{ "resourceType": "StructureDefinition", "id": "858927da-d9ed-4dfd-a1b3-f6c3c6b3b173", "meta": { "versionId": "1", "lastUpdated": "2019-03-12T19:21:20.2002781+00:00" }, "url": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Observation-child", "name": "ObservationMicrobiologyChild", "status": "draft", "date": "2019-03-12T19:21:19.8152444Z", "description": "Measurements and simple assertions made about a patient, device or other subject.\r\nThis resource will represent child observation for Microbiology tests.", "fhirVersion": "3.0.1", "mapping": [ { "identity": "OLIS-HL7-v2", "name": "OLIS HL7 v2" } ], "kind": "resource", "abstract": false, "type": "Observation", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation", "derivation": "constraint", "differential": { "element": [ { "id": "Observation", "path": "Observation", "mustSupport": true }, { "id": "Observation.id", "path": "Observation.id", "mustSupport": true }, { "id": "Observation.extension", "path": "Observation.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "Observation.extension:observation-SubID", "path": "Observation.extension", "sliceName": "observation-SubID", "max": "1", "type": [ { "code": "Extension", "profile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-obs-sub-id" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBX.4" } ] }, { "id": "Observation.extension:observation-SubID.id", "path": "Observation.extension.id", "mustSupport": false }, { "id": "Observation.extension:observation-SubID.url", "path": "Observation.extension.url", "fixedUri": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-obs-sub-id" }, { "id": "Observation.extension:observation-SubID.value[x]", "path": "Observation.extension.value[x]", "mustSupport": false }, { "id": "Observation.extension:observation-sortKey", "path": "Observation.extension", "sliceName": "observation-sortKey", "max": "1", "type": [ { "code": "Extension", "profile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-obs-sort-key" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ZBX.2" } ] }, { "id": "Observation.extension:observation-sortKey.id", "path": "Observation.extension.id", "mustSupport": false }, { "id": "Observation.extension:observation-sortKey.url", "path": "Observation.extension.url", "fixedUri": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-obs-sort-key" }, { "id": "Observation.extension:note", "path": "Observation.extension", "sliceName": "note", "max": "5", "type": [ { "code": "Extension", "profile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-note" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ZNT-NTE" } ] }, { "id": "Observation.extension:note.id", "path": "Observation.extension.id", "mustSupport": false }, { "id": "Observation.extension:note.url", "path": "Observation.extension.url", "fixedUri": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-note" }, { "id": "Observation.identifier", "path": "Observation.identifier", "min": 1, "max": "1", "mustSupport": true }, { "id": "Observation.identifier.system", "path": "Observation.identifier.system", "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.\r\n\r\nOLIS URI example : [id-system-local-base] /lab/filler-id-[type]-license-[id]", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.3.3" } ] }, { "id": "Observation.identifier.value", "path": "Observation.identifier.value", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.3.1" } ] }, { "id": "Observation.identifier.assigner", "path": "Observation.identifier.assigner", "definition": "Organization that issued/manages the identifier.\r\n\r\nOLIS: Only assigner name from organization resource will be populated", "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Organization-assigner", "aggregation": [ "referenced", "contained" ] } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.3.3" } ] }, { "id": "Observation.identifier.assigner.reference", "path": "Observation.identifier.assigner.reference", "mustSupport": true }, { "id": "Observation.basedOn", "path": "Observation.basedOn", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-ProcedureRequest", "aggregation": [ "contained", "referenced" ] } ], "mustSupport": true }, { "id": "Observation.basedOn.reference", "path": "Observation.basedOn.reference", "min": 1, "mustSupport": true }, { "id": "Observation.status", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint", "valueString": "default: final" } ], "path": "Observation.status", "short": "preliminary | final | amended +", "mustSupport": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ObservationStatus" } ], "strength": "required", "valueSetReference": { "reference": "http://ehealthontario.ca/fhir/ValueSet/lab/observation-status" } }, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBX.11" } ] }, { "id": "Observation.category", "path": "Observation.category", "max": "1", "mustSupport": true }, { "id": "Observation.category.id", "path": "Observation.category.id", "mustSupport": false }, { "id": "Observation.category.coding", "path": "Observation.category.coding", "mustSupport": true, "binding": { "strength": "preferred", "description": "Observation Category", "valueSetUri": "http://ehealthontario.ca/fhir/ValueSet/lab/observation-category" } }, { "id": "Observation.category.coding.system", "path": "Observation.category.coding.system", "fixedUri": "http://hl7.org/fhir/STU3/codesystem-observation-category.html", "mustSupport": true }, { "id": "Observation.category.coding.code", "path": "Observation.category.coding.code", "mustSupport": true, "binding": { "strength": "required", "description": "Observation Category", "valueSetUri": "http://ehealthontario.ca/fhir/ValueSet/lab/observation-category" } }, { "id": "Observation.code", "path": "Observation.code", "mustSupport": true }, { "id": "Observation.code.coding", "path": "Observation.code.coding", "min": 1, "max": "1", "mustSupport": true }, { "id": "Observation.code.coding.system", "path": "Observation.code.coding.system", "code": [ { "system": "http://loinc.org" } ], "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBX.3.3" } ] }, { "id": "Observation.code.coding.code", "path": "Observation.code.coding.code", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBX.3.1" } ] }, { "id": "Observation.code.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Observation.code.coding.display", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBX.3.2" } ] }, { "id": "Observation.subject", "path": "Observation.subject", "min": 1, "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Patient", "aggregation": [ "contained", "referenced" ] } ], "mustSupport": true }, { "id": "Observation.subject.reference", "path": "Observation.subject.reference", "min": 1, "mustSupport": true }, { "id": "Observation.effective[x]:effectiveDateTime", "path": "Observation.effectiveDateTime", "sliceName": "effectiveDateTime", "definition": "The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the \"physiologically relevant time\". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.\r\n\r\nOLIS: Date/Time of observation -use this field for ancillary order only. This field must be empty when a laboratory reports a test result.", "type": [ { "code": "dateTime" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBX.14.1" } ] }, { "id": "Observation.issued", "path": "Observation.issued", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ZBX.1" } ] }, { "id": "Observation.performer", "path": "Observation.performer", "slicing": { "discriminator": [ { "type": "profile", "path": "resolve()" } ], "rules": "open" }, "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Practitioner-ordering", "aggregation": [ "referenced" ] }, { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Organization-performing", "aggregation": [ "referenced" ] } ], "mustSupport": true }, { "id": "Observation.performer:performer-organization", "path": "Observation.performer", "sliceName": "performer-organization", "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Organization-performing" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ZBR.6-ZBR.7" } ] }, { "id": "Observation.performer:performer-organization.reference", "path": "Observation.performer.reference", "fixedString": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Organization-performing", "mustSupport": true }, { "id": "Observation.performer:performer-practitioner", "path": "Observation.performer", "sliceName": "performer-practitioner", "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Practitioner-ordering" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ZBR.6-ZBR.7" } ] }, { "id": "Observation.performer:performer-practitioner.reference", "path": "Observation.performer.reference", "fixedString": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Practitioner-ordering", "mustSupport": true }, { "id": "Observation.value[x]", "path": "Observation.value[x]", "definition": "The information determined as a result of making the observation, if the information has a simple value.\r\n\r\nClick here for observation-microbiology codebale concept value set", "min": 1, "type": [ { "code": "Quantity" }, { "code": "CodeableConcept" }, { "code": "string" }, { "code": "Range" }, { "code": "Ratio" }, { "code": "Attachment" }, { "code": "time" }, { "code": "dateTime" } ], "mustSupport": true }, { "id": "Observation.interpretation", "path": "Observation.interpretation", "mustSupport": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ObservationInterpretation" } ], "strength": "extensible", "valueSetReference": { "reference": "http://ehealthontario.ca/fhir/ValueSet/lab/observation-interpretation" } } }, { "id": "Observation.interpretation.coding", "path": "Observation.interpretation.coding", "min": 1, "max": "1", "mustSupport": true }, { "id": "Observation.interpretation.coding.system", "path": "Observation.interpretation.coding.system", "min": 1, "fixedUri": "http://hl7.org/fhir/v2/0078", "mustSupport": true }, { "id": "Observation.interpretation.coding.code", "path": "Observation.interpretation.coding.code", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBX.8" } ] }, { "id": "Observation.interpretation.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Observation.interpretation.coding.display", "min": 1, "mustSupport": true }, { "id": "Observation.method", "path": "Observation.method", "mustSupport": true }, { "id": "Observation.method.coding", "path": "Observation.method.coding", "max": "1" }, { "id": "Observation.method.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Observation.method.text", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.\r\n\r\nOLIS: How the observation has been done.\r\nOnly 2 values can be used: PCR (Polymerase Chain Reaction) or EIA (Enzyme Immunosorbent Assay)", "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBX.17.2" } ] }, { "id": "Observation.specimen", "path": "Observation.specimen", "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Specimen", "aggregation": [ "contained", "referenced" ] } ], "mustSupport": true }, { "id": "Observation.specimen.reference", "path": "Observation.specimen.reference", "min": 1, "mustSupport": true }, { "id": "Observation.referenceRange", "path": "Observation.referenceRange", "max": "1", "mustSupport": true }, { "id": "Observation.referenceRange.low", "path": "Observation.referenceRange.low", "mustSupport": true }, { "id": "Observation.referenceRange.low.id", "path": "Observation.referenceRange.low.id", "mustSupport": true }, { "id": "Observation.referenceRange.low.value", "path": "Observation.referenceRange.low.value", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBX.7" } ] }, { "id": "Observation.referenceRange.low.unit", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Observation.referenceRange.low.unit", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBX.6" } ] }, { "id": "Observation.referenceRange.high", "path": "Observation.referenceRange.high", "mustSupport": true }, { "id": "Observation.referenceRange.high.id", "path": "Observation.referenceRange.high.id", "mustSupport": false }, { "id": "Observation.referenceRange.high.value", "path": "Observation.referenceRange.high.value", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBX.7" } ] }, { "id": "Observation.referenceRange.high.unit", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Observation.referenceRange.high.unit", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBX.6" } ] }, { "id": "Observation.referenceRange.appliesTo", "path": "Observation.referenceRange.appliesTo", "definition": "Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race.\r\n\r\nOLIS can return maximum 3 codes.", "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBX.10" } ] }, { "id": "Observation.referenceRange.appliesTo.coding", "path": "Observation.referenceRange.appliesTo.coding", "min": 1, "max": "1", "mustSupport": true }, { "id": "Observation.referenceRange.appliesTo.coding.system", "path": "Observation.referenceRange.appliesTo.coding.system", "min": 1, "fixedUri": "http://hl7.org/fhir/v2/0080", "mustSupport": true }, { "id": "Observation.referenceRange.appliesTo.coding.code", "path": "Observation.referenceRange.appliesTo.coding.code", "min": 1, "mustSupport": true }, { "id": "Observation.referenceRange.appliesTo.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Observation.referenceRange.appliesTo.coding.display", "min": 1, "mustSupport": true }, { "id": "Observation.related", "path": "Observation.related", "mustSupport": true }, { "id": "Observation.related.type", "path": "Observation.related.type", "min": 1, "mustSupport": true }, { "id": "Observation.related.target", "path": "Observation.related.target", "definition": "A reference to the observation or [QuestionnaireResponse](questionnaireresponse.html#) resource that is related to this observation.\r\n\r\nOLIS: Reference to the parent observation resource for microbiology", "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Observation", "aggregation": [ "contained", "referenced" ] } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.26" } ] }, { "id": "Observation.related.target.reference", "path": "Observation.related.target.reference", "min": 1, "mustSupport": true } ] } }