HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/oijauregui/ehdsimaging/tree/master and changes regularly. See the Directory of published versions

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Resource Profile: Report obligations for EuObservation

Report obligations for EuObservation

Usages:

• This Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationEu	Measurements and simple assertions Constraints: obs-6, obs-7, obs-8
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:dataAbsentReason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
basedOn	OΣ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Obligations Actor SHALL:populate-if-known Imaging study report provider
status	?!OΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Obligations Actor SHALL:handle Imaging study report provider
value	O	0..1	code	Primitive value for code Obligations Actor SHALL:populate-if-known Imaging study report provider
code	OΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
subject	OΣ	0..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct)	Who and/or what the observation is about Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for effective[x]	Σ	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for observation Obligations Actor SHALL:populate-if-known Imaging study report provider
effective[x]:effectivePeriod	OΣ	0..1	Period	Clinically relevant time/time-period for observation Obligations Actor SHALL:populate-if-known Imaging study report provider
performer	OΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for extension				Content/Rules for all slices
extension:performerFunction	O	0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: PerformerFunctionCodes (extensible) Obligations Actor SHALL:populate-if-known Imaging study report provider
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
value[x]:valueString	OΣC	0..1	string	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueQuantity	OΣC	0..1	Quantity	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueRange	OΣC	0..1	Range	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueCodeableConcept	OΣC	0..1	CodeableConcept	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
interpretation	O	0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
note	O	0..*	Annotation	Comments about the observation Obligations Actor SHALL:populate-if-known Imaging study report provider
bodySite	OC	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Obligations Actor SHALL:populate-if-known Imaging study report provider
method	O	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
device	O	0..1	Reference(Device | DeviceMetric)	A reference to the device that generates the measurements or the device settings for the device Obligations Actor SHALL:populate-if-known Imaging study report provider
referenceRange	OC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3 Obligations Actor SHALL:populate-if-known Imaging study report provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
hasMember	OΣ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Obligations Actor SHALL:populate-if-known Imaging study report provider
component	OΣC	0..*	BackboneElement	Component results Obligations Actor SHALL:populate-if-known Imaging study report provider
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.
Slices for value[x]	Σ	1..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity(QuantityEu)
valueCodeableConcept			CodeableConcept
valueString			string
valueInteger			integer
valueRange			Range(RangeEu)
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
value[x]:valueQuantity	OΣ	0..1	QuantityEu	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueRange	OΣ	0..1	RangeEu	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueCodeableConcept	OΣ	0..1	CodeableConcept	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
interpretation	O	0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
referenceRange	O	0..*	See referenceRange (Observation)	Provides guide for interpretation of component result Obligations Actor SHALL:populate-if-known Imaging study report provider
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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()

This structure is derived from ObservationEu

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	ObservationEu	Measurements and simple assertions
basedOn	O	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Obligations Actor SHALL:populate-if-known Imaging study report provider
triggeredBy
type	O	1..1	code	reflex | repeat | re-run Obligations Actor SHALL:populate-if-known Imaging study report provider
status	O	1..1	code	registered | preliminary | final | amended + Obligations Actor SHALL:handle Imaging study report provider
value	O	0..1	code	Primitive value for code Obligations Actor SHALL:populate-if-known Imaging study report provider
code	O	1..1	CodeableConcept	Type of observation (code / type) Obligations Actor SHALL:populate-if-known Imaging study report provider
coding
display	O	0..1	string	Representation defined by the system Obligations Actor SHALL:populate-if-known Imaging study report provider
subject	O	0..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct)	Who and/or what the observation is about Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for effective[x]		1..1	dateTime, Period, Timing, instant	Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	O	0..1	dateTime	Clinically relevant time/time-period for observation Obligations Actor SHALL:populate-if-known Imaging study report provider
effective[x]:effectivePeriod	O	0..1	Period	Clinically relevant time/time-period for observation Obligations Actor SHALL:populate-if-known Imaging study report provider
performer	O	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for extension				Content/Rules for all slices
extension:performerFunction	O	0..1	PerformerFunction	Type of performance Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence)	Actual result Slice: Unordered, Open by type:$this
value[x]:valueString	O	0..1	string	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueQuantity	O	0..1	Quantity	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueRange	O	0..1	Range	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueCodeableConcept	O	0..1	CodeableConcept	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
interpretation	O	0..*	CodeableConcept	High, low, normal, etc Obligations Actor SHALL:populate-if-known Imaging study report provider
note	O	0..*	Annotation	Comments about the observation Obligations Actor SHALL:populate-if-known Imaging study report provider
bodySite	O	0..1	CodeableConcept	Observed body part Obligations Actor SHALL:populate-if-known Imaging study report provider
method	O	0..1	CodeableConcept	How it was done Obligations Actor SHALL:populate-if-known Imaging study report provider
device	O	0..1	Reference(Device | DeviceMetric)	A reference to the device that generates the measurements or the device settings for the device Obligations Actor SHALL:populate-if-known Imaging study report provider
referenceRange	O	0..*	BackboneElement	Provides guide for interpretation Obligations Actor SHALL:populate-if-known Imaging study report provider
hasMember	O	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Obligations Actor SHALL:populate-if-known Imaging study report provider
component	O	0..*	BackboneElement	Component results Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for value[x]		1..1	QuantityEu, CodeableConcept, string, integer, RangeEu, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence)	Actual component result Slice: Unordered, Open by type:$this
value[x]:valueQuantity	O	0..1	QuantityEu	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueRange	O	0..1	RangeEu	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueCodeableConcept	O	0..1	CodeableConcept	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
interpretation	O	0..*	CodeableConcept	High, low, normal, etc Obligations Actor SHALL:populate-if-known Imaging study report provider
referenceRange	O	0..*		Provides guide for interpretation of component result Obligations Actor SHALL:populate-if-known Imaging study report provider
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationEu	Measurements and simple assertions Constraints: obs-6, obs-7, obs-8
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 Bindings Purpose 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:dataAbsentReason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
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	OΣ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Obligations Actor SHALL:populate-if-known Imaging study report provider
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	OΣ	1..1	code	reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation. Obligations Actor SHALL:populate-if-known Imaging study report provider
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	?!OΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Obligations Actor SHALL:handle Imaging study report provider
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional content defined by implementations
value	O	0..1	code	Primitive value for code Obligations Actor SHALL:populate-if-known Imaging study report provider
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	OΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	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	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	OΣC	0..1	string	Representation defined by the system Obligations Actor SHALL:populate-if-known Imaging study report provider
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	OΣ	0..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct)	Who and/or what the observation is about Obligations Actor SHALL:populate-if-known Imaging study report provider
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]	Σ	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for observation Obligations Actor SHALL:populate-if-known Imaging study report provider
effective[x]:effectivePeriod	OΣ	0..1	Period	Clinically relevant time/time-period for observation Obligations Actor SHALL:populate-if-known Imaging study report provider
issued	Σ	0..1	instant	Date/Time this version was made available
performer	OΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:populate-if-known Imaging study report provider
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:performerFunction	O	0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: PerformerFunctionCodes (extensible) Obligations Actor SHALL:populate-if-known Imaging study report provider
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
value[x]:valueString	OΣC	0..1	string	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueQuantity	OΣC	0..1	Quantity	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueRange	OΣC	0..1	Range	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueCodeableConcept	OΣC	0..1	CodeableConcept	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	O	0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
note	O	0..*	Annotation	Comments about the observation Obligations Actor SHALL:populate-if-known Imaging study report provider
bodySite	OC	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Obligations Actor SHALL:populate-if-known Imaging study report provider
bodyStructure	C	0..1	Reference(BodyStructure)	Observed body structure
method	O	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
specimen	C	0..1	Reference(Specimen | Group)	Specimen used for this observation Constraints: obs-9
device	O	0..1	Reference(Device | DeviceMetric)	A reference to the device that generates the measurements or the device settings for the device Obligations Actor SHALL:populate-if-known Imaging study report provider
referenceRange	OC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3 Obligations Actor SHALL:populate-if-known Imaging study report provider
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	Low Range, if relevant
high	C	0..1	SimpleQuantity	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
hasMember	OΣ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Obligations Actor SHALL:populate-if-known Imaging study report provider
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy)	Related resource from which the observation is made
component	OΣC	0..*	BackboneElement	Component results Obligations Actor SHALL:populate-if-known Imaging study report provider
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.
Slices for value[x]	Σ	1..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity(QuantityEu)
valueCodeableConcept			CodeableConcept
valueString			string
valueInteger			integer
valueRange			Range(RangeEu)
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
value[x]:valueQuantity	OΣ	0..1	QuantityEu	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueRange	OΣ	0..1	RangeEu	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueCodeableConcept	OΣ	0..1	CodeableConcept	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
dataAbsentReason		0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	O	0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
referenceRange	O	0..*	See referenceRange (Observation)	Provides guide for interpretation of component result Obligations Actor SHALL:populate-if-known Imaging study report provider
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Observation.triggeredBy.type	required	TriggeredBytype http://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0 From the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.referenceRange.normalValue	extensible	ObservationReferenceRangeNormalValueCodes http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalue From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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 ObservationEu

Summary

Structures

This structure refers to these other structures:

• EU Quantity (http://hl7.eu/fhir/imaging-r5/StructureDefinition/quantity-eu)
• EU Range (http://hl7.eu/fhir/imaging-r5/StructureDefinition/range-eu)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.effective[x]
• The element 1 is sliced based on the value of Observation.value[x]
• The element 1 is sliced based on the value of Observation.component.value[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationEu	Measurements and simple assertions Constraints: obs-6, obs-7, obs-8
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:dataAbsentReason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
basedOn	OΣ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Obligations Actor SHALL:populate-if-known Imaging study report provider
status	?!OΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Obligations Actor SHALL:handle Imaging study report provider
value	O	0..1	code	Primitive value for code Obligations Actor SHALL:populate-if-known Imaging study report provider
code	OΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
subject	OΣ	0..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct)	Who and/or what the observation is about Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for effective[x]	Σ	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for observation Obligations Actor SHALL:populate-if-known Imaging study report provider
effective[x]:effectivePeriod	OΣ	0..1	Period	Clinically relevant time/time-period for observation Obligations Actor SHALL:populate-if-known Imaging study report provider
performer	OΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for extension				Content/Rules for all slices
extension:performerFunction	O	0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: PerformerFunctionCodes (extensible) Obligations Actor SHALL:populate-if-known Imaging study report provider
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
value[x]:valueString	OΣC	0..1	string	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueQuantity	OΣC	0..1	Quantity	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueRange	OΣC	0..1	Range	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueCodeableConcept	OΣC	0..1	CodeableConcept	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
interpretation	O	0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
note	O	0..*	Annotation	Comments about the observation Obligations Actor SHALL:populate-if-known Imaging study report provider
bodySite	OC	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Obligations Actor SHALL:populate-if-known Imaging study report provider
method	O	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
device	O	0..1	Reference(Device | DeviceMetric)	A reference to the device that generates the measurements or the device settings for the device Obligations Actor SHALL:populate-if-known Imaging study report provider
referenceRange	OC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3 Obligations Actor SHALL:populate-if-known Imaging study report provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
hasMember	OΣ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Obligations Actor SHALL:populate-if-known Imaging study report provider
component	OΣC	0..*	BackboneElement	Component results Obligations Actor SHALL:populate-if-known Imaging study report provider
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.
Slices for value[x]	Σ	1..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity(QuantityEu)
valueCodeableConcept			CodeableConcept
valueString			string
valueInteger			integer
valueRange			Range(RangeEu)
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
value[x]:valueQuantity	OΣ	0..1	QuantityEu	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueRange	OΣ	0..1	RangeEu	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueCodeableConcept	OΣ	0..1	CodeableConcept	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
interpretation	O	0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
referenceRange	O	0..*	See referenceRange (Observation)	Provides guide for interpretation of component result Obligations Actor SHALL:populate-if-known Imaging study report provider
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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()

Differential View

This structure is derived from ObservationEu

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	ObservationEu	Measurements and simple assertions
basedOn	O	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Obligations Actor SHALL:populate-if-known Imaging study report provider
triggeredBy
type	O	1..1	code	reflex | repeat | re-run Obligations Actor SHALL:populate-if-known Imaging study report provider
status	O	1..1	code	registered | preliminary | final | amended + Obligations Actor SHALL:handle Imaging study report provider
value	O	0..1	code	Primitive value for code Obligations Actor SHALL:populate-if-known Imaging study report provider
code	O	1..1	CodeableConcept	Type of observation (code / type) Obligations Actor SHALL:populate-if-known Imaging study report provider
coding
display	O	0..1	string	Representation defined by the system Obligations Actor SHALL:populate-if-known Imaging study report provider
subject	O	0..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct)	Who and/or what the observation is about Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for effective[x]		1..1	dateTime, Period, Timing, instant	Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	O	0..1	dateTime	Clinically relevant time/time-period for observation Obligations Actor SHALL:populate-if-known Imaging study report provider
effective[x]:effectivePeriod	O	0..1	Period	Clinically relevant time/time-period for observation Obligations Actor SHALL:populate-if-known Imaging study report provider
performer	O	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for extension				Content/Rules for all slices
extension:performerFunction	O	0..1	PerformerFunction	Type of performance Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence)	Actual result Slice: Unordered, Open by type:$this
value[x]:valueString	O	0..1	string	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueQuantity	O	0..1	Quantity	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueRange	O	0..1	Range	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueCodeableConcept	O	0..1	CodeableConcept	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
interpretation	O	0..*	CodeableConcept	High, low, normal, etc Obligations Actor SHALL:populate-if-known Imaging study report provider
note	O	0..*	Annotation	Comments about the observation Obligations Actor SHALL:populate-if-known Imaging study report provider
bodySite	O	0..1	CodeableConcept	Observed body part Obligations Actor SHALL:populate-if-known Imaging study report provider
method	O	0..1	CodeableConcept	How it was done Obligations Actor SHALL:populate-if-known Imaging study report provider
device	O	0..1	Reference(Device | DeviceMetric)	A reference to the device that generates the measurements or the device settings for the device Obligations Actor SHALL:populate-if-known Imaging study report provider
referenceRange	O	0..*	BackboneElement	Provides guide for interpretation Obligations Actor SHALL:populate-if-known Imaging study report provider
hasMember	O	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Obligations Actor SHALL:populate-if-known Imaging study report provider
component	O	0..*	BackboneElement	Component results Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for value[x]		1..1	QuantityEu, CodeableConcept, string, integer, RangeEu, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence)	Actual component result Slice: Unordered, Open by type:$this
value[x]:valueQuantity	O	0..1	QuantityEu	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueRange	O	0..1	RangeEu	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueCodeableConcept	O	0..1	CodeableConcept	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
interpretation	O	0..*	CodeableConcept	High, low, normal, etc Obligations Actor SHALL:populate-if-known Imaging study report provider
referenceRange	O	0..*		Provides guide for interpretation of component result Obligations Actor SHALL:populate-if-known Imaging study report provider
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationEu	Measurements and simple assertions Constraints: obs-6, obs-7, obs-8
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 Bindings Purpose 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:dataAbsentReason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
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	OΣ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Obligations Actor SHALL:populate-if-known Imaging study report provider
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	OΣ	1..1	code	reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation. Obligations Actor SHALL:populate-if-known Imaging study report provider
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	?!OΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Obligations Actor SHALL:handle Imaging study report provider
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional content defined by implementations
value	O	0..1	code	Primitive value for code Obligations Actor SHALL:populate-if-known Imaging study report provider
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	OΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	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	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	OΣC	0..1	string	Representation defined by the system Obligations Actor SHALL:populate-if-known Imaging study report provider
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	OΣ	0..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct)	Who and/or what the observation is about Obligations Actor SHALL:populate-if-known Imaging study report provider
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]	Σ	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for observation Obligations Actor SHALL:populate-if-known Imaging study report provider
effective[x]:effectivePeriod	OΣ	0..1	Period	Clinically relevant time/time-period for observation Obligations Actor SHALL:populate-if-known Imaging study report provider
issued	Σ	0..1	instant	Date/Time this version was made available
performer	OΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Obligations Actor SHALL:populate-if-known Imaging study report provider
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:performerFunction	O	0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: PerformerFunctionCodes (extensible) Obligations Actor SHALL:populate-if-known Imaging study report provider
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
value[x]:valueString	OΣC	0..1	string	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueQuantity	OΣC	0..1	Quantity	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueRange	OΣC	0..1	Range	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueCodeableConcept	OΣC	0..1	CodeableConcept	Actual result Obligations Actor SHALL:populate-if-known Imaging study report provider
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	O	0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
note	O	0..*	Annotation	Comments about the observation Obligations Actor SHALL:populate-if-known Imaging study report provider
bodySite	OC	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Obligations Actor SHALL:populate-if-known Imaging study report provider
bodyStructure	C	0..1	Reference(BodyStructure)	Observed body structure
method	O	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
specimen	C	0..1	Reference(Specimen | Group)	Specimen used for this observation Constraints: obs-9
device	O	0..1	Reference(Device | DeviceMetric)	A reference to the device that generates the measurements or the device settings for the device Obligations Actor SHALL:populate-if-known Imaging study report provider
referenceRange	OC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3 Obligations Actor SHALL:populate-if-known Imaging study report provider
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	Low Range, if relevant
high	C	0..1	SimpleQuantity	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
hasMember	OΣ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Obligations Actor SHALL:populate-if-known Imaging study report provider
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy)	Related resource from which the observation is made
component	OΣC	0..*	BackboneElement	Component results Obligations Actor SHALL:populate-if-known Imaging study report provider
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.
Slices for value[x]	Σ	1..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity(QuantityEu)
valueCodeableConcept			CodeableConcept
valueString			string
valueInteger			integer
valueRange			Range(RangeEu)
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
value[x]:valueQuantity	OΣ	0..1	QuantityEu	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueRange	OΣ	0..1	RangeEu	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
value[x]:valueCodeableConcept	OΣ	0..1	CodeableConcept	Actual component result Obligations Actor SHALL:populate-if-known Imaging study report provider
dataAbsentReason		0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	O	0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:populate-if-known Imaging study report provider
referenceRange	O	0..*	See referenceRange (Observation)	Provides guide for interpretation of component result Obligations Actor SHALL:populate-if-known Imaging study report provider
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Observation.triggeredBy.type	required	TriggeredBytype http://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0 From the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.referenceRange.normalValue	extensible	ObservationReferenceRangeNormalValueCodes http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalue From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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 ObservationEu

Summary

Structures

This structure refers to these other structures:

• EU Quantity (http://hl7.eu/fhir/imaging-r5/StructureDefinition/quantity-eu)
• EU Range (http://hl7.eu/fhir/imaging-r5/StructureDefinition/range-eu)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.effective[x]
• The element 1 is sliced based on the value of Observation.value[x]
• The element 1 is sliced based on the value of Observation.component.value[x]