DSTU2 Ballot Source

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4.20.2.2 StructureDefinition: std

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/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

This profile was published on Wed, Feb 18, 2015 00:00+1100 as a draft by HSPC. Use the Review Spreadsheet to comment on this profile.

4.20.2.2.1 Formal Views of Profile Content

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

This structure is derived from Observation.

Summary

Mandatory: 1 element, Fixed Value: 1 element, Prohibited: 5 elements

Structures

This structure refers to these other structures:

  • unable to summarise profile http://hl7.org/fhir/StructureDefinition/hspc-Specimen (no profile found)
  • unable to summarise profile http://hl7.org/fhir/StructureDefinition/hspc-ResponsibleObserver (no profile found)
  • unable to summarise profile http://hl7.org/fhir/StructureDefinition/hspc-PerformingLaboratory (no profile found)

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.performer is sliced based on the value of performer.type (ordered, Closed)

This structure is derived from Observation.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1Observation
... code
... interpretation Binding: CEM_Ordinal_And_Abnormal (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.
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I1..1ObservationMeasurements and simple assertions
obs-6: Shall only be present if Observation.value[x] is not present
... meta 0..1MetaMetadata about the resource
... implicitRules ?!0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... hspc-ReportingPriority 0..1codeExtension
... hspc-DeltaFlag 0..1codeExtension
... hspc-Verified 0..1booleanExtension
... hspc-Updated 0..1dateTimeExtension
... indirectTarget 0..1Patient, Group, LocationExtension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... code Σ1..1CodeableConceptType of observation (code / type)
Binding: ObservationType (example)
... value[x] Σ0..1Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, PeriodActual result
Binding: ObservationValue (example)
... dataAbsentReason I0..1CodeableConceptWhy the result is missing
Binding: ObservationValueAbsentReason (extensible)
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: CEM_Ordinal_And_Abnormal (extensible)
... comments 0..1stringComments about result
... issued Σ0..1instantDate/Time this was made available
... status ?! Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... reliability ?!0..1codeok | ongoing | early | questionable | calibrating | error +
Binding: ObservationReliability (required)
Fixed Value: ok
... subject Σ1..1Patient, Group, Device, LocationWho and/or what this is about
... specimen 0..1hspc-SpecimenSpecimen used for this observation
... performer ΣPractitioner, Organization, Patient, RelatedPersonWho did the observation
Slice: Ordered, Closed, by performer.type
... performer Σ0..*hspc-ResponsibleObserverthe individual with the primary responsibility for the procedure or action being taken
... performer Σ0..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
.... 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)
.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation

todo

This structure is derived from Observation.

Summary

Mandatory: 1 element, Fixed Value: 1 element, Prohibited: 5 elements

Structures

This structure refers to these other structures:

  • unable to summarise profile http://hl7.org/fhir/StructureDefinition/hspc-Specimen (no profile found)
  • unable to summarise profile http://hl7.org/fhir/StructureDefinition/hspc-ResponsibleObserver (no profile found)
  • unable to summarise profile http://hl7.org/fhir/StructureDefinition/hspc-PerformingLaboratory (no profile found)

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.performer is sliced based on the value of performer.type (ordered, Closed)

Differential View

This structure is derived from Observation.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1Observation
... code
... interpretation Binding: CEM_Ordinal_And_Abnormal (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..1ObservationMeasurements and simple assertions
obs-6: Shall only be present if Observation.value[x] is not present
... meta 0..1MetaMetadata about the resource
... implicitRules ?!0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... hspc-ReportingPriority 0..1codeExtension
... hspc-DeltaFlag 0..1codeExtension
... hspc-Verified 0..1booleanExtension
... hspc-Updated 0..1dateTimeExtension
... indirectTarget 0..1Patient, Group, LocationExtension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... code Σ1..1CodeableConceptType of observation (code / type)
Binding: ObservationType (example)
... value[x] Σ0..1Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, PeriodActual result
Binding: ObservationValue (example)
... dataAbsentReason I0..1CodeableConceptWhy the result is missing
Binding: ObservationValueAbsentReason (extensible)
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: CEM_Ordinal_And_Abnormal (extensible)
... comments 0..1stringComments about result
... issued Σ0..1instantDate/Time this was made available
... status ?! Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... reliability ?!0..1codeok | ongoing | early | questionable | calibrating | error +
Binding: ObservationReliability (required)
Fixed Value: ok
... subject Σ1..1Patient, Group, Device, LocationWho and/or what this is about
... specimen 0..1hspc-SpecimenSpecimen used for this observation
... performer ΣPractitioner, Organization, Patient, RelatedPersonWho did the observation
Slice: Ordered, Closed, by performer.type
... performer Σ0..*hspc-ResponsibleObserverthe individual with the primary responsibility for the procedure or action being taken
... performer Σ0..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
.... 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)
.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation

XML Template

JSON Template

todo

 

Other representations of profile: (todo)

4.20.2.2.2 Terminology Bindings

PathNameConformanceValueSet
Observation.languageLanguagerequiredhttp://tools.ietf.org/html/bcp47
Observation.codeObservationTypeexampleLOINC Codes
Observation.value[x]ObservationValueexampleSNOMED CT Codes
Observation.dataAbsentReasonObservationValueAbsentReasonextensibleObservation Value Absent Reason
Observation.interpretationCEM_Ordinal_And_AbnormalextensibleOrdinal Assessment or Interpretation
Observation.statusObservationStatusrequiredObservationStatus
Observation.reliabilityObservationReliabilityrequiredObservationReliability
Observation.referenceRange.meaningObservationRangeMeaningexampleObservation Reference Range Meaning Codes
Observation.related.typeObservationRelationshipTyperequiredObservationRelationshipType

4.20.2.2.3 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 = '>=')
.