices for value[x] |
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| Documentation for this format | |||
This structure is derived from ObservationResultsLaboratoryEu
Summary
Mandatory: 2 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ObservationResultsLaboratoryEu | 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 | ||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| 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 | |||||||||
| extension:triggeredBy |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |||||||||
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:observation |
1..1 | Extension | Extension Constraints: ext-1 | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "observation" | |||||||||
| value[x] |
1..1 | Reference(Observation: Medical Test Result (EU core)) | Triggering observation | |||||||||
| extension:type |
1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
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) Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "reason" | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| 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 | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||
| extension:supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
| extension:labTestKit |
0..* | Reference(Device) | Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| extension:certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| extension:certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| extension:accredited |
0..1 | boolean | Accredited test URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited | |||||||||
| 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. | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
1..* | Identifier | Business Identifier for observation | |||||||||
| status |
1..1 | code | Observation Status (HL7 v2 OBX-11) Binding: ObservationStatus (required): Codes providing the status of an 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. | |||||||||
| category:laboratory |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: | |||||||||
| 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) | |||||||||
| category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |||||||||
| category:geCategory |
0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: | |||||||||
| code |
1..1 | CodeableConcept | The type of observation (code / type). (HL7 v2 OBX-3) Binding: Laboratory Code (preferred) | |||||||||
| subject |
1..1 | Reference(Patient) | Who and/or what the observation is about | |||||||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| identifier |
0..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||
| encounter |
0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||||||
| identifier |
0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| |||||||||
| effective[x] |
1..1 | Clinically relevant time/time-period for observation (HL7 v2 OBX-14)
| ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| performer |
1..* | Reference(PractitionerRole) | Who is responsible for the observation | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| Slices for value[x] |
C | 0..1 | Actual result (HL7 v2 OBX-5) 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 |
C | 0..1 | QuantityEuLab | Actual result | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| value[x]:valueString |
C | 0..1 | string | Actual result | ||||||||
| value[x]:valueDateTime |
C | 0..1 | dateTime | Actual result | ||||||||
| value[x]:valueCodeableConcept |
C | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (preferred) | ||||||||
| value[x]:valueRange |
C | 0..1 | RangeEuLab | Actual result | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | Actual result | ||||||||
| value[x]:valueTime |
C | 0..1 | time | Actual result | ||||||||
| value[x]:valuePeriod |
C | 0..1 | Period | Actual result | ||||||||
| value[x]:valueBoolean |
C | 0..1 | boolean | Actual result | ||||||||
| value[x]:valueInteger |
C | 0..1 | integer | Actual result | ||||||||
| value[x]:valueSampledData |
C | 0..1 | SampledData | Actual result | ||||||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||||||
| Slices for modifierExtension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| modifierExtension:lowComparator |
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) | |||||||||
| modifierExtension:highComparator |
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) | |||||||||
| derivedFrom |
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 | |||||||||
| Documentation for this format | ||||||||||||
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| Observation |
|||
| Slices for extension |
|||
| Slices for category |
|||
| encounter |
|||
| identifier |
|
|
|
| effective[x] |
|
|
|
| Slices for value[x] |
|||
| Documentation for this format | |||
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from ObservationResultsLaboratoryEu
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
ObservationResultsLaboratoryEu | |||||||||||
| identifier |
1..* | Identifier | Business Identifier for observation | |||||||||
| status |
1..1 | code | Observation Status (HL7 v2 OBX-11) | |||||||||
| Slices for category |
Content/Rules for all slices | |||||||||||
| category:geCategory |
0..1 | CodeableConcept | Classification of type of observation Required Pattern: | |||||||||
| code |
1..1 | CodeableConcept | The type of observation (code / type). (HL7 v2 OBX-3) | |||||||||
| subject |
1..1 | Reference(Patient) | Who and/or what the observation is about | |||||||||
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |||||||||
| identifier |
0..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||
| encounter |
0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||||||
| identifier |
0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| |||||||||
| effective[x] |
1..1 | dateTime, Period | Clinically relevant time/time-period for observation (HL7 v2 OBX-14)
| |||||||||
| performer |
1..* | Reference(PractitionerRole) | Who is responsible for the observation | |||||||||
| value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result (HL7 v2 OBX-5) | |||||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||||||
| value[x]:valueQuantity |
0..1 | QuantityEuLab | Actual result | |||||||||
| value[x]:valueString |
0..1 | string | Actual result | |||||||||
| value[x]:valueDateTime |
0..1 | dateTime | Actual result | |||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConcept | Actual result | |||||||||
| referenceRange |
0..* | BackboneElement | Provides guide for interpretation | |||||||||
| derivedFrom |
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 | |||||||||
| Documentation for this format | ||||||||||||
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| Observation |
|||
| Slices for category |
|||
| encounter |
|||
| identifier |
|
|
|
| effective[x] |
|
|
|
| Slices for value[x] |
|||
| Documentation for this format | |||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ObservationResultsLaboratoryEu | 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 | ||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
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.
| |||||||||
| 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| 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 | |||||||||
| extension:triggeredBy |
0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:observation |
1..1 | Extension | Extension Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "observation" | |||||||||
| value[x] |
1..1 | Reference(Observation: Medical Test Result (EU core)) | Triggering observation | |||||||||
| extension:type |
1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-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 Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
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) Constraints: ext-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 Constraints: ext-1 | |||||||||
| url |
1..1 | uri | "reason" | |||||||||
| value[x] |
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 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value" | |||||||||
| value[x] |
0..1 | Attachment | Actual result | |||||||||
| extension:supportingInfo |
0..* | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||||||
| extension:labTestKit |
0..* | Reference(Device) | Laboratory Test Kit URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-deviceLabTestKit | |||||||||
| extension:certifiedRefMaterialCodeable |
0..* | CodeableConcept | Certified Reference Material: CodeableConcept URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialCodeable Binding: Laboratory Certified Reference Material (example) | |||||||||
| extension:certifiedRefMaterialIdentifer |
0..* | Identifier | Certified Reference Material: Identifier URL: http://hl7.eu/fhir/laboratory/StructureDefinition/observation-certifiedRefMaterialIdentifer | |||||||||
| extension:accredited |
0..1 | boolean | Accredited test URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited | |||||||||
| 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. | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
1..* | Identifier | Business Identifier for observation | |||||||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | |||||||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | |||||||||
| status |
1..1 | code | Observation Status (HL7 v2 OBX-11) Binding: ObservationStatus (required): Codes providing the status of an 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. | |||||||||
| category:laboratory |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: | |||||||||
| 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) | |||||||||
| category:specialty |
0..* | CodeableConcept | The clinical domain of the laboratory performing the observation (e.g. microbiology, toxicology, chemistry) Binding: Laboratory Specialty (required) | |||||||||
| category:geCategory |
0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: | |||||||||
| code |
1..1 | CodeableConcept | The type of observation (code / type). (HL7 v2 OBX-3) Binding: Laboratory Code (preferred) | |||||||||
| subject |
1..1 | Reference(Patient) | Who and/or what the observation is about | |||||||||
| 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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
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 |
0..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| focus |
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 | |||||||||
| encounter |
0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||||||
| 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 |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
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 |
0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| effective[x] |
1..1 | Clinically relevant time/time-period for observation (HL7 v2 OBX-14)
| ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| issued |
0..1 | instant | Date/Time this result was made available | |||||||||
| performer |
1..* | Reference(PractitionerRole) | Who is responsible for the observation | |||||||||
| 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 |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| Slices for value[x] |
C | 0..1 | Actual result (HL7 v2 OBX-5) 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 |
C | 0..1 | QuantityEuLab | Actual 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 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| value |
0..1 | decimal | Numerical value (with implicit precision) | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| unit |
0..1 | string | Unit representation | |||||||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
0..1 | code | Coded form of the unit | |||||||||
| value[x]:valueString |
C | 0..1 | string | Actual result | ||||||||
| value[x]:valueDateTime |
C | 0..1 | dateTime | Actual result | ||||||||
| value[x]:valueCodeableConcept |
C | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (preferred) | ||||||||
| value[x]:valueRange |
C | 0..1 | RangeEuLab | Actual result | ||||||||
| value[x]:valueRatio |
C | 0..1 | RatioEuLab | Actual result | ||||||||
| value[x]:valueTime |
C | 0..1 | time | Actual result | ||||||||
| value[x]:valuePeriod |
C | 0..1 | Period | Actual result | ||||||||
| value[x]:valueBoolean |
C | 0..1 | boolean | Actual result | ||||||||
| value[x]:valueInteger |
C | 0..1 | integer | Actual result | ||||||||
| value[x]:valueSampledData |
C | 0..1 | SampledData | Actual result | ||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Provides a reason why the expected value is missing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
| note |
0..* | Annotation | Comments about the observation | |||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
| method |
0..1 | CodeableConcept | How it was done Binding: Laboratory Techniques (preferred) | |||||||||
| specimen |
0..1 | Reference(Specimen: Laboratory) | Specimen used for the observation | |||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | Measuring instrument | |||||||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| Slices for modifierExtension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| modifierExtension:lowComparator |
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) | |||||||||
| modifierExtension:highComparator |
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) | |||||||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1 | ||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1 | ||||||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||||||
| text |
0..1 | string | Text based reference range in an observation | |||||||||
| hasMember |
0..* | Reference(Observation Results: laboratory) | Related resource that belongs to the Observation group | |||||||||
| derivedFrom |
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 | |||||||||
| component |
C | 0..* | BackboneElement | Laboratory result Constraints: obs-value-2 | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:value-r5 |
0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value" | |||||||||
| value[x] |
0..1 | Attachment | Actual component result | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| code |
1..1 | CodeableConcept | Type of component observation (code / type) Binding: Laboratory Code (preferred) | |||||||||
| Slices for value[x] |
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 |
0..1 | QuantityEuLab | Actual component 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 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:uncertainty |
0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty | |||||||||
| value |
0..1 | decimal | Numerical value (with implicit precision) | |||||||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||||||
| unit |
0..1 | string | Unit representation | |||||||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||||||
| code |
0..1 | code | Coded form of the unit | |||||||||
| value[x]:valueString |
0..1 | string | Actual component result | |||||||||
| value[x]:valueRange |
0..1 | RangeEuLab | Actual component result | |||||||||
| value[x]:valueRatio |
0..1 | RatioEuLab | Actual component result | |||||||||
| value[x]:valueTime |
0..1 | time | Actual component result | |||||||||
| value[x]:valueDateTime |
0..1 | dateTime | Actual component result | |||||||||
| value[x]:valuePeriod |
0..1 | Period | Actual component result | |||||||||
| value[x]:valueBoolean |
0..1 | boolean | Actual component result | |||||||||
| value[x]:valueInteger |
0..1 | integer | Actual component result | |||||||||
| value[x]:valueSampledData |
0..1 | SampledData | Actual component result | |||||||||
| value[x]:valueCodeableConcept |
0..1 | CodeableConcept | Actual component result Binding: Results Coded Values Laboratory/Pathology - IPS (preferred) | |||||||||
| 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 | ||||||||||||
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| Observation |
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| Slices for extension |
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| Slices for category |
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| encounter |
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| identifier |
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| effective[x] |
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| Slices for value[x] |
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| Documentation for this format | |||
| Id | Grade | Path(s) | Description | Expression |
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| Observation |
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| Slices for extension |
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| Slices for category |
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| encounter |
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| identifier |
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| effective[x] |
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| Slices for value[x] |
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| Documentation for this format | |||
This structure is derived from ObservationResultsLaboratoryEu
Summary
Mandatory: 2 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron