Observation (laboratory result)
Tree view
| Observation-laboratory-uv-ips (Observation) | http://hl7.org/fhir/StructureDefinition/Observation | ||
| basedOn | ..0 | ||
| status | Fixed Value | ||
| category | 1..1 | Codeable Concept | |
| code | S | Codeable ConceptBinding | |
| subject | S | 1.. | Reference(http://hl7.org/fhir/StructureDefinition/Patient) |
| identifier | ..0 | ||
| context | |||
| identifier | ..0 | ||
| effective[x] | S | 1.. | |
| performer | S | 1..1 | Reference(http://hl7.org/fhir/StructureDefinition/Practitioner | http://hl7.org/fhir/StructureDefinition/Patient | Organization (laboratory)) |
| identifier | ..0 | ||
| value[x] | S I | Binding | |
| valueString | string | ||
| valueRange | Range | ||
| valueRatio | Ratio | ||
| valueTime | time | ||
| valueDateTime | dateTime | ||
| valuePeriod | Period | ||
| valueCodeableConcept | Codeable Concept | ||
| valueQuantity | Quantity | ||
| dataAbsentReason | ..0 | ||
| interpretation | |||
| coding | coding with translations | ||
| bodySite | ..0 | ||
| method | |||
| coding | coding with translations | ||
| specimen | Reference(Specimen) | ||
| identifier | ..0 | ||
| device | |||
| identifier | ..0 | ||
| referenceRange | |||
| type | S | 1.. | Codeable Concept |
| related | |||
| (All Slices) | |||
| type | 1.. | Fixed Value | |
| sub-observation | |||
| type | S | 1.. | Fixed Value |
| target | Reference(Observation (member)) | ||
| identifier | ..0 | ||
| attachment | |||
| type | 1.. | Fixed Value | |
| target | Reference(Observation (attachment)) | ||
| identifier | ..0 | ||
| component | ..0 |
| Observation | |
| 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 |
| Comments | Represents either a lab simple observation or the group of observations produced by a laboratory study. |
| Observation.basedOn | |
| Cardinality | ...0 |
| Observation.status | |
| Definition | The status of the result value. Only final results feed patient summaries. |
| Fixed Value | final |
| Observation.category | |
| Definition | A code that classifies the general type of observation being made. In this profile, fixed to "laboratory". |
| Cardinality | 1...1 |
| Type | Codeable Concept |
| Comments | "laboratory" includes laboratory medicine and pathology |
| 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 |
| Type | Codeable Concept |
| Binding | ?? (extensible) |
| Must Support | True |
| Comments | 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. |
| Observation.subject | |
| Cardinality | 1 |
| Type | Reference(http://hl7.org/fhir/StructureDefinition/Patient) |
| Must Support | True |
| Observation.subject.identifier | |
| Cardinality | ...0 |
| Observation.context.identifier | |
| Cardinality | ...0 |
| Observation.effective[x] | |
| Cardinality | 1 |
| Must Support | True |
| Observation.performer | |
| Cardinality | 1...1 |
| Type | Reference(http://hl7.org/fhir/StructureDefinition/Practitioner | http://hl7.org/fhir/StructureDefinition/Patient | Organization (laboratory)) |
| Must Support | True |
| Observation.performer.identifier | |
| Cardinality | ...0 |
| Observation.value[x] | |
| Type | string, Range, Ratio, time, dateTime, Period, Codeable Concept, Quantity |
| Binding | IPSLabResultsCodedValues (extensible) |
| Must Support | True |
| Invariants |
|
| Observation.dataAbsentReason | |
| Cardinality | ...0 |
| Observation.interpretation.coding | |
| Type | coding with translations |
| Observation.bodySite | |
| Cardinality | ...0 |
| Observation.method.coding | |
| Type | coding with translations |
| Observation.specimen | |
| Type | Reference(Specimen) |
| Comments | The specimen is often implied by the observation code. In the context of this Observation-laboratory-uv-ips profile, specimen should be provided only when it is not implied by the Observation.code, and when further information about the specimen needs to be captured (such as specimen source body site). In case of a laboratory panel/study using a single specimen , which needs further description (like a CSF microbiology study), the specimen is introduced by this element. In case of a dynamic function test using multiple specimens, each specimen shall be further described, if needed, within the sub-observation that was produced on this specimen. |
| Observation.specimen.identifier | |
| Cardinality | ...0 |
| Observation.device.identifier | |
| Cardinality | ...0 |
| Observation.referenceRange.type | |
| Cardinality | 1 |
| Type | Codeable Concept |
| Must Support | True |
| Observation.related | |
| Definition | A reference to another Observation profiled by observation-member-laboratory-uv-ips. The target observation is considered as a sub-observation of the current one, which plays the role of a grouper |
| Comments | 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 profiled as observation-laboratory-uv-trillium2 is the grouper, and its set of sub-observations are related observations using the type "has-member" and the profile observation-member-laboratory-uv-ips. |
| Slicing | Unordered, Open, by type(Value) |
| Observation.related.type | |
| Definition | A code specifying the kind of relationship that exists with the target resource. The only authorized value in this profile is "has-member" |
| Cardinality | 1 |
| Fixed Value | has-member |
| Observation.related:sub-observation | |
| Definition | A reference to an Observation resource playing the role of sub-observation of the current one. For instance an individial test member of a panel. |
| Comments | For a discussion on the ways Observations can be assembled in groups together see Notes below. |
| Observation.related:sub-observation.type | |
| Definition | Fixed to has-member, introducing a sub-observation (observation member of the current one) |
| Cardinality | 1 |
| Must Support | True |
| Fixed Value | has-member |
| Observation.related:sub-observation.target | |
| Type | Reference(Observation (member)) |
| Observation.related:sub-observation.target.identifier | |
| Cardinality | ...0 |
| Observation.related:attachment | |
| Definition | A reference to another Observation, which is constrained to valueAttachment, in order to convey an illustrative media content. |
| Observation.related:attachment.type | |
| Definition | fixed to derived-from, to introduce the attachment linked to the observation. |
| Cardinality | 1 |
| Fixed Value | derived-from |
| Observation.related:attachment.target | |
| Type | Reference(Observation (attachment)) |
| Observation.related:attachment.target.identifier | |
| Cardinality | ...0 |
| Observation.component | |
| Cardinality | ...0 |