<status value="active" /> <experimental value="false" /> <publisher value="HL7 International" /> <description value="This profile constrains the Observation resource to represent results produced by laboratory tests or panels/studies in a patient summary. 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 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 value="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 value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-uv-ips" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="Laboratory result for a simple test or for a panel/study" /> <definition value="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 value="Represents either a lab simple observation or the group of observations produced by a laboratory study." /> <constraint> <key value="ips-2" /> <severity value="error" /> <human value="if no "hasMember" element is present then Observation must have a" value"" /> <expression value="value.exists() or hasMember.exists()" /> </constraint> </element> <element id="Observation.category"> <path value="Observation.category" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <definition value="A code that classifies the general type of observation being made. In this profile, fixed to "laboratory"." /> <comment value=""laboratory" includes laboratory medicine and pathology" /> <min value="1" /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" /> </type> </element> <element id="Observation.category:laboratory"> <path value="Observation.category" /> <sliceName value="laboratory" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" /> </type> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> </coding> </patternCodeableConcept> <mustSupport value="true" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <definition value="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 value="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 value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ObservationCode" /> </extension> <strength value="preferred" /> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips" /> </binding> </element> <element id="Observation.performer"> <path value="Observation.performer" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/PractitionerRole-uv-ips" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> <mustSupport value="true" /> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="closed" /> </slicing> <mustSupport value="true" /> </element> <element id="Observation.value[x]:valueString"> <path value="Observation.value[x]" /> <sliceName value="valueString" /> <type> <code value="string" /> </type> <mustSupport value="true" /> </element> <element id="Observation.value[x]:valueRange"> <path value="Observation.value[x]" /> <sliceName value="valueRange" /> <type> <code value="Range" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Range-uv-ips" /> </type> </element> <element id="Observation.value[x]:valueRatio"> <path value="Observation.value[x]" /> <sliceName value="valueRatio" /> <type> <code value="Ratio" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Ratio-uv-ips" /> </type> </element> <element id="Observation.value[x]:valueTime"> <path value="Observation.value[x]" /> <sliceName value="valueTime" /> <type> <code value="time" /> </type> </element> <element id="Observation.value[x]:valueDateTime"> <path value="Observation.value[x]" /> <sliceName value="valueDateTime" /> <type> <code value="dateTime" /> </type> </element> <element id="Observation.value[x]:valuePeriod"> <path value="Observation.value[x]" /> <sliceName value="valuePeriod" /> <type> <code value="Period" /> </type> </element> <element id="Observation.value[x]:valueQuantity"> <path value="Observation.value[x]" /> <sliceName value="valueQuantity" /> <type> <code value="Quantity" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Quantity-uv-ips" /> </type> <mustSupport value="true" /> </element> <element id="Observation.value[x]:valueCodeableConcept"> <path value="Observation.value[x]" /> <sliceName value="valueCodeableConcept" /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" /> </type> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="candidate" /> </extension> <extension url="valueSet"> <valueCanonical value="http://hl7.org/fhir/uv/ips/ValueSet/results-blood-group-snomed-ct-ips-free-set" /> </extension> <extension url="documentation"> <valueMarkdown value="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)." /> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="candidate" /> </extension> <extension url="valueSet"> <valueCanonical value="http://hl7.org/fhir/uv/ips/ValueSet/results-presence-absence-snomed-ct-ips-free-set" /> </extension> <extension url="documentation"> <valueMarkdown value="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)." /> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="candidate" /> </extension> <extension url="valueSet"> <valueCanonical value="http://hl7.org/fhir/uv/ips/ValueSet/results-microorganism-snomed-ct-ips-free-set" /> </extension> <extension url="documentation"> <valueMarkdown value="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)." /> </extension> </extension> <strength value="preferred" /> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips" /> </binding> </element> <element id="Observation.interpretation"> <path value="Observation.interpretation" /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" /> </type> </element> <element id="Observation.specimen"> <path value="Observation.specimen" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Specimen-uv-ips" /> </type> </element> <element id="Observation.referenceRange"> <path value="Observation.referenceRange" /> </element> <element id="Observation.hasMember"> <path value="Observation.hasMember" /> <definition value="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 value="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 value="Reference" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-laboratory-uv-ips" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-uv-ips" /> </type> </element> <element id="Observation.hasMember.reference"> <path value="Observation.hasMember.reference" /> </element> </differential> </StructureDefinition>