{ "resourceType": "StructureDefinition", "id": "us-core-observationresults", "text": { "status": "generated", "div": "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Observation I0..*US Core Result Observation
us-core-2: If there is no component or related element then either a value[x] or a data absent reason must be present
\".\"\".\"\".\" status S1..1codeBinding: ObservationStatus (required)
\".\"\".\"\".\" category SI1..*CodeableConceptus-core-5: Must have a category of 'laboratory' and a code system 'http://hl7.org/fhir/observation-category'
\".\"\".\"\".\" code S1..1CodeableConceptLaboratory Test Name
Binding: LOINC Codes (extensible)
\".\"\".\"\".\" subject S1..1Reference(US Core Patient Profile)
\".\"\".\"\".\" effective[x] SI0..1dateTime, Periodus-core-1: Datetime must be at least to day.
\".\"\".\"\".\" value[x] SI0..1Quantity, CodeableConcept, string, boolean, Range, Ratio, SampledData, Attachment, time, dateTime, PeriodResult Value
us-core-4: SHOULD use Snomed CT for coded Results
us-core-3: SHALL use UCUM for coded quantity units.
\".\"\".\"\".\" dataAbsentReason SI0..1CodeableConceptBinding: Observation Value Absent Reason (extensible)

\"doco\" Documentation for this format
" }, "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults", "version": "1.0.0", "name": "US Core Results Profile", "status": "draft", "date": "2016-08-01", "publisher": "HL7 US Realm Steering Committee", "contact": [ { "telecom": [ { "system": "url", "value": "http://www.healthit.gov" } ] } ], "fhirVersion": "3.1.0", "mapping": [ { "identity": "argonaut-dq-dstu2", "uri": "http://unknown.org/Argonaut DQ DSTU2", "name": "Argonaut DQ DSTU2" }, { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Mapping" }, { "identity": "sct-concept", "uri": "http://snomed.info/conceptdomain", "name": "SNOMED CT Concept Domain Binding" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/w5", "name": "W5 Mapping" }, { "identity": "sct-attr", "uri": "http://snomed.info/sct", "name": "SNOMED CT Attribute Binding" } ], "kind": "resource", "abstract": false, "type": "Observation", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation", "derivation": "constraint", "differential": { "element": [ { "id": "Observation", "path": "Observation", "short": "US Core Result Observation", "definition": "The US Core Observation Result Profile is based upon the core FHIR Observation Resource and created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.", "alias": [ "Obs" ], "constraint": [ { "key": "us-core-2", "severity": "error", "human": "If there is no component or related element then either a value[x] or a data absent reason must be present", "expression": "(component.empty() and related.empty()) implies (dataAbsentReason or value)", "xpath": "exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), 'value)]) or exists(f:dataAbsentReason)" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "argonaut-dq-dstu2", "map": "Observation" } ] }, { "id": "Observation.status", "path": "Observation.status", "min": 1, "max": "1", "type": [ { "code": "code" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "required", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/observation-status" } }, "mapping": [ { "identity": "argonaut-dq-dstu2", "map": "Observation.status" } ] }, { "id": "Observation.category", "path": "Observation.category", "min": 1, "max": "*", "type": [ { "code": "CodeableConcept" } ], "constraint": [ { "key": "us-core-5", "severity": "error", "human": "Must have a category of 'laboratory' and a code system 'http://hl7.org/fhir/observation-category'", "expression": "where(coding.system='http://hl7.org/fhir/observation-category' and coding.code='laboratory').exists()", "xpath": "exists(f:coding/code[@value='laboratory']) and exists(f:coding/system[@value='http://hl7.org/fhir/observation-category'])" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "argonaut-dq-dstu2", "map": "Observation.category" } ] }, { "id": "Observation.code", "path": "Observation.code", "short": "Laboratory Test Name", "definition": "The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.", "comment": "The typical patterns for codes are: 1) a LOINC code either as a translation from a \"local\" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.", "alias": [ "Test Name", "Observation Identifer" ], "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "extensible", "description": "LOINC codes", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/observation-codes" } }, "mapping": [ { "identity": "argonaut-dq-dstu2", "map": "Observation.code" } ] }, { "id": "Observation.subject", "path": "Observation.subject", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "argonaut-dq-dstu2", "map": "Observation.subject" } ] }, { "id": "Observation.effective[x]", "path": "Observation.effective[x]", "definition": "For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.", "min": 0, "max": "1", "type": [ { "code": "dateTime" }, { "code": "Period" } ], "constraint": [ { "key": "us-core-1", "severity": "error", "human": "Datetime must be at least to day.", "expression": "($this as dateTime).toString().length() >= 8", "xpath": "f:matches(effectiveDateTime,/\\d{4}-[01]\\d-[0-3]\\dT[0-2]\\d:[0-5]\\d([+-][0-2]\\d:[0-5]\\d|Z)/)" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "argonaut-dq-dstu2", "map": "Observation.effective[x]" } ] }, { "id": "Observation.value[x]", "path": "Observation.value[x]", "short": "Result Value", "definition": "The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults). If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM](http://unitsofmeasure.org). A FHIR [UCUM Codes value set](http://hl7.org/fhir/STU3/valueset-ucum-units.html) that defines all UCUM codes is in the FHIR specification.", "min": 0, "max": "1", "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true } ], "key": "us-core-4", "severity": "warning", "human": "SHOULD use Snomed CT for coded Results", "expression": "valueCodeableConcept.coding.system.empty() or valueCodeableConcept.coding.system = 'http://snomed.info/sct'", "xpath": "not(exists(f:valueCodeableConcept/f:coding/f:system) ) or f:valueCodeableConcept/f:coding/f:system[@value='http://snomed.info/sct']" }, { "key": "us-core-3", "severity": "error", "human": "SHALL use UCUM for coded quantity units.", "expression": "valueQuantity.system.empty() or valueQuantity.system = 'http://unitsofmeasure.org'", "xpath": "not(exists(f:valueQuantity/f:system) ) or f:valueQuantity/f:system[@value='http://unitsofmeasure.org']" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "argonaut-dq-dstu2", "map": "Observation.value[x]" } ] }, { "id": "Observation.dataAbsentReason", "path": "Observation.dataAbsentReason", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "extensible", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/observation-valueabsentreason" } }, "mapping": [ { "identity": "argonaut-dq-dstu2", "map": "Observation.dataAbsentReason" } ] } ] } }