{
  "resourceType": "StructureDefinition",
  "id": "Observation-results-laboratory-uv-ips",
  "url": "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-laboratory-uv-ips",
  "name": "ObservationResultsLaboratoryUvIps",
  "title": "Observation Results: laboratory (IPS)",
  "status": "active",
  "experimental": false,
  "publisher": "HL7 International",
  "description": "This profile constrains the Observation resource to represent results produced by laboratory tests or panels/studies in a patient summary.\r\n\r\nThis observation may represent the result of a simple laboratory test such as hematocrit or it may group the set of results produced by a multi-test study or panel such as a complete blood count, a dynamic function test, a urine specimen study. In the latter case, the observation carries the overall conclusion of the study and or a global interpretation by the producer of the study, in the comment element; and references the atomic results of the study as \"has-member\" child observations.",
  "purpose": "This profile constrains the Observation resource to represent a laboratory in vitro diagnostic test or panel/study. In case of a panel/study, the results of the panel appear as sub-observations. In this case this top-level Observation acts as a grouper of all the observations belonging to the panel or study.  The top-level observation may carry a conclusion in the value element and or a global interpretation by the producer of the study, in the comment element.",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-uv-ips",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "short": "Laboratory result for a simple test or for a panel/study",
        "definition": "This observation may represent the result of a simple laboratory test such as hematocrit or it may group the set of results produced by a multi-test study or panel such as a complete blood count, a dynamic function test, a urine specimen study. In the latter case, the observation carries the overall conclusion of the study and references the atomic results of the study as \"has-member\" child observations",
        "comment": "Represents either a lab simple observation or the group of observations produced by a laboratory study.",
        "constraint": [
          {
            "key": "ips-2",
            "severity": "error",
            "human": "if no \"hasMember\" element is present then Observation must have a\" value\"",
            "expression": "value.exists() or hasMember.exists()"
          }
        ]
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "definition": "A code that classifies the general type of observation being made. In this profile, fixed to \"laboratory\".",
        "comment": "\"laboratory\" includes laboratory medicine and pathology",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Observation.category:laboratory",
        "path": "Observation.category",
        "sliceName": "laboratory",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/observation-category",
              "code": "laboratory"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "definition": "Describes what was observed. Sometimes this is called the observation \"name\".  In this profile this code represents either a simple laboratory test or a laboratory study with multiple child observations",
        "comment": "In the context of this Observation-laboratory-uv-ips profile, when the observation plays the role of a grouper of member sub-observations, the code represent the group (for instance a panel code). In case no code is available, at least a text shall be provided.",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationCode"
            }
          ],
          "strength": "preferred",
          "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips"
        }
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips",
              "http://hl7.org/fhir/uv/ips/StructureDefinition/PractitionerRole-uv-ips",
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips",
              "http://hl7.org/fhir/StructureDefinition/CareTeam",
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueString",
        "path": "Observation.value[x]",
        "sliceName": "valueString",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRange",
        "path": "Observation.value[x]",
        "sliceName": "valueRange",
        "type": [
          {
            "code": "Range",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Range-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Observation.value[x]:valueRatio",
        "path": "Observation.value[x]",
        "sliceName": "valueRatio",
        "type": [
          {
            "code": "Ratio",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Ratio-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Observation.value[x]:valueTime",
        "path": "Observation.value[x]",
        "sliceName": "valueTime",
        "type": [
          {
            "code": "time"
          }
        ]
      },
      {
        "id": "Observation.value[x]:valueDateTime",
        "path": "Observation.value[x]",
        "sliceName": "valueDateTime",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Observation.value[x]:valuePeriod",
        "path": "Observation.value[x]",
        "sliceName": "valuePeriod",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "Observation.value[x]:valueQuantity",
        "path": "Observation.value[x]",
        "sliceName": "valueQuantity",
        "type": [
          {
            "code": "Quantity",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Quantity-uv-ips"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept",
        "path": "Observation.value[x]",
        "sliceName": "valueCodeableConcept",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/results-blood-group-snomed-ct-ips-free-set"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "Additional conformance binding to a blood group findings value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions)."
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/results-presence-absence-snomed-ct-ips-free-set"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "Additional conformance binding to a presence and absence findings (qualifier values) value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions)."
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/results-microorganism-snomed-ct-ips-free-set"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "Additional conformance binding to a microorganisms value set for laboratory result values from the SNOMED CT IPS free set for use globally (in SNOMED member and non-member jurisdictions)."
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            }
          ],
          "strength": "preferred",
          "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips"
        }
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Specimen-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange"
      },
      {
        "id": "Observation.hasMember",
        "path": "Observation.hasMember",
        "definition": "A reference to another Observation profiled by Observation-results-laboratory-uv-ips. The target observation (for instance an individual test member of a panel) is considered as a sub-observation of the current one, which plays the role of a grouper.",
        "comment": "This element is used in the context of international patient summary when there is a need to group a collection of observations, because they belong to the same panel, or because they share a common interpretation comment, or a common media attachment (illustrative image or graph). In these cases, the current observation is the grouper, and its set of sub-observations are related observations using the type \"has-member\".  For a discussion on the ways Observations can be assembled in groups together see [Observation Grouping](http://hl7.org/fhir/observation.html#obsgrouping).",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-laboratory-uv-ips",
              "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Observation.hasMember.reference",
        "path": "Observation.hasMember.reference"
      }
    ]
  }
}