Hospital-Community Lab Referral Cycle
1.1.0 - ci-build

This page is part of the LRC IG (v1.1.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: Lrc Panel Lab Test Result

Official URL: http://ig.fhir-il-community.org/LRC/StructureDefinition/lrc-panel-result Version: 1.1.0
Active as of 2024-08-12 Computable Name: LrcPanelResult

פאנל תוצאות, עבור מקרים בהם ServiceRequest אחד כולל בתוכו קוד אשר מייצג קבוצת בדיקות (פאנל\סוללה). פרופיל זה אינו כולל את התוצאות עצמן אלא מצביע עליהן.

LRC Panel Lab Test Result

תיאור הפרופיל

פרופיל המייצג פאנל תוצאות, באמצעות Observation. במקרים בהם מתקבלת הפניה עבור פאנל, כלומר סוללת בדיקות, בעת הגעת תוצאות אותן הבדיקות- יווצר מאגד תוצאות אשר יכיל קישורים (references) לכל אותן התוצאות השייכות אליו. הייחודיות של הפאנל התוצאות הינה שלעומת תוצאה רגילה אשר כוללת את קודי התוצאות וערכי התוצאות בפועל, פאנל התוצאות מכיל קוד פאנל וקישורים לתוצאות הבדידות, ללא שום ערך של תוצאה.

הפרופיל הנ"ל מתבסס על הפרופיל הישראלי: ILCore Observation. בנוסף להגדרות קארדינליות ושמירת הקשר לפרופילים נוספים של IL-Core, הפרופיל גם מגדיר:

  • ערך קבוע לאלמנט קטגוריה, ממערכת קידוד סטנדרטית של HL7,
  • קוד (code) המחייב שימוש במערכת קידוד סטנדרטית Loinc, וכולל רשימת ערכים (ValueSet) בסיסית הניתנת להרחבה, לצורך שמירה על האינטראופרביליות של המידע הומעבר. לפרטים נוספים אודות הרשימה- ר' ValueSet: LrcPanelResultCodes.

סטאטוס

להלן הסטאטוסים השונים של התוצאות:

  • preliminary זהו סטטוס של תוצאה חלקית. רלוונטי בעיקר כסטאטוס ביניים עבור תוצאות סוללה, כאשר לא כל התוצאות התקבלו.

  • final סטאטוס המציין כי כל תוצאות הבדיקות הנכללות בסוללה התקבלו.

Panel Result Codes

רשימת ערכי Loinc אשר כוללת מקבץ קודי פאנלים עבור בדיקות מעבדה אפשריות. היא רלוונטית עבור אלמנט: Observation.code, בפרופיל: LRC Panel Lab Test Result.

הרשימה מוגדרת עם binding מסוג extensible, כלומר ניתן להרחיב את הרשימה לערכים נוספים, על פי הצורך. בתוך הרשימה נכללים רק קודי פאנלים אשר התקבלה הסכמה על תכולתם, בין שני ארגונים אשר מעבירים ביניהם מידע אודות הפניות ותוצאות של בדיקות מעבדה. על אותם הארגונים לוודא שגם ה- Client וגם ה- Server מתייחסים במסגרת הפאנל לקודי הפניות/תוצאות הנדרשים בבדיקות המעבדה.

הרשימה כאמור, כוללת רק קודי פאנל ולא את קודי התוצאות בפועל (-הם מיוצגים בפרופיל התוצאות הבודדות LRC Test Result). הקשר בין פאנל תוצאה לבין תוצאת הבדיקה בפועל מתבצע באמצעות אלמנט מקשר (reference) אשר מוגדר בתוצאת הפאנל (Observation.hasMember) ומקשר לתוצאות הבדיקות בפועל.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ILCoreObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* ILCoreObservation ILCore Observation Profile
... identifier 1..* Identifier Business Identifier for observation
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
... basedOn 0..1 Reference(Lrc Lab Test Referral) Fulfills plan, proposal or order
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:coding
.... category:hl7-lab 1..1 CodeableConcept Classification of type of observation
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:hl7 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
....... display 1..1 string Representation defined by the system
Fixed Value: Laboratory
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:loinc-lab 1..1 Coding Code defined by a terminology system
Binding: Lrc Panel Result Codes (required)
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
... subject 1..1 Reference(ILCore Patient Profile) Who and/or what the observation is about
... performer 1..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | CareTeam | ILCore Patient Profile | ILCore RelatedPerson Profile) Who is responsible for the observation
... hasMember 1..* Reference(ILCore Observation Profile | ILCore QuestionnaireResponse Profile | MolecularSequence) Related resource that belongs to the Observation group

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.code.coding:loinc-labrequiredLrcPanelResultCodes
http://ig.fhir-il-community.org/LRC/ValueSet/lrc-panel-result-codes
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ILCoreObservation ILCore Observation Profile
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business Identifier for observation
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:coding
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:hl7-lab S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:hl7 Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... 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
....... display 1..1 string Representation defined by the system
Fixed Value: Laboratory
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: IL Core Observation Codes (preferred)
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:loinc-lab Σ 1..1 Coding Code defined by a terminology system
Binding: Lrc Panel Result Codes (required)
...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(ILCore Patient Profile) Who and/or what the observation is about
... performer Σ 1..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | CareTeam | ILCore Patient Profile | ILCore RelatedPerson Profile) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: IL Core Observation Value Codes (preferred)
il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
... hasMember Σ 1..* Reference(ILCore Observation Profile | ILCore QuestionnaireResponse Profile | MolecularSequence) Related resource that belongs to the Observation group

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:hl7-labpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
Observation.code.coding:loinc-labrequiredLrcPanelResultCodes
http://ig.fhir-il-community.org/LRC/ValueSet/lrc-panel-result-codes
from this IG
Observation.value[x]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
il-obs-ucumwarningObservation.value[x]:valueQuantitySHOULD use UCUM for coded quantity units
: system.empty() or system = 'http://unitsofmeasure.org'
il-obs-value-ccwarningObservation.value[x]:valueCodeableConceptSHOULD use SNOMED-CT or LOINC Answers for coded results
: coding.where(system='http://snomed.info/sct' and code.exists()).exists() OR coding.where(system='http://loinc.org' and code.startsWith('LA')).exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ILCoreObservation ILCore Observation Profile
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business Identifier for observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... basedOn Σ 0..1 Reference(Lrc Lab Test Referral) Fulfills plan, proposal or order
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... partOf Σ 0..* Reference(ILCore MedicationAdministration Profile | ILCore MedicationDispense Profile | ILCore Procedure Profile | ILCore Immunization Profile | ILCore ImagingStudy Profile | ILCore MedicationStatement Profile) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:coding
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:hl7-lab S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:hl7 Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
....... display 1..1 string Representation defined by the system
Fixed Value: Laboratory
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: IL Core Observation Codes (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:loinc-lab Σ 1..1 Coding Code defined by a terminology system
Binding: Lrc Panel Result Codes (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(ILCore Patient Profile) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(ILCore Encounter Profile) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 1..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | CareTeam | ILCore Patient Profile | ILCore RelatedPerson Profile) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: IL Core Observation Value Codes (preferred)
il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


il-obs-not-performed: dataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:not-performed-reason Σ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.health.gov.il/cs/il-core-not-performed-reason
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (preferred): Methods for simple observations.

... specimen 0..1 Reference(ILCore Specimen Profile) Specimen used for this observation
... device 0..1 Reference(ILCore Device Profile | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... high C 0..1 SimpleQuantity High Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... low Σ 0..1 SimpleQuantity Low limit
Binding: CommonUCUMCodesForAge (required)
..... high Σ 0..1 SimpleQuantity High limit
Binding: CommonUCUMCodesForAge (required)
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 1..* Reference(ILCore Observation Profile | ILCore QuestionnaireResponse Profile | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(ILCore DocumentReference Profile | ILCore ImagingStudy Profile | ILCore Media Profile | ILCore QuestionnaireResponse Profile | ILCore Observation Profile | MolecularSequence) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: IL Core Observation Codes (preferred)
.... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueQuantity ΣC 0..1 Quantity Actual component result
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual component result
Binding: IL Core Observation Value Codes (preferred)
il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..* BackboneElement Provides guide for interpretation of component result
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... low C 0..1 SimpleQuantity Low Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... high C 0..1 SimpleQuantity High Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

..... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


..... age 0..1 Range Applicable age range, if relevant
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... low Σ 0..1 SimpleQuantity Low limit
Binding: CommonUCUMCodesForAge (required)
...... high Σ 0..1 SimpleQuantity High limit
Binding: CommonUCUMCodesForAge (required)
..... text 0..1 string Text based reference range in an observation

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.basedOn.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:hl7-labpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
Observation.code.coding:loinc-labrequiredLrcPanelResultCodes
http://ig.fhir-il-community.org/LRC/ValueSet/lrc-panel-result-codes
from this IG
Observation.value[x]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodpreferredObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.referenceRange.age.lowrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard
Observation.referenceRange.age.highrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard
Observation.component.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
Observation.component.value[x]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.referenceRange.age.lowrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard
Observation.component.referenceRange.age.highrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
il-obs-not-performederrorObservation.dataAbsentReasondataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
: coding.where(system='http://fhir.health.gov.il/cs/il-core-not-performed-reason').exists() implies coding.where(system='http://terminology.hl7.org/CodeSystem/data-absent-reason' and code='not-performed').exists()
il-obs-ucumwarningObservation.value[x]:valueQuantity, Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.value[x]:valueQuantity, Observation.component.referenceRange.low, Observation.component.referenceRange.highSHOULD use UCUM for coded quantity units
: system.empty() or system = 'http://unitsofmeasure.org'
il-obs-value-ccwarningObservation.value[x]:valueCodeableConcept, Observation.component.value[x]:valueCodeableConceptSHOULD use SNOMED-CT or LOINC Answers for coded results
: coding.where(system='http://snomed.info/sct' and code.exists()).exists() OR coding.where(system='http://loinc.org' and code.startsWith('LA')).exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ILCoreObservation

Summary

Mandatory: 14 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.category
  • The element 1 is sliced based on the value of Observation.category.coding
  • The element 1 is sliced based on the value of Observation.code.coding

Differential View

This structure is derived from ILCoreObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* ILCoreObservation ILCore Observation Profile
... identifier 1..* Identifier Business Identifier for observation
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
... basedOn 0..1 Reference(Lrc Lab Test Referral) Fulfills plan, proposal or order
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:coding
.... category:hl7-lab 1..1 CodeableConcept Classification of type of observation
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:hl7 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
....... display 1..1 string Representation defined by the system
Fixed Value: Laboratory
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:loinc-lab 1..1 Coding Code defined by a terminology system
Binding: Lrc Panel Result Codes (required)
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
... subject 1..1 Reference(ILCore Patient Profile) Who and/or what the observation is about
... performer 1..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | CareTeam | ILCore Patient Profile | ILCore RelatedPerson Profile) Who is responsible for the observation
... hasMember 1..* Reference(ILCore Observation Profile | ILCore QuestionnaireResponse Profile | MolecularSequence) Related resource that belongs to the Observation group

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.code.coding:loinc-labrequiredLrcPanelResultCodes
http://ig.fhir-il-community.org/LRC/ValueSet/lrc-panel-result-codes
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ILCoreObservation ILCore Observation Profile
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business Identifier for observation
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:coding
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:hl7-lab S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:hl7 Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... 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
....... display 1..1 string Representation defined by the system
Fixed Value: Laboratory
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: IL Core Observation Codes (preferred)
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:loinc-lab Σ 1..1 Coding Code defined by a terminology system
Binding: Lrc Panel Result Codes (required)
...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(ILCore Patient Profile) Who and/or what the observation is about
... performer Σ 1..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | CareTeam | ILCore Patient Profile | ILCore RelatedPerson Profile) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: IL Core Observation Value Codes (preferred)
il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
... hasMember Σ 1..* Reference(ILCore Observation Profile | ILCore QuestionnaireResponse Profile | MolecularSequence) Related resource that belongs to the Observation group

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:hl7-labpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
Observation.code.coding:loinc-labrequiredLrcPanelResultCodes
http://ig.fhir-il-community.org/LRC/ValueSet/lrc-panel-result-codes
from this IG
Observation.value[x]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
il-obs-ucumwarningObservation.value[x]:valueQuantitySHOULD use UCUM for coded quantity units
: system.empty() or system = 'http://unitsofmeasure.org'
il-obs-value-ccwarningObservation.value[x]:valueCodeableConceptSHOULD use SNOMED-CT or LOINC Answers for coded results
: coding.where(system='http://snomed.info/sct' and code.exists()).exists() OR coding.where(system='http://loinc.org' and code.startsWith('LA')).exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ILCoreObservation ILCore Observation Profile
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business Identifier for observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... basedOn Σ 0..1 Reference(Lrc Lab Test Referral) Fulfills plan, proposal or order
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... partOf Σ 0..* Reference(ILCore MedicationAdministration Profile | ILCore MedicationDispense Profile | ILCore Procedure Profile | ILCore Immunization Profile | ILCore ImagingStudy Profile | ILCore MedicationStatement Profile) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:coding
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:hl7-lab S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:hl7 Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
....... display 1..1 string Representation defined by the system
Fixed Value: Laboratory
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: IL Core Observation Codes (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:loinc-lab Σ 1..1 Coding Code defined by a terminology system
Binding: Lrc Panel Result Codes (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(ILCore Patient Profile) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(ILCore Encounter Profile) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 1..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | CareTeam | ILCore Patient Profile | ILCore RelatedPerson Profile) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: IL Core Observation Value Codes (preferred)
il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


il-obs-not-performed: dataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:not-performed-reason Σ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.health.gov.il/cs/il-core-not-performed-reason
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (preferred): Methods for simple observations.

... specimen 0..1 Reference(ILCore Specimen Profile) Specimen used for this observation
... device 0..1 Reference(ILCore Device Profile | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... high C 0..1 SimpleQuantity High Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... low Σ 0..1 SimpleQuantity Low limit
Binding: CommonUCUMCodesForAge (required)
..... high Σ 0..1 SimpleQuantity High limit
Binding: CommonUCUMCodesForAge (required)
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 1..* Reference(ILCore Observation Profile | ILCore QuestionnaireResponse Profile | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(ILCore DocumentReference Profile | ILCore ImagingStudy Profile | ILCore Media Profile | ILCore QuestionnaireResponse Profile | ILCore Observation Profile | MolecularSequence) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: IL Core Observation Codes (preferred)
.... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueQuantity ΣC 0..1 Quantity Actual component result
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual component result
Binding: IL Core Observation Value Codes (preferred)
il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..* BackboneElement Provides guide for interpretation of component result
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... low C 0..1 SimpleQuantity Low Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... high C 0..1 SimpleQuantity High Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

..... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


..... age 0..1 Range Applicable age range, if relevant
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... low Σ 0..1 SimpleQuantity Low limit
Binding: CommonUCUMCodesForAge (required)
...... high Σ 0..1 SimpleQuantity High limit
Binding: CommonUCUMCodesForAge (required)
..... text 0..1 string Text based reference range in an observation

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.basedOn.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:hl7-labpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
Observation.code.coding:loinc-labrequiredLrcPanelResultCodes
http://ig.fhir-il-community.org/LRC/ValueSet/lrc-panel-result-codes
from this IG
Observation.value[x]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodpreferredObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.referenceRange.age.lowrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard
Observation.referenceRange.age.highrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard
Observation.component.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
Observation.component.value[x]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.referenceRange.age.lowrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard
Observation.component.referenceRange.age.highrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
il-obs-not-performederrorObservation.dataAbsentReasondataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
: coding.where(system='http://fhir.health.gov.il/cs/il-core-not-performed-reason').exists() implies coding.where(system='http://terminology.hl7.org/CodeSystem/data-absent-reason' and code='not-performed').exists()
il-obs-ucumwarningObservation.value[x]:valueQuantity, Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.value[x]:valueQuantity, Observation.component.referenceRange.low, Observation.component.referenceRange.highSHOULD use UCUM for coded quantity units
: system.empty() or system = 'http://unitsofmeasure.org'
il-obs-value-ccwarningObservation.value[x]:valueCodeableConcept, Observation.component.value[x]:valueCodeableConceptSHOULD use SNOMED-CT or LOINC Answers for coded results
: coding.where(system='http://snomed.info/sct' and code.exists()).exists() OR coding.where(system='http://loinc.org' and code.startsWith('LA')).exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()