2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Profile: std

The official URL for this profile is: 

http://hl7.org/fhir/Profile/observation-hspc-standardlabobs-std

. StandardLabObs is the base Model for standard laboratory test results/observations such as hematology, chemistry, coagulation, serology and blood bank. This model will not be used for microbiology, and anatomic pathology data : HSPC Standard Lab Observation

This profile was published on Wed, Feb 18, 2015 00:00+1100 as a draft by HSPC.

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Formal Views of Profile Content

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

Differential View

This structure is derived from Observation.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1
... code
... interpretation Binding: CEM_Ordinal_And_Abnormal (preferred, extensible)
... comments
... applies[x] 0..0
... issued 0..1
... reliability 0..1codeFixed Value: ok
... bodySite[x] 0..0
... method 0..0
... identifier 0..0
... subject 1..1
... specimen 0..1hspc-Specimen
... performer Slice: Ordered, Closed, by performer.type
... performer 0..*hspc-ResponsibleObserverthe individual with the primary responsibility for the procedure or action being taken
... performer 0..1hspc-PerformingLaboratoryname and address of the laboratory that performs the test
... related 0..0
... hspc-ReportingPriority 0..1codeUrgency Level for result
... hspc-DeltaFlag 0..1codeIndicate the data value in the containing model is a change from a previous instance of the same model
... hspc-Verified 0..1booleanWhether the information has been verified with the source
... hspc-Updated 0..1dateTimeWhen this information was last updated
... indirectTarget 0..1Patient, Group, Locationtarget if different from the subject.

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I1..1Measurements and simple assertions
obs-6: Shall only be present if Observation.value[x] is not present
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... hspc-ReportingPriority 0..1codeAdditional Content defined by implementations
... hspc-DeltaFlag 0..1codeAdditional Content defined by implementations
... hspc-Verified 0..1booleanAdditional Content defined by implementations
... hspc-Updated 0..1dateTimeAdditional Content defined by implementations
... indirectTarget 0..1Patient, Group, LocationAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... code 1..1CodeableConceptType of observation (code / type)
Binding: ObservationType (example, extensible)
... value[x] 0..1Quantity, CodeableConcept, Attachment, Ratio, dateTime, Period, SampledData, string, timeActual result
... dataAbsentReason I0..1codeunknown | asked | temp | notasked +
Binding: DataAbsentReason (required, not extensible)
Example: unknown
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: CEM_Ordinal_And_Abnormal (preferred, extensible)
... comments 0..1stringComments about result
... issued 0..1instantDate/Time this was made available
... status M1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required, not extensible)
... reliability M0..1codeok | ongoing | early | questionable | calibrating | error +
Binding: ObservationReliability (required, not extensible)
Fixed Value: ok
... subject 1..1Patient, Group, Device, LocationWho and/or what this is about
... specimen 0..1hspc-SpecimenSpecimen used for this observation
... performer Practitioner, Organization, Patient, RelatedPersonWho did the observation
Slice: Ordered, Closed, by performer.type
... performer 0..*hspc-ResponsibleObserverthe individual with the primary responsibility for the procedure or action being taken
... performer 0..1hspc-PerformingLaboratoryname and address of the laboratory that performs the test
... device 0..1Device, DeviceMetric(Measurement) Device
... encounter 0..1EncounterHealthcare event during which this observation is made
... referenceRange I0..*Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... low I0..1QuantityLow Range, if relevant
obs-4: Low range comparators can only be '>' or '>=' or empty
.... high I0..1QuantityHigh Range, if relevant
obs-5: High range comparators can only be '<' or '<=' or empty
.... meaning 0..1CodeableConceptIndicates the meaning/use of this range of this range
Binding: ObservationRangeMeaning (example, extensible)
.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation

XML Template

JSON Template

todo

Differential View

This structure is derived from Observation.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1
... code
... interpretation Binding: CEM_Ordinal_And_Abnormal (preferred, extensible)
... comments
... applies[x] 0..0
... issued 0..1
... reliability 0..1codeFixed Value: ok
... bodySite[x] 0..0
... method 0..0
... identifier 0..0
... subject 1..1
... specimen 0..1hspc-Specimen
... performer Slice: Ordered, Closed, by performer.type
... performer 0..*hspc-ResponsibleObserverthe individual with the primary responsibility for the procedure or action being taken
... performer 0..1hspc-PerformingLaboratoryname and address of the laboratory that performs the test
... related 0..0
... hspc-ReportingPriority 0..1codeUrgency Level for result
... hspc-DeltaFlag 0..1codeIndicate the data value in the containing model is a change from a previous instance of the same model
... hspc-Verified 0..1booleanWhether the information has been verified with the source
... hspc-Updated 0..1dateTimeWhen this information was last updated
... indirectTarget 0..1Patient, Group, Locationtarget if different from the subject.

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I1..1Measurements and simple assertions
obs-6: Shall only be present if Observation.value[x] is not present
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... hspc-ReportingPriority 0..1codeAdditional Content defined by implementations
... hspc-DeltaFlag 0..1codeAdditional Content defined by implementations
... hspc-Verified 0..1booleanAdditional Content defined by implementations
... hspc-Updated 0..1dateTimeAdditional Content defined by implementations
... indirectTarget 0..1Patient, Group, LocationAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... code 1..1CodeableConceptType of observation (code / type)
Binding: ObservationType (example, extensible)
... value[x] 0..1Quantity, CodeableConcept, Attachment, Ratio, dateTime, Period, SampledData, string, timeActual result
... dataAbsentReason I0..1codeunknown | asked | temp | notasked +
Binding: DataAbsentReason (required, not extensible)
Example: unknown
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: CEM_Ordinal_And_Abnormal (preferred, extensible)
... comments 0..1stringComments about result
... issued 0..1instantDate/Time this was made available
... status M1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required, not extensible)
... reliability M0..1codeok | ongoing | early | questionable | calibrating | error +
Binding: ObservationReliability (required, not extensible)
Fixed Value: ok
... subject 1..1Patient, Group, Device, LocationWho and/or what this is about
... specimen 0..1hspc-SpecimenSpecimen used for this observation
... performer Practitioner, Organization, Patient, RelatedPersonWho did the observation
Slice: Ordered, Closed, by performer.type
... performer 0..*hspc-ResponsibleObserverthe individual with the primary responsibility for the procedure or action being taken
... performer 0..1hspc-PerformingLaboratoryname and address of the laboratory that performs the test
... device 0..1Device, DeviceMetric(Measurement) Device
... encounter 0..1EncounterHealthcare event during which this observation is made
... referenceRange I0..*Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... low I0..1QuantityLow Range, if relevant
obs-4: Low range comparators can only be '>' or '>=' or empty
.... high I0..1QuantityHigh Range, if relevant
obs-5: High range comparators can only be '<' or '<=' or empty
.... meaning 0..1CodeableConceptIndicates the meaning/use of this range of this range
Binding: ObservationRangeMeaning (example, extensible)
.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation

XML Template

JSON Template

todo

 

Other definitions: (todo)

Terminology Bindings

PathNameConformanceValueSet
Observation.languageLanguagerequiredhttp://tools.ietf.org/html/bcp47
Observation.codeObservationTypeexample (extensible)LOINC Codes
Observation.dataAbsentReasonDataAbsentReasonrequiredDataAbsentReason
Observation.interpretationCEM_Ordinal_And_Abnormalpreferred (extensible)Ordinal Assessment or Interpretation
Observation.statusObservationStatusrequiredObservationStatus
Observation.reliabilityObservationReliabilityrequiredObservationReliability
Observation.bodySite[x]BodySiteexample (extensible)SNOMED CT Body Structures
Observation.methodObservationMethodexample (extensible)Observation Methods
Observation.referenceRange.meaningObservationRangeMeaningexample (extensible)Observation Reference Range Meaning Codes
Observation.related.typeObservationRelationshipTyperequiredObservationRelationshipType

Constraints

IdPathNameDetails
obs-6Observationdata absent reasonShall only be present if Observation.value[x] is not present
XPath: not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))
obs-3Observation.referenceRangereference rangeMust have at least a low or a high or text
XPath: (exists(f:low) or exists(f:high)or exists(f:text))
obs-4Observation.referenceRange.lowlow range comparatorsLow range comparators can only be '>' or '>=' or empty
XPath: not(exists(f:comparator)) or boolean(f:comparator/@value = '<') or boolean(f:comparator/@value = '<=')
obs-5Observation.referenceRange.highhigh range comparatorsHigh range comparators can only be '<' or '<=' or empty
XPath: not(exists(f:comparator)) or boolean(f:comparator/@value = '>') or boolean(f:comparator/@value = '>=')
.