{ "resourceType": "StructureDefinition", "id": "observation-laboratory-Pathology-ca-core", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 2 } ], "url": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/observation-laboratory-Pathology-ca-core", "version": "1.1.0", "name": "ObservationLaboratoryPathologyResultCACore", "title": "Observation-Laboratory Pathology Result (CA-Core)", "status": "active", "experimental": false, "date": "2025-08-27", "publisher": "Canada Health Infoway", "contact": [ { "name": "National Standards Release Centre", "telecom": [ { "system": "url", "value": "http://www.infoway-inforoute.ca" }, { "system": "email", "value": "standards@infoway-inforoute.ca" } ] } ], "description": "This profile applies constraints to the Observation resource for CA Core+ to support laboratory test results in the pan-Canadian context.", "jurisdiction": [ { "coding": [ { "code": "CA", "system": "urn:iso:std:iso:3166" } ] } ], "copyright": "Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).", "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "Observation", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation", "derivation": "constraint", "differential": { "element": [ { "id": "Observation.status", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint", "valueString": "default: final" }, { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" } ] }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Observation.status", "mustSupport": true }, { "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://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" ] } ] }, { "id": "Observation.category:laboratory", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" } ] } ], "path": "Observation.category", "sliceName": "laboratory", "min": 1, "max": "1", "patternCodeableConcept": { "coding": [ { "code": "laboratory", "system": "http://terminology.hl7.org/CodeSystem/observation-category" } ] }, "mustSupport": true }, { "id": "Observation.code", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" } ] }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "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 single pathology examination or a laboratory or pathology study with multiple child observations.", "comment": "In the context of this 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.\n\nWork is underway to define the pan-Canadian terminology that will be preferred and/or socialized for this element", "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" ] } ], "mustSupport": true, "binding": { "strength": "example", "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/pCLOCD", "extension": [ { "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-laboratory-pathology-observations-uv-ips" }, { "url": "documentation", "valueMarkdown": "Laboratory/Pathology Results Valueset from IPS" } ] } ] } }, { "id": "Observation.subject", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" } ] }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Observation.subject", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core" ] } ], "mustSupport": true }, { "id": "Observation.subject.reference", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" } ] }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Observation.subject.reference", "min": 1, "mustSupport": true }, { "id": "Observation.encounter", "path": "Observation.encounter", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/encounter-ca-core" ] } ] }, { "id": "Observation.effective[x]", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" } ] }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Observation.effective[x]", "min": 1, "mustSupport": true }, { "id": "Observation.performer", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" } ] }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Observation.performer", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core", "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core", "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/organization-ca-core", "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] } ], "mustSupport": true }, { "id": "Observation.value[x]", "path": "Observation.value[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "ordered": false, "rules": "open" } }, { "id": "Observation.value[x]:valueString", "path": "Observation.value[x]", "sliceName": "valueString", "min": 0, "max": "1", "type": [ { "code": "string" } ] }, { "id": "Observation.value[x]:valueQuantity", "path": "Observation.value[x]", "sliceName": "valueQuantity", "min": 0, "max": "1", "type": [ { "code": "Quantity" } ] }, { "id": "Observation.value[x]:valueCodeableConcept", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" } ] }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Observation.value[x]", "sliceName": "valueCodeableConcept", "comment": "Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for this element.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" ] } ], "mustSupport": true, "binding": { "strength": "example", "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips", "description": "Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for this element" } }, { "id": "Observation.interpretation", "path": "Observation.interpretation", "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" ] } ] }, { "id": "Observation.hasMember", "path": "Observation.hasMember", "definition": "A reference to another Observation profiled by Observation-results-laboratory-pathology-ca-core. 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 the 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://fhir.infoway-inforoute.ca/cacore/StructureDefinition/observation-laboratory-Pathology-ca-core" ] } ] } ] } }