International Patient Summary Implementation Guide
2.0.0 - STU 2
International Patient Summary Implementation Guide
2.0.0 - STU 2
This page is part of the International Patient Summary Implementation Guide (v2.0.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips | Version: 2.0.0 | |||
| Standards status: Trial-use | Maturity Level: 3 | Computable Name: ObservationResultsRadiologyUvIps | ||
This profile represents the constraints applied to the Observation resource by the IPS project, which specifies a radiology observation for the international patient summary based on the FHIR standard R4.
This observation may represent the conclusions of a diagnostic procedure such a Chest RX, or it may group the set of results produced by that single or multi-modality procedure.
In the latter case, the main observation (this one) carries the overall conclusion of the study and/or a global interpretation by the observer of the study as value of this observation; and may reference the atomic results of the study as "child observations".
It allows also providing details about the related study using the partOf element referring to an ImagingStudy resource.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, hasMemberOrComponent | ||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
 partOf |
Σ | 0..* | Reference(ImagingStudy (IPS)) | Part of referenced event | ||||||||
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required) | ||||||||
  Slices for category |
1..* | CodeableConceptIPS | Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
   category:radiology |
SO | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
| ||||||||
  id |
0..1 | string | Unique id for inter-element referencing | |||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
 text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
SOΣ | 1..1 | CodeableConceptIPS | Type of observation (code / type) Binding: Results Radiology Observation - IPS (preferred)
| ||||||||
| subject |
SOΣ | 1..1 | Reference(Patient (IPS)) | Who and/or what the observation is about
| ||||||||
| reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for effective[x] |
SOΣC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: ips-1
| |||||||||
 effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
 effective[x]:effectiveDateTime |
SOΣ | 0..1 | dateTime | Clinically relevant time/time-period for observation
| ||||||||
| performer |
SOΣ | 1..* | Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson) | Who is responsible for the observation
| ||||||||
| Slices for value[x] |
ΣC | 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]:valueString |
SOΣC | 0..1 | string | Actual result
| ||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
| device |
0..1 | Reference(Device - Performer or Observer (IPS)) | (Measurement) Device | |||||||||
| hasMember |
Σ | 0..* | Reference(Observation Results - Radiology (IPS)) | Related resource that belongs to the Observation group | ||||||||
 component |
SOΣ | 0..* | BackboneElement | Component results
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Results Radiology Component - IPS (preferred) | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | Results Status Codes - IPS | 📦2.0.0 | This IG |
| Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:radiology | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.code | Base | preferred | Results Radiology Observation - IPS | 📦2.0.0 | This IG |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Observation.component.code | Base | preferred | Results Radiology Component - IPS | 📦2.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If 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-4 | error | Observation | If 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-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| hasMemberOrComponent | error | Observation | component and hasMember are mutually exclusive |
hasMember.empty() or component.empty()
|
| ips-1 | error | Observation.effective[x] | Datetime must be at least to day. |
$this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If 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 Observation
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: hasMemberOrComponent | ||||||||
| partOf |
0..* | Reference(ImagingStudy (IPS)) | Part of referenced event | |||||||||
 status |
1..1 | code | registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required) | |||||||||
| Slices for category |
1..* | CodeableConceptIPS | Classification of type of observation Slice: Unordered, Open by value:$this | |||||||||
| category:radiology |
SO | 1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following
| ||||||||
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |||||||||
| code |
SO | 1..1 | CodeableConceptIPS | Type of observation (code / type) Binding: Results Radiology Observation - IPS (preferred)
| ||||||||
| subject |
SO | 1..1 | Reference(Patient (IPS)) | Who and/or what the observation is about
| ||||||||
| reference |
SO | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for effective[x] |
SOC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: ips-1
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
SO | 0..1 | dateTime | Clinically relevant time/time-period for observation
| ||||||||
| performer |
SO | 1..* | Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson) | Who is responsible for the observation
| ||||||||
| Slices for value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this | |||||||||
| value[x]:valueString |
SO | 0..1 | string | Actual result
| ||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part | |||||||||
| device |
0..1 | Reference(Device - Performer or Observer (IPS)) | (Measurement) Device | |||||||||
| hasMember |
0..* | Reference(Observation Results - Radiology (IPS)) | Related resource that belongs to the Observation group | |||||||||
| component |
SO | 0..* | BackboneElement | Component results
| ||||||||
| code |
1..1 | CodeableConcept | Type of component observation (code / type) Binding: Results Radiology Component - IPS (preferred) | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | Results Status Codes - IPS | 📦2.0.0 | This IG |
| Observation.code | Base | preferred | Results Radiology Observation - IPS | 📦2.0.0 | This IG |
| Observation.component.code | Base | preferred | Results Radiology Component - IPS | 📦2.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| hasMemberOrComponent | error | Observation | component and hasMember are mutually exclusive |
hasMember.empty() or component.empty()
|
| ips-1 | error | Observation.effective[x] | Datetime must be at least to day. |
$this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, hasMemberOrComponent | ||||||||
| 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.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||||||
| partOf |
Σ | 0..* | Reference(ImagingStudy (IPS)) | Part of referenced event | ||||||||
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required) | ||||||||
| Slices for category |
1..* | CodeableConceptIPS | Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
| category:radiology |
SO | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| 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: imaging | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
SOΣ | 1..1 | CodeableConceptIPS | Type of observation (code / type) Binding: Results Radiology Observation - IPS (preferred)
| ||||||||
| subject |
SOΣ | 1..1 | Reference(Patient (IPS)) | Who and/or what the observation is about
| ||||||||
| 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 |
SOΣC | 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 | ||||||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||||||
| Slices for effective[x] |
SOΣC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: ips-1
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
SOΣ | 0..1 | dateTime | Clinically relevant time/time-period for observation
| ||||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||||||
| performer |
SOΣ | 1..* | Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson) | Who is responsible for the observation
| ||||||||
| Slices for value[x] |
ΣC | 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]:valueString |
SOΣC | 0..1 | string | Actual result
| ||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the 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. | |||||||||
| note |
0..* | Annotation | Comments about the observation | |||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||||||
| device |
0..1 | Reference(Device - Performer or Observer (IPS)) | (Measurement) Device | |||||||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||||||
| 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(4.0.1) | Low Range, if relevant | ||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant | ||||||||
| 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 | |||||||||
| text |
0..1 | string | Text based reference range in an observation | |||||||||
| hasMember |
Σ | 0..* | Reference(Observation Results - Radiology (IPS)) | Related resource that belongs to the Observation group | ||||||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||||||
| component |
SOΣ | 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: Results Radiology Component - IPS (preferred) | ||||||||
 value[x] |
Σ | 0..1 | Actual component result | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| 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..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Observation.status | Base | required | Results Status Codes - IPS | 📦2.0.0 | This IG |
| Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:radiology | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.code | Base | preferred | Results Radiology Observation - IPS | 📦2.0.0 | This IG |
| Observation.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std. |
| Observation.component.code | Base | preferred | Results Radiology Component - IPS | 📦2.0.0 | This IG |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If 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-4 | error | Observation | If 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-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| hasMemberOrComponent | error | Observation | component and hasMember are mutually exclusive |
hasMember.empty() or component.empty()
|
| ips-1 | error | Observation.effective[x] | Datetime must be at least to day. |
$this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
|
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text |
low.exists() or high.exists() or text.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If 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 Observation
Summary
Mandatory: 6 elements
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 3
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, hasMemberOrComponent | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| partOf |
Σ | 0..* | Reference(ImagingStudy (IPS)) | Part of referenced event | ||||||||
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required) | ||||||||
| Slices for category |
1..* | CodeableConceptIPS | Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
| category:radiology |
SO | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
SOΣ | 1..1 | CodeableConceptIPS | Type of observation (code / type) Binding: Results Radiology Observation - IPS (preferred)
| ||||||||
| subject |
SOΣ | 1..1 | Reference(Patient (IPS)) | Who and/or what the observation is about
| ||||||||
| reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for effective[x] |
SOΣC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: ips-1
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
SOΣ | 0..1 | dateTime | Clinically relevant time/time-period for observation
| ||||||||
| performer |
SOΣ | 1..* | Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson) | Who is responsible for the observation
| ||||||||
| Slices for value[x] |
ΣC | 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]:valueString |
SOΣC | 0..1 | string | Actual result
| ||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
| device |
0..1 | Reference(Device - Performer or Observer (IPS)) | (Measurement) Device | |||||||||
| hasMember |
Σ | 0..* | Reference(Observation Results - Radiology (IPS)) | Related resource that belongs to the Observation group | ||||||||
| component |
SOΣ | 0..* | BackboneElement | Component results
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Results Radiology Component - IPS (preferred) | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | Results Status Codes - IPS | 📦2.0.0 | This IG |
| Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:radiology | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.code | Base | preferred | Results Radiology Observation - IPS | 📦2.0.0 | This IG |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Observation.component.code | Base | preferred | Results Radiology Component - IPS | 📦2.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If 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-4 | error | Observation | If 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-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| hasMemberOrComponent | error | Observation | component and hasMember are mutually exclusive |
hasMember.empty() or component.empty()
|
| ips-1 | error | Observation.effective[x] | Datetime must be at least to day. |
$this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If 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()
|
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: hasMemberOrComponent | ||||||||
| partOf |
0..* | Reference(ImagingStudy (IPS)) | Part of referenced event | |||||||||
| status |
1..1 | code | registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required) | |||||||||
| Slices for category |
1..* | CodeableConceptIPS | Classification of type of observation Slice: Unordered, Open by value:$this | |||||||||
| category:radiology |
SO | 1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following
| ||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |||||||||
| code |
SO | 1..1 | CodeableConceptIPS | Type of observation (code / type) Binding: Results Radiology Observation - IPS (preferred)
| ||||||||
| subject |
SO | 1..1 | Reference(Patient (IPS)) | Who and/or what the observation is about
| ||||||||
| reference |
SO | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for effective[x] |
SOC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: ips-1
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
SO | 0..1 | dateTime | Clinically relevant time/time-period for observation
| ||||||||
| performer |
SO | 1..* | Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson) | Who is responsible for the observation
| ||||||||
| Slices for value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this | |||||||||
| value[x]:valueString |
SO | 0..1 | string | Actual result
| ||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part | |||||||||
| device |
0..1 | Reference(Device - Performer or Observer (IPS)) | (Measurement) Device | |||||||||
| hasMember |
0..* | Reference(Observation Results - Radiology (IPS)) | Related resource that belongs to the Observation group | |||||||||
| component |
SO | 0..* | BackboneElement | Component results
| ||||||||
| code |
1..1 | CodeableConcept | Type of component observation (code / type) Binding: Results Radiology Component - IPS (preferred) | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | Results Status Codes - IPS | 📦2.0.0 | This IG |
| Observation.code | Base | preferred | Results Radiology Observation - IPS | 📦2.0.0 | This IG |
| Observation.component.code | Base | preferred | Results Radiology Component - IPS | 📦2.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| hasMemberOrComponent | error | Observation | component and hasMember are mutually exclusive |
hasMember.empty() or component.empty()
|
| ips-1 | error | Observation.effective[x] | Datetime must be at least to day. |
$this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, hasMemberOrComponent | ||||||||
| 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.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||||||
| partOf |
Σ | 0..* | Reference(ImagingStudy (IPS)) | Part of referenced event | ||||||||
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required) | ||||||||
| Slices for category |
1..* | CodeableConceptIPS | Classification of type of observation Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
| category:radiology |
SO | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| 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: imaging | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
SOΣ | 1..1 | CodeableConceptIPS | Type of observation (code / type) Binding: Results Radiology Observation - IPS (preferred)
| ||||||||
| subject |
SOΣ | 1..1 | Reference(Patient (IPS)) | Who and/or what the observation is about
| ||||||||
| 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 |
SOΣC | 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 | ||||||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||||||
| Slices for effective[x] |
SOΣC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: ips-1
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
SOΣ | 0..1 | dateTime | Clinically relevant time/time-period for observation
| ||||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||||||
| performer |
SOΣ | 1..* | Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson) | Who is responsible for the observation
| ||||||||
| Slices for value[x] |
ΣC | 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]:valueString |
SOΣC | 0..1 | string | Actual result
| ||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the 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. | |||||||||
| note |
0..* | Annotation | Comments about the observation | |||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||||||
| device |
0..1 | Reference(Device - Performer or Observer (IPS)) | (Measurement) Device | |||||||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||||||
| 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(4.0.1) | Low Range, if relevant | ||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant | ||||||||
| 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 | |||||||||
| text |
0..1 | string | Text based reference range in an observation | |||||||||
| hasMember |
Σ | 0..* | Reference(Observation Results - Radiology (IPS)) | Related resource that belongs to the Observation group | ||||||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||||||
| component |
SOΣ | 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: Results Radiology Component - IPS (preferred) | ||||||||
| value[x] |
Σ | 0..1 | Actual component result | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| 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..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Observation.status | Base | required | Results Status Codes - IPS | 📦2.0.0 | This IG |
| Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:radiology | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.code | Base | preferred | Results Radiology Observation - IPS | 📦2.0.0 | This IG |
| Observation.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std. |
| Observation.component.code | Base | preferred | Results Radiology Component - IPS | 📦2.0.0 | This IG |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If 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-4 | error | Observation | If 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-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| hasMemberOrComponent | error | Observation | component and hasMember are mutually exclusive |
hasMember.empty() or component.empty()
|
| ips-1 | error | Observation.effective[x] | Datetime must be at least to day. |
$this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
|
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text |
low.exists() or high.exists() or text.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If 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 Observation
Summary
Mandatory: 6 elements
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 3
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Patient Care. Package hl7.fhir.uv.ips#2.0.0 based on FHIR 4.0.1. Generated 2025-10-03
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