Common Data Models Harmonization
1.0.0 - STU 1 Publication

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## Resource Profile: CdmhLabResults

Defining URL: | http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-lab-results
Version: | 1.0.0
Name: | CdmhLabResults
Title: | CDMH Lab Results
Status: | Draft as of 9/1/19
Definition: | This is the Observation Resource profile to represent Lab Results for the IG.
Publisher: | HL7 International - Biomedical Research and Regulation Work Group
Copyright: | Used by permission of HL7, all rights reserved Creative Commons License
Source Resource: | XML / JSON / Turtle

The official URL for this profile is:

    http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-lab-results

### Formal Views of Profile Content

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

- Text Summary
- Differential Table
- Snapshot Table
- Snapshot Table (Must Support)
- All

This structure is derived from USCoreLaboratoryResultObservationProfile

Summary

Must-Support: 10 elements

Structures

This structure refers to these other structures:

- CDMH Procedure (http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-procedure)
- CDMH Patient (http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-patient)
- CDMH Encounter (http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-encounter)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-result-source
- http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-test-priority
- http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-loinc-code-source

This structure is derived from USCoreLaboratoryResultObservationProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | USCoreLaboratoryResultObservationProfile | CDMH Lab Results
cdmh-pcornet-lab-result-source | S | 0..1 | code | PCORNetLabResultSource URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-result-source Binding: PCORNet Information Source HC Subtype (extensible): Lab Result Source Codes for PCORNet data marts
cdmh-pcornet-lab-test-priority | S | 0..1 | code | PCORNetLabTestPriority URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-test-priority Binding: PCORNet Lab Test Priority (extensible): Lab Test Priority Codes for PCORNet data marts
basedOn | S | 0..* | Reference(ServiceRequest) | Fulfills plan, proposal or order
partOf | S | 0..* | Reference(CDMH Procedure) | Part of referenced event
code |  |  |  |
cdmh-pcornet-lab-loinc-code-source | S | 0..1 | code | PCORNetLabLoincCodeSource URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-loinc-code-source Binding: PCORNet Lab Loinc Code Source (extensible): Lab Loinc Code Source Codes for PCORNet data marts
subject | S | 1..1 | Reference(CDMH Patient) | Who and/or what the observation is about
encounter | S | 0..1 | Reference(CDMH Encounter) | Healthcare event during which this observation is made
issued | S | 0..1 | instant | Date/Time this version was made available
specimen | S | 0..1 | Reference(Specimen) | Specimen used for this observation
referenceRange | S | 0..* | BackboneElement | Provides guide for interpretation
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | I | 0..* | USCoreLaboratoryResultObservationProfile | CDMH Lab Results
id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language.
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
cdmh-pcornet-lab-result-source | S | 0..1 | code | PCORNetLabResultSource URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-result-source Binding: PCORNet Information Source HC Subtype (extensible): Lab Result Source Codes for PCORNet data marts
cdmh-pcornet-lab-test-priority | S | 0..1 | code | PCORNetLabTestPriority URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-test-priority Binding: PCORNet Lab Test Priority (extensible): Lab Test Priority Codes for PCORNet data marts
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | S Σ | 0..* | Reference(ServiceRequest) | Fulfills plan, proposal or order
partOf | S Σ | 0..* | Reference(CDMH Procedure) | Part of referenced event
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:Laboratory | S | 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: laboratory
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 | S Σ | 1..1 | CodeableConcept | Laboratory Test Name Binding: LOINCCodes (extensible): LOINC codes
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
cdmh-pcornet-lab-loinc-code-source | S | 0..1 | code | PCORNetLabLoincCodeSource URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-loinc-code-source Binding: PCORNet Lab Loinc Code Source (extensible): Lab Loinc Code Source Codes for PCORNet data marts
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(CDMH Patient) | 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 | S Σ | 0..1 | Reference(CDMH Encounter) | Healthcare event during which this observation is made
effective[x] | S Σ I | 0..1 |  | Clinically relevant time/time-period for observation us-core-1: Datetime must be at least to day.
effectiveDateTime |  |  | dateTime S |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | S Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
value[x] | S Σ I | 0..1 |  | Result Value us-core-4: SHOULD use Snomed CT for coded Results us-core-3: SHALL use UCUM for coded quantity units.
valueQuantity |  |  | Quantity S |
valueCodeableConcept |  |  | CodeableConcept S |
valueString |  |  | string S |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S I | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible)
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 | S | 0..1 | Reference(Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | S I | 0..* | BackboneElement | Provides guide for interpretation
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 | I | 0..1 | SimpleQuantity | Low Range, if relevant
high | I | 0..1 | SimpleQuantity | 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 | QuestionnaireResponse | MolecularSequence) | 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 | Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: 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 |
dataAbsentReason | I | 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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | I | 0..* | USCoreLaboratoryResultObservationProfile | CDMH Lab Results
cdmh-pcornet-lab-result-source |  | 0..1 | code | PCORNetLabResultSource URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-result-source Binding: PCORNet Information Source HC Subtype (extensible): Lab Result Source Codes for PCORNet data marts
cdmh-pcornet-lab-test-priority |  | 0..1 | code | PCORNetLabTestPriority URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-test-priority Binding: PCORNet Lab Test Priority (extensible): Lab Test Priority Codes for PCORNet data marts
basedOn | Σ | 0..* | Reference(ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(CDMH Procedure) | Part of referenced event
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category |  | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:Laboratory |  | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. 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: laboratory
code | Σ | 1..1 | CodeableConcept | Laboratory Test Name Binding: LOINCCodes (extensible): LOINC codes
cdmh-pcornet-lab-loinc-code-source |  | 0..1 | code | PCORNetLabLoincCodeSource URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-loinc-code-source Binding: PCORNet Lab Loinc Code Source (extensible): Lab Loinc Code Source Codes for PCORNet data marts
subject | Σ | 1..1 | Reference(CDMH Patient) | Who and/or what the observation is about
encounter | Σ | 0..1 | Reference(CDMH Encounter) | Healthcare event during which this observation is made
effective[x] | Σ I | 0..1 |  | Clinically relevant time/time-period for observation us-core-1: Datetime must be at least to day.
effectiveDateTime |  |  | dateTime |
issued | Σ | 0..1 | instant | Date/Time this version was made available
value[x] | Σ I | 0..1 |  | Result Value us-core-4: SHOULD use Snomed CT for coded Results us-core-3: SHALL use UCUM for coded quantity units.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
dataAbsentReason | I | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible)
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation
referenceRange | I | 0..* | BackboneElement | Provides guide for interpretation
Documentation for this format

This structure is derived from USCoreLaboratoryResultObservationProfile

Summary

Must-Support: 10 elements

Structures

This structure refers to these other structures:

- CDMH Procedure (http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-procedure)
- CDMH Patient (http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-patient)
- CDMH Encounter (http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-encounter)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-result-source
- http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-test-priority
- http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-loinc-code-source

Differential View

This structure is derived from USCoreLaboratoryResultObservationProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | USCoreLaboratoryResultObservationProfile | CDMH Lab Results
cdmh-pcornet-lab-result-source | S | 0..1 | code | PCORNetLabResultSource URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-result-source Binding: PCORNet Information Source HC Subtype (extensible): Lab Result Source Codes for PCORNet data marts
cdmh-pcornet-lab-test-priority | S | 0..1 | code | PCORNetLabTestPriority URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-test-priority Binding: PCORNet Lab Test Priority (extensible): Lab Test Priority Codes for PCORNet data marts
basedOn | S | 0..* | Reference(ServiceRequest) | Fulfills plan, proposal or order
partOf | S | 0..* | Reference(CDMH Procedure) | Part of referenced event
code |  |  |  |
cdmh-pcornet-lab-loinc-code-source | S | 0..1 | code | PCORNetLabLoincCodeSource URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-loinc-code-source Binding: PCORNet Lab Loinc Code Source (extensible): Lab Loinc Code Source Codes for PCORNet data marts
subject | S | 1..1 | Reference(CDMH Patient) | Who and/or what the observation is about
encounter | S | 0..1 | Reference(CDMH Encounter) | Healthcare event during which this observation is made
issued | S | 0..1 | instant | Date/Time this version was made available
specimen | S | 0..1 | Reference(Specimen) | Specimen used for this observation
referenceRange | S | 0..* | BackboneElement | Provides guide for interpretation
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | I | 0..* | USCoreLaboratoryResultObservationProfile | CDMH Lab Results
id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language.
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
cdmh-pcornet-lab-result-source | S | 0..1 | code | PCORNetLabResultSource URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-result-source Binding: PCORNet Information Source HC Subtype (extensible): Lab Result Source Codes for PCORNet data marts
cdmh-pcornet-lab-test-priority | S | 0..1 | code | PCORNetLabTestPriority URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-test-priority Binding: PCORNet Lab Test Priority (extensible): Lab Test Priority Codes for PCORNet data marts
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | S Σ | 0..* | Reference(ServiceRequest) | Fulfills plan, proposal or order
partOf | S Σ | 0..* | Reference(CDMH Procedure) | Part of referenced event
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:Laboratory | S | 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: laboratory
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 | S Σ | 1..1 | CodeableConcept | Laboratory Test Name Binding: LOINCCodes (extensible): LOINC codes
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
cdmh-pcornet-lab-loinc-code-source | S | 0..1 | code | PCORNetLabLoincCodeSource URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-lab-loinc-code-source Binding: PCORNet Lab Loinc Code Source (extensible): Lab Loinc Code Source Codes for PCORNet data marts
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(CDMH Patient) | 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 | S Σ | 0..1 | Reference(CDMH Encounter) | Healthcare event during which this observation is made
effective[x] | S Σ I | 0..1 |  | Clinically relevant time/time-period for observation us-core-1: Datetime must be at least to day.
effectiveDateTime |  |  | dateTime S |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | S Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
value[x] | S Σ I | 0..1 |  | Result Value us-core-4: SHOULD use Snomed CT for coded Results us-core-3: SHALL use UCUM for coded quantity units.
valueQuantity |  |  | Quantity S |
valueCodeableConcept |  |  | CodeableConcept S |
valueString |  |  | string S |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S I | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible)
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 | S | 0..1 | Reference(Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | S I | 0..* | BackboneElement | Provides guide for interpretation
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 | I | 0..1 | SimpleQuantity | Low Range, if relevant
high | I | 0..1 | SimpleQuantity | 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 | QuestionnaireResponse | MolecularSequence) | 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 | Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: 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 |
dataAbsentReason | I | 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

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Observation.language | preferred | CommonLanguages Max Binding: AllLanguages
Observation.status | required | ObservationStatus
Observation.category | preferred | ObservationCategoryCodes
Observation.category:Laboratory | preferred | Pattern: laboratory
Observation.code | extensible | LOINCCodes
Observation.dataAbsentReason | extensible | DataAbsentReason
Observation.interpretation | extensible | ObservationInterpretationCodes
Observation.bodySite | example | SNOMEDCTBodyStructures
Observation.method | example | ObservationMethods
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes
Observation.component.code | example | LOINCCodes
Observation.component.dataAbsentReason | extensible | DataAbsentReason
Observation.component.interpretation | extensible | ObservationInterpretationCodes

#### Constraints

Id | Path | Details | Requirements
dom-2 | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | 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 | 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 | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | Observation | A resource should have narrative for robust management : text.`div`.exists() |
obs-6 | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() |
obs-7 | 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() |
us-core-2 | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) |
ele-1 | Observation.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | Observation.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | Observation.extension:pcornet-lab-result-source | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | Observation.extension:pcornet-lab-result-source | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | Observation.extension:pcornet-lab-test-priority | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | Observation.extension:pcornet-lab-test-priority | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | Observation.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | Observation.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | Observation.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.partOf | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.category:Laboratory | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.code.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | Observation.code.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | Observation.code.extension:pcornet-lab-loinc-code-source | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | Observation.code.extension:pcornet-lab-loinc-code-source | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | Observation.code.coding | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.code.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.focus | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.effective[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
us-core-1 | Observation.effective[x] | Datetime must be at least to day. : Observation.effectiveDateTime.exists() implies Observation.effectiveDateTime.toString().length() >= 8 |
ele-1 | Observation.issued | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.value[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
us-core-4 | Observation.value[x] | SHOULD use Snomed CT for coded Results : valueCodeableConcept.coding.system.empty() or valueCodeableConcept.coding.system = 'http://snomed.info/sct' |
us-core-3 | Observation.value[x] | SHALL use UCUM for coded quantity units. : valueQuantity.system.empty() or valueQuantity.system = 'http://unitsofmeasure.org' |
ele-1 | Observation.dataAbsentReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.interpretation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.bodySite | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.method | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.specimen | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.device | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.referenceRange | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
obs-3 | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() |
ele-1 | Observation.referenceRange.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | Observation.referenceRange.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | Observation.referenceRange.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | Observation.referenceRange.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | Observation.referenceRange.low | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.referenceRange.high | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.referenceRange.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.referenceRange.appliesTo | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.referenceRange.age | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.referenceRange.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.derivedFrom | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.component | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.component.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | Observation.component.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | Observation.component.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | Observation.component.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | Observation.component.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.component.value[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.component.dataAbsentReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.component.interpretation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | Observation.component.referenceRange | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |