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Profilis: LtObservation

Official URL: http://esveikata.lt/fhir/StructureDefinition/lt-observation Version: 0.3.31
Active as of 2023-02-09 Computable Name: LtObservation

Analitės reikšmė / Observation

Usages:

You can also check for usages in the FHIR IG Statistics

Profilio turinio peržiūra

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

This structure is derived from LtObservationBase

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* LtObservationBase Measurements and simple assertions
Constraints: lt-observation-1, lt-observation-7
... value[x] SC 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence) Analitės rezultatas / Result
Constraints: lt-observation-2, lt-observation-3, lt-observation-4, lt-observation-5, lt-observation-6
... referenceRange SC 0..* BackboneElement Analitės referentinio dydžio rėžiai / Reference range
Constraints: lt-observation-8
... hasMember 0..0 Related resource that belongs to the Observation group

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
lt-observation-1 error Observation Value is required for non-cancelled observation. status = 'cancelled' or value.exists()
lt-observation-2 error Observation.value[x] Observation value Quantity must contain value. $this.exists().not() or ($this is Quantity).not() or ($this.value.hasValue())
lt-observation-3 error Observation.value[x] Observation value CodeableConcept must contain a text representation of the concept. $this.exists().not() or ($this is CodeableConcept).not() or ($this.text.hasValue() or $this.coding.display.hasValue())
lt-observation-4 error Observation.value[x] Observation value Range must contain unit and value for a low or high range value. $this.exists().not() or ($this is Range).not() or ($this.low.unit.hasValue() and $this.low.unit.hasValue()) or ($this.high.unit.hasValue() and $this.high.unit.hasValue())
lt-observation-5 error Observation.value[x] Observation value Ratio must contain unit and value for numerator and denomitator values. $this.exists().not() or ($this is Ratio).not() or ($this.numerator.unit.hasValue() and $this.numerator.value.hasValue() and $this.denominator.unit.hasValue() and $this.denominator.value.hasValue())
lt-observation-6 error Observation.value[x] Observation value SampledData must contain unit and value for origin field. $this.exists().not() or ($this is SampledData).not() or ($this.origin.unit.hasValue() and $this.origin.value.hasValue())
lt-observation-7 error Observation Method is required for non-cancelled observations. status = 'cancelled' or method.exists()
lt-observation-8 error Observation.referenceRange Observation reference range low value must be less than or equal to high value. $this.low.value.exists() and $this.high.value.exists() implies $this.low.value <= $this.high.value
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* LtObservationBase Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8, lt-observation-1, lt-observation-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension Content/Rules for all slices
.... extension:resultsInterpreter S 0..1 Reference() Rezultatą patvirtinęs specialistas / Specialist who confirmed the result
URL: http://esveikata.lt/fhir/StructureDefinition/observation-resultsInterpreter
... status ?!SΣ 1..1 code Galimos reikšmės: / Valid values: registered | final | amended | entered-in-error | cancelled
Binding: ObservationStatuses (required)
... category S 0..* CodeableConcept Tyrimo grupė / Category
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣC 1..1 CodeableConcept Analitės/panelės tipas / Observation or panel type
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LMB SΣ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medicinosnk.lt/lt-lab-klt-nomenclature
...... code ΣC 1..1 code Symbol in syntax defined by the system
... effective[x] SΣ 1..1 dateTime Rezultatų nustatymo laikas / Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Rezultatų patvirtinimo laikas / Result confirmation time
... performer SΣ 1..1 Reference(LtPractitionerRole) Tyrimą atlikęs specialistas / Specialist who is responsible for the observation
... value[x] SΣC 0..1 Analitės rezultatas / Result
Constraints: lt-observation-2, lt-observation-3, lt-observation-4, lt-observation-5, lt-observation-6
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... valueAttachment Attachment
.... valueReference Reference(MolecularSequence)
... note S 0..* Annotation Pastabos / Comments about the observation
... method S 0..1 CodeableConcept Naudotas tyrimo metodas / How it was done
Binding: ObservationMethods (example): Methods for simple observations.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LMB SΣ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medicinosnk.lt/lt-lab-methods
...... code ΣC 1..1 code Symbol in syntax defined by the system
... referenceRange SC 0..* BackboneElement Analitės referentinio dydžio rėžiai / Reference range
Constraints: obs-3, lt-observation-8
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatuses 📦0.3.31 This IG
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.method Base example Observation Methods 📍5.0.0 FHIR Std.

Constraints

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
lt-observation-1 error Observation Value is required for non-cancelled observation. status = 'cancelled' or value.exists()
lt-observation-2 error Observation.value[x] Observation value Quantity must contain value. $this.exists().not() or ($this is Quantity).not() or ($this.value.hasValue())
lt-observation-3 error Observation.value[x] Observation value CodeableConcept must contain a text representation of the concept. $this.exists().not() or ($this is CodeableConcept).not() or ($this.text.hasValue() or $this.coding.display.hasValue())
lt-observation-4 error Observation.value[x] Observation value Range must contain unit and value for a low or high range value. $this.exists().not() or ($this is Range).not() or ($this.low.unit.hasValue() and $this.low.unit.hasValue()) or ($this.high.unit.hasValue() and $this.high.unit.hasValue())
lt-observation-5 error Observation.value[x] Observation value Ratio must contain unit and value for numerator and denomitator values. $this.exists().not() or ($this is Ratio).not() or ($this.numerator.unit.hasValue() and $this.numerator.value.hasValue() and $this.denominator.unit.hasValue() and $this.denominator.value.hasValue())
lt-observation-6 error Observation.value[x] Observation value SampledData must contain unit and value for origin field. $this.exists().not() or ($this is SampledData).not() or ($this.origin.unit.hasValue() and $this.origin.value.hasValue())
lt-observation-7 error Observation Method is required for non-cancelled observations. status = 'cancelled' or method.exists()
lt-observation-8 error Observation.referenceRange Observation reference range low value must be less than or equal to high value. $this.low.value.exists() and $this.high.value.exists() implies $this.low.value <= $this.high.value
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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* LtObservationBase Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8, lt-observation-1, lt-observation-7
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:resultsInterpreter S 0..1 Reference() Rezultatą patvirtinęs specialistas / Specialist who confirmed the result
URL: http://esveikata.lt/fhir/StructureDefinition/observation-resultsInterpreter
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... instantiates[x] Σ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy 0..* BackboneElement Triggering observation(s)
.... 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
.... observation Σ 1..1 Reference(Observation) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason 0..1 string Reason that the observation was triggered
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code Galimos reikšmės: / Valid values: registered | final | amended | entered-in-error | cancelled
Binding: ObservationStatuses (required)
... category S 0..* CodeableConcept Tyrimo grupė / Category
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣC 1..1 CodeableConcept Analitės/panelės tipas / Observation or panel type
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... id 0..1 id 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:system
..... coding:LMB SΣ 1..1 Coding Code defined by a terminology system
...... id 0..1 id 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: https://www.medicinosnk.lt/lt-lab-klt-nomenclature
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 1..1 code Symbol in syntax defined by the system
...... display ΣC 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 Σ 0..1 Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct) 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(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 dateTime Rezultatų nustatymo laikas / Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Rezultatų patvirtinimo laikas / Result confirmation time
... performer SΣ 1..1 Reference(LtPractitionerRole) Tyrimą atlikęs specialistas / Specialist who is responsible for the observation
... value[x] SΣC 0..1 Analitės rezultatas / Result
Constraints: lt-observation-2, lt-observation-3, lt-observation-4, lt-observation-5, lt-observation-6
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... valueAttachment Attachment
.... valueReference Reference(MolecularSequence)
... 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 S 0..* Annotation Pastabos / Comments about the observation
... bodySite C 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... bodyStructure C 0..1 Reference(BodyStructure) Observed body structure
... method S 0..1 CodeableConcept Naudotas tyrimo metodas / How it was done
Binding: ObservationMethods (example): Methods for simple observations.
.... id 0..1 id 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:system
..... coding:LMB SΣ 1..1 Coding Code defined by a terminology system
...... id 0..1 id 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: https://www.medicinosnk.lt/lt-lab-methods
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 1..1 code Symbol in syntax defined by the system
...... display ΣC 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
... specimen C 0..1 Reference(Specimen | Group) Specimen used for this observation
Constraints: obs-9
... device 0..1 Reference(Device | DeviceMetric) A reference to the device that generates the measurements or the device settings for the device
... referenceRange SC 0..* BackboneElement Analitės referentinio dydžio rėžiai / Reference range
Constraints: obs-3, lt-observation-8
.... 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(5.0.0) Low Range, if relevant
.... high C 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
.... 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 C 0..1 markdown Text based reference range in an observation
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) Related resource from which the observation is made
... component ΣC 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 ΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... 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
..... valueAttachment Attachment
..... valueReference Reference(MolecularSequence)
.... dataAbsentReason 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base required All Languages 📍5.0.0 FHIR Std.
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required ObservationStatuses 📦0.3.31 This IG
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
Observation.method Base example Observation Methods 📍5.0.0 FHIR Std.
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.

Constraints

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
lt-observation-1 error Observation Value is required for non-cancelled observation. status = 'cancelled' or value.exists()
lt-observation-2 error Observation.value[x] Observation value Quantity must contain value. $this.exists().not() or ($this is Quantity).not() or ($this.value.hasValue())
lt-observation-3 error Observation.value[x] Observation value CodeableConcept must contain a text representation of the concept. $this.exists().not() or ($this is CodeableConcept).not() or ($this.text.hasValue() or $this.coding.display.hasValue())
lt-observation-4 error Observation.value[x] Observation value Range must contain unit and value for a low or high range value. $this.exists().not() or ($this is Range).not() or ($this.low.unit.hasValue() and $this.low.unit.hasValue()) or ($this.high.unit.hasValue() and $this.high.unit.hasValue())
lt-observation-5 error Observation.value[x] Observation value Ratio must contain unit and value for numerator and denomitator values. $this.exists().not() or ($this is Ratio).not() or ($this.numerator.unit.hasValue() and $this.numerator.value.hasValue() and $this.denominator.unit.hasValue() and $this.denominator.value.hasValue())
lt-observation-6 error Observation.value[x] Observation value SampledData must contain unit and value for origin field. $this.exists().not() or ($this is SampledData).not() or ($this.origin.unit.hasValue() and $this.origin.value.hasValue())
lt-observation-7 error Observation Method is required for non-cancelled observations. status = 'cancelled' or method.exists()
lt-observation-8 error Observation.referenceRange Observation reference range low value must be less than or equal to high value. $this.low.value.exists() and $this.high.value.exists() implies $this.low.value <= $this.high.value
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()
obs-9 error Observation.specimen If Observation.specimen is a reference to Group, the group can only have specimens (reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)

This structure is derived from LtObservationBase

Summary

Must-Support: 2 elements
Prohibited: 1 element

Differential View

This structure is derived from LtObservationBase

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* LtObservationBase Measurements and simple assertions
Constraints: lt-observation-1, lt-observation-7
... value[x] SC 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence) Analitės rezultatas / Result
Constraints: lt-observation-2, lt-observation-3, lt-observation-4, lt-observation-5, lt-observation-6
... referenceRange SC 0..* BackboneElement Analitės referentinio dydžio rėžiai / Reference range
Constraints: lt-observation-8
... hasMember 0..0 Related resource that belongs to the Observation group

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
lt-observation-1 error Observation Value is required for non-cancelled observation. status = 'cancelled' or value.exists()
lt-observation-2 error Observation.value[x] Observation value Quantity must contain value. $this.exists().not() or ($this is Quantity).not() or ($this.value.hasValue())
lt-observation-3 error Observation.value[x] Observation value CodeableConcept must contain a text representation of the concept. $this.exists().not() or ($this is CodeableConcept).not() or ($this.text.hasValue() or $this.coding.display.hasValue())
lt-observation-4 error Observation.value[x] Observation value Range must contain unit and value for a low or high range value. $this.exists().not() or ($this is Range).not() or ($this.low.unit.hasValue() and $this.low.unit.hasValue()) or ($this.high.unit.hasValue() and $this.high.unit.hasValue())
lt-observation-5 error Observation.value[x] Observation value Ratio must contain unit and value for numerator and denomitator values. $this.exists().not() or ($this is Ratio).not() or ($this.numerator.unit.hasValue() and $this.numerator.value.hasValue() and $this.denominator.unit.hasValue() and $this.denominator.value.hasValue())
lt-observation-6 error Observation.value[x] Observation value SampledData must contain unit and value for origin field. $this.exists().not() or ($this is SampledData).not() or ($this.origin.unit.hasValue() and $this.origin.value.hasValue())
lt-observation-7 error Observation Method is required for non-cancelled observations. status = 'cancelled' or method.exists()
lt-observation-8 error Observation.referenceRange Observation reference range low value must be less than or equal to high value. $this.low.value.exists() and $this.high.value.exists() implies $this.low.value <= $this.high.value

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* LtObservationBase Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8, lt-observation-1, lt-observation-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension Content/Rules for all slices
.... extension:resultsInterpreter S 0..1 Reference() Rezultatą patvirtinęs specialistas / Specialist who confirmed the result
URL: http://esveikata.lt/fhir/StructureDefinition/observation-resultsInterpreter
... status ?!SΣ 1..1 code Galimos reikšmės: / Valid values: registered | final | amended | entered-in-error | cancelled
Binding: ObservationStatuses (required)
... category S 0..* CodeableConcept Tyrimo grupė / Category
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣC 1..1 CodeableConcept Analitės/panelės tipas / Observation or panel type
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LMB SΣ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medicinosnk.lt/lt-lab-klt-nomenclature
...... code ΣC 1..1 code Symbol in syntax defined by the system
... effective[x] SΣ 1..1 dateTime Rezultatų nustatymo laikas / Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Rezultatų patvirtinimo laikas / Result confirmation time
... performer SΣ 1..1 Reference(LtPractitionerRole) Tyrimą atlikęs specialistas / Specialist who is responsible for the observation
... value[x] SΣC 0..1 Analitės rezultatas / Result
Constraints: lt-observation-2, lt-observation-3, lt-observation-4, lt-observation-5, lt-observation-6
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... valueAttachment Attachment
.... valueReference Reference(MolecularSequence)
... note S 0..* Annotation Pastabos / Comments about the observation
... method S 0..1 CodeableConcept Naudotas tyrimo metodas / How it was done
Binding: ObservationMethods (example): Methods for simple observations.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LMB SΣ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medicinosnk.lt/lt-lab-methods
...... code ΣC 1..1 code Symbol in syntax defined by the system
... referenceRange SC 0..* BackboneElement Analitės referentinio dydžio rėžiai / Reference range
Constraints: obs-3, lt-observation-8
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatuses 📦0.3.31 This IG
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.method Base example Observation Methods 📍5.0.0 FHIR Std.

Constraints

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
lt-observation-1 error Observation Value is required for non-cancelled observation. status = 'cancelled' or value.exists()
lt-observation-2 error Observation.value[x] Observation value Quantity must contain value. $this.exists().not() or ($this is Quantity).not() or ($this.value.hasValue())
lt-observation-3 error Observation.value[x] Observation value CodeableConcept must contain a text representation of the concept. $this.exists().not() or ($this is CodeableConcept).not() or ($this.text.hasValue() or $this.coding.display.hasValue())
lt-observation-4 error Observation.value[x] Observation value Range must contain unit and value for a low or high range value. $this.exists().not() or ($this is Range).not() or ($this.low.unit.hasValue() and $this.low.unit.hasValue()) or ($this.high.unit.hasValue() and $this.high.unit.hasValue())
lt-observation-5 error Observation.value[x] Observation value Ratio must contain unit and value for numerator and denomitator values. $this.exists().not() or ($this is Ratio).not() or ($this.numerator.unit.hasValue() and $this.numerator.value.hasValue() and $this.denominator.unit.hasValue() and $this.denominator.value.hasValue())
lt-observation-6 error Observation.value[x] Observation value SampledData must contain unit and value for origin field. $this.exists().not() or ($this is SampledData).not() or ($this.origin.unit.hasValue() and $this.origin.value.hasValue())
lt-observation-7 error Observation Method is required for non-cancelled observations. status = 'cancelled' or method.exists()
lt-observation-8 error Observation.referenceRange Observation reference range low value must be less than or equal to high value. $this.low.value.exists() and $this.high.value.exists() implies $this.low.value <= $this.high.value
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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* LtObservationBase Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8, lt-observation-1, lt-observation-7
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:resultsInterpreter S 0..1 Reference() Rezultatą patvirtinęs specialistas / Specialist who confirmed the result
URL: http://esveikata.lt/fhir/StructureDefinition/observation-resultsInterpreter
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... instantiates[x] Σ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy 0..* BackboneElement Triggering observation(s)
.... 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
.... observation Σ 1..1 Reference(Observation) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason 0..1 string Reason that the observation was triggered
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code Galimos reikšmės: / Valid values: registered | final | amended | entered-in-error | cancelled
Binding: ObservationStatuses (required)
... category S 0..* CodeableConcept Tyrimo grupė / Category
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣC 1..1 CodeableConcept Analitės/panelės tipas / Observation or panel type
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... id 0..1 id 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:system
..... coding:LMB SΣ 1..1 Coding Code defined by a terminology system
...... id 0..1 id 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: https://www.medicinosnk.lt/lt-lab-klt-nomenclature
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 1..1 code Symbol in syntax defined by the system
...... display ΣC 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 Σ 0..1 Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct) 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(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 dateTime Rezultatų nustatymo laikas / Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Rezultatų patvirtinimo laikas / Result confirmation time
... performer SΣ 1..1 Reference(LtPractitionerRole) Tyrimą atlikęs specialistas / Specialist who is responsible for the observation
... value[x] SΣC 0..1 Analitės rezultatas / Result
Constraints: lt-observation-2, lt-observation-3, lt-observation-4, lt-observation-5, lt-observation-6
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... valueAttachment Attachment
.... valueReference Reference(MolecularSequence)
... 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 S 0..* Annotation Pastabos / Comments about the observation
... bodySite C 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... bodyStructure C 0..1 Reference(BodyStructure) Observed body structure
... method S 0..1 CodeableConcept Naudotas tyrimo metodas / How it was done
Binding: ObservationMethods (example): Methods for simple observations.
.... id 0..1 id 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:system
..... coding:LMB SΣ 1..1 Coding Code defined by a terminology system
...... id 0..1 id 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: https://www.medicinosnk.lt/lt-lab-methods
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 1..1 code Symbol in syntax defined by the system
...... display ΣC 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
... specimen C 0..1 Reference(Specimen | Group) Specimen used for this observation
Constraints: obs-9
... device 0..1 Reference(Device | DeviceMetric) A reference to the device that generates the measurements or the device settings for the device
... referenceRange SC 0..* BackboneElement Analitės referentinio dydžio rėžiai / Reference range
Constraints: obs-3, lt-observation-8
.... 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(5.0.0) Low Range, if relevant
.... high C 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
.... 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 C 0..1 markdown Text based reference range in an observation
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) Related resource from which the observation is made
... component ΣC 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 ΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... 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
..... valueAttachment Attachment
..... valueReference Reference(MolecularSequence)
.... dataAbsentReason 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base required All Languages 📍5.0.0 FHIR Std.
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required ObservationStatuses 📦0.3.31 This IG
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
Observation.method Base example Observation Methods 📍5.0.0 FHIR Std.
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.

Constraints

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
lt-observation-1 error Observation Value is required for non-cancelled observation. status = 'cancelled' or value.exists()
lt-observation-2 error Observation.value[x] Observation value Quantity must contain value. $this.exists().not() or ($this is Quantity).not() or ($this.value.hasValue())
lt-observation-3 error Observation.value[x] Observation value CodeableConcept must contain a text representation of the concept. $this.exists().not() or ($this is CodeableConcept).not() or ($this.text.hasValue() or $this.coding.display.hasValue())
lt-observation-4 error Observation.value[x] Observation value Range must contain unit and value for a low or high range value. $this.exists().not() or ($this is Range).not() or ($this.low.unit.hasValue() and $this.low.unit.hasValue()) or ($this.high.unit.hasValue() and $this.high.unit.hasValue())
lt-observation-5 error Observation.value[x] Observation value Ratio must contain unit and value for numerator and denomitator values. $this.exists().not() or ($this is Ratio).not() or ($this.numerator.unit.hasValue() and $this.numerator.value.hasValue() and $this.denominator.unit.hasValue() and $this.denominator.value.hasValue())
lt-observation-6 error Observation.value[x] Observation value SampledData must contain unit and value for origin field. $this.exists().not() or ($this is SampledData).not() or ($this.origin.unit.hasValue() and $this.origin.value.hasValue())
lt-observation-7 error Observation Method is required for non-cancelled observations. status = 'cancelled' or method.exists()
lt-observation-8 error Observation.referenceRange Observation reference range low value must be less than or equal to high value. $this.low.value.exists() and $this.high.value.exists() implies $this.low.value <= $this.high.value
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()
obs-9 error Observation.specimen If Observation.specimen is a reference to Group, the group can only have specimens (reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)

This structure is derived from LtObservationBase

Summary

Must-Support: 2 elements
Prohibited: 1 element

 

Other representations of profile: CSV, Excel, Schematron