<status value="draft" /> <experimental value="false" /> <date value="2017-05-20T00:00:00+00:00" /> <publisher value="HL7 Clinical Genomics WG" /> <description value="Observation-related profiles" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="sct-concept" /> <uri value="http://snomed.info/conceptdomain" /> <name value="SNOMED CT Concept Domain Binding" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="sct-attr" /> <uri value="http://snomed.org/attributebinding" /> <name value="SNOMED CT Attribute Binding" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <snapshot /> <differential> <element id="Observation"> <path value="Observation" /> <short value="Genomics Base Observation" /> <definition value="Base profile that defines characteristics shared by all genetic observations." /> <mustSupport value="false" /> </element> <element id="Observation.extension:BodyStructure"> <path value="Observation.extension" /> <sliceName value="BodyStructure" /> <definition value="Allows associating observations to a particular portion of the patient - a fetus, a tumor, a lesion, etc." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/bodySite" /> </type> <mustSupport value="false" /> </element> <element id="Observation.extension:SecondaryFinding"> <path value="Observation.extension" /> <sliceName value="SecondaryFinding" /> <definition value="Allows flagging observations that should be considered secondary findings." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding" /> </type> <mustSupport value="false" /> </element> <element id="Observation.basedOn"> <path value="Observation.basedOn" /> <min value="0" /> <max value="*" /> <mustSupport value="false" /> </element> <element id="Observation.status"> <path value="Observation.status" /> <comment value="… This should generally be 'completed' or 'revised'." /> <mustSupport value="false" /> </element> <element id="Observation.category"> <path value="Observation.category" /> <comment value="… This should be populated with 'lab'." /> <min value="1" /> <max value="*" /> <type> <code value="CodeableConcept" /> </type> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> </coding> </patternCodeableConcept> <mustSupport value="false" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <min value="1" /> <max value="1" /> <mustSupport value="false" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <comment value="… This must be the same patient as on the DiagnosticReport unless combining data from multiple fetuses or family members in a single report." /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" /> </type> <mustSupport value="false" /> </element> <element id="Observation.effectiveDateTime"> <path value="Observation.effectiveDateTime" /> <short value="Clinically relevant time/time-period for observation" /> <mustSupport value="false" /> </element> <element id="Observation.issued"> <path value="Observation.issued" /> <short value="Date/Time this version was made available" /> <mustSupport value="false" /> </element> <element id="Observation.performer"> <path value="Observation.performer" /> <short value="Who is responsible for the observation" /> <definition value="Who was responsible for asserting the observed value as "true"." /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> <mustSupport value="false" /> </element> </differential> </StructureDefinition>

Name	Card.	Type	Description & Constraints
Observation	0 .. *		Genomics Base Observation
bodySite	0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
observation-secondaryFinding	0..1	CodeableConcept	Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement. For more detail, please see: https://ghr.nlm.nih.gov/primer/testing/secondaryfindings URL: http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding Binding: ObservationCategoryCodes (extensible)
basedOn	0..*	Reference(CarePlan \| DeviceRequest \| ImmunizationRecommendation \| MedicationRequest \| NutritionOrder \| ServiceRequest)
status	1 .. 1	code
category	1..*	CodeableConcept	Required Pattern: At least the following
coding	1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
code	1..1	CodeableConcept
subject	0..1	Reference(Patient \| Group \| Location)
effectiveDateTime	0 .. 1	dateTime	Clinically relevant time/time-period for observation
issued	0 .. 1	instant	Date/Time this version was made available
performer	0..1	Reference(Practitioner \| Organization \| Patient \| RelatedPerson)	Who is responsible for the observation
Documentation for this format