NHS England North West GMSA - IHE Laboratory Testing Workflow (LTW)
0.0.1 - ci-build
NHS England North West GMSA - IHE Laboratory Testing Workflow (LTW)
0.0.1 - ci-build
DRAFT Implementation Guide
This is for collaboration and discussion purposes and is subject to change.
NHS England North West GMSA - IHE Laboratory Testing Workflow (LTW) - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://fhir.north-west.england.nhs.uk/StructureDefinition/Observation-Panel | Version: 0.0.1 | |||
| Draft as of 2025-04-20 | Computable Name: ObservationPanel | |||
DRAFT For use with Order Entry Forms
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation |
Observation | |||
  hasMember |
S | 1..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | ||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||
   extension:triggeredByR5 |
N | 0..* | (Complex) | Triggering observation(s). This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||||||
   Slices for extension |
2..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||||||
 extension:observation |
1..1 | Extension | Triggering observation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||||||
| url |
1..1 | uri | "observation" | |||||||||
  value[x] |
1..1 | Reference(Observation) | Triggering observation. ele-1: All FHIR elements must have a @value or children | |||||||||
| extension:type |
1..1 | Extension | reflex | repeat | re-run Binding: observation-triggeredbytype (??) (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
1..1 | code | The type of trigger. Reflex | Repeat | Re-run ele-1: All FHIR elements must have a @value or children | |||||||||
 extension:reason |
0..1 | Extension | Reason that the observation was triggered ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||||||
 url |
1..1 | uri | "reason" | |||||||||
| value[x] |
1..1 | string | Reason that the observation was triggered. ele-1: All FHIR elements must have a @value or children | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| extension:bodyStructureR5 |
N | 0..1 | Reference(BodyStructure) | Observed body structure. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||||||
| status |
?!SΣ | 1..1 | code | Observation Status (HL7 v2 OBX-11) Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children | ||||||||
 category |
S | 0..* | CodeableConcept | A code that classifies the general type of observation being made. Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children | ||||||||
| code |
SΣ | 1..1 | CodeableConcept | The type of observation (code / type). (HL7 v2 OBX-3) Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation ele-1: All FHIR elements must have a @value or children | ||||||||
| subject |
SΣ | 1..1 | Reference(Patient | Group | Device | Location) | Who and / or what the observation is about. ele-1: All FHIR elements must have a @value or children | ||||||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children | ||||||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made ele-1: All FHIR elements must have a @value or children | ||||||||
 effective[x] |
SOΣ | 0..1 | Clinically relevant time/time-period for observation (HL7 v2 OBX-14) ele-1: All FHIR elements must have a @value or children
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effectiveTiming |
Timing | |||||||||||
| effectiveInstant |
instant | |||||||||||
| performer |
SΣ | 0..* | Reference(PractitionerRole | Patient) | Who is responsible for the observation. ele-1: All FHIR elements must have a @value or children | ||||||||
| value[x] |
SΣC | 0..1 | Actual result (HL7 v2 OBX-5) ele-1: All FHIR elements must have a @value or children | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| hasMember |
SΣ | 1..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group ele-1: All FHIR elements must have a @value or children | ||||||||
| component |
SΣ | 0..* | BackboneElement | Component / sub results. ele-1: All FHIR elements must have a @value or children | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation ele-1: All FHIR elements must have a @value or children | ||||||||
| Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet | URI |
| Observation.extension:triggeredByR5.extension:type [] | required | http://hl7.org/fhir/ValueSet/observation-triggeredbytypehttp://hl7.org/fhir/ValueSet/observation-triggeredbytype | |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType | |
| Observation.component.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType |
| Name | Flags | Card. | Type | Description & Constraints | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | ||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:triggeredByR5 |
N | 0..* | (Complex) | Triggering observation(s). This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
2..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:observation |
1..1 | Extension | Triggering observation | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| url |
1..1 | uri | "observation" | |||||||||
| value[x] |
1..1 | Reference(Observation) | Triggering observation. | |||||||||
| extension:type |
1..1 | Extension | reflex | repeat | re-run Binding: observation-triggeredbytype (??) (required) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
1..1 | code | The type of trigger. Reflex | Repeat | Re-run | |||||||||
| extension:reason |
0..1 | Extension | Reason that the observation was triggered | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| url |
1..1 | uri | "reason" | |||||||||
| value[x] |
1..1 | string | Reason that the observation was triggered. | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| extension:bodyStructureR5 |
N | 0..1 | Reference(BodyStructure) | Observed body structure. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure | ||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||||||
| status |
?!SΣ | 1..1 | code | Observation Status (HL7 v2 OBX-11) Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||||||
| category |
S | 0..* | CodeableConcept | A code that classifies the general type of observation being made. Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||||||
| code |
SΣ | 1..1 | CodeableConcept | The type of observation (code / type). (HL7 v2 OBX-3) Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation | ||||||||
| subject |
SΣ | 1..1 | Reference(Patient | Group | Device | Location) | Who and / or what the observation is about. | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | NHSNumber | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
OΣ | 0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| effective[x] |
SOΣ | 0..1 | Clinically relevant time/time-period for observation (HL7 v2 OBX-14)
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effectiveTiming |
Timing | |||||||||||
| effectiveInstant |
instant | |||||||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||||||
| performer |
SΣ | 0..* | Reference(PractitionerRole | Patient) | Who is responsible for the observation. | ||||||||
| value[x] |
SΣC | 0..1 | Actual result (HL7 v2 OBX-5) | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
| note |
0..* | Annotation | Comments about the observation | |||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality. | |||||||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (preferred): Methods for simple observations. | |||||||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| 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 | ||||||||
| 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 |
SΣ | 1..* | 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 |
SΣ | 0..* | BackboneElement | Component / sub 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: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation | ||||||||
| value[x] |
Σ | 0..1 | Actual component result | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||
| Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Observation.extension:triggeredByR5.extension:type [] | required | http://hl7.org/fhir/ValueSet/observation-triggeredbytypehttp://hl7.org/fhir/ValueSet/observation-triggeredbytype | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType | ||||
| Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Observation.encounter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | preferred | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | preferred | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
This structure is derived from Observation
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
Observation | |||
| hasMember |
S | 1..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:triggeredByR5 |
N | 0..* | (Complex) | Triggering observation(s). This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||||||
| Slices for extension |
2..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||||||
| extension:observation |
1..1 | Extension | Triggering observation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||||||
| url |
1..1 | uri | "observation" | |||||||||
| value[x] |
1..1 | Reference(Observation) | Triggering observation. ele-1: All FHIR elements must have a @value or children | |||||||||
| extension:type |
1..1 | Extension | reflex | repeat | re-run Binding: observation-triggeredbytype (??) (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
1..1 | code | The type of trigger. Reflex | Repeat | Re-run ele-1: All FHIR elements must have a @value or children | |||||||||
| extension:reason |
0..1 | Extension | Reason that the observation was triggered ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||||||
| url |
1..1 | uri | "reason" | |||||||||
| value[x] |
1..1 | string | Reason that the observation was triggered. ele-1: All FHIR elements must have a @value or children | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| extension:bodyStructureR5 |
N | 0..1 | Reference(BodyStructure) | Observed body structure. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||||||
| status |
?!SΣ | 1..1 | code | Observation Status (HL7 v2 OBX-11) Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children | ||||||||
| category |
S | 0..* | CodeableConcept | A code that classifies the general type of observation being made. Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children | ||||||||
| code |
SΣ | 1..1 | CodeableConcept | The type of observation (code / type). (HL7 v2 OBX-3) Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation ele-1: All FHIR elements must have a @value or children | ||||||||
| subject |
SΣ | 1..1 | Reference(Patient | Group | Device | Location) | Who and / or what the observation is about. ele-1: All FHIR elements must have a @value or children | ||||||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children | ||||||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made ele-1: All FHIR elements must have a @value or children | ||||||||
| effective[x] |
SOΣ | 0..1 | Clinically relevant time/time-period for observation (HL7 v2 OBX-14) ele-1: All FHIR elements must have a @value or children
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effectiveTiming |
Timing | |||||||||||
| effectiveInstant |
instant | |||||||||||
| performer |
SΣ | 0..* | Reference(PractitionerRole | Patient) | Who is responsible for the observation. ele-1: All FHIR elements must have a @value or children | ||||||||
| value[x] |
SΣC | 0..1 | Actual result (HL7 v2 OBX-5) ele-1: All FHIR elements must have a @value or children | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| hasMember |
SΣ | 1..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group ele-1: All FHIR elements must have a @value or children | ||||||||
| component |
SΣ | 0..* | BackboneElement | Component / sub results. ele-1: All FHIR elements must have a @value or children | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation ele-1: All FHIR elements must have a @value or children | ||||||||
| Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet | URI |
| Observation.extension:triggeredByR5.extension:type [] | required | http://hl7.org/fhir/ValueSet/observation-triggeredbytypehttp://hl7.org/fhir/ValueSet/observation-triggeredbytype | |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType | |
| Observation.component.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | ||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:triggeredByR5 |
N | 0..* | (Complex) | Triggering observation(s). This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
2..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:observation |
1..1 | Extension | Triggering observation | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| url |
1..1 | uri | "observation" | |||||||||
| value[x] |
1..1 | Reference(Observation) | Triggering observation. | |||||||||
| extension:type |
1..1 | Extension | reflex | repeat | re-run Binding: observation-triggeredbytype (??) (required) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| url |
1..1 | uri | "type" | |||||||||
| value[x] |
1..1 | code | The type of trigger. Reflex | Repeat | Re-run | |||||||||
| extension:reason |
0..1 | Extension | Reason that the observation was triggered | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| url |
1..1 | uri | "reason" | |||||||||
| value[x] |
1..1 | string | Reason that the observation was triggered. | |||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||
| extension:bodyStructureR5 |
N | 0..1 | Reference(BodyStructure) | Observed body structure. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure | ||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||||||
| status |
?!SΣ | 1..1 | code | Observation Status (HL7 v2 OBX-11) Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||||||
| category |
S | 0..* | CodeableConcept | A code that classifies the general type of observation being made. Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||||||
| code |
SΣ | 1..1 | CodeableConcept | The type of observation (code / type). (HL7 v2 OBX-3) Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation | ||||||||
| subject |
SΣ | 1..1 | Reference(Patient | Group | Device | Location) | Who and / or what the observation is about. | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | NHSNumber | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
OΣ | 0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| effective[x] |
SOΣ | 0..1 | Clinically relevant time/time-period for observation (HL7 v2 OBX-14)
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effectiveTiming |
Timing | |||||||||||
| effectiveInstant |
instant | |||||||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||||||
| performer |
SΣ | 0..* | Reference(PractitionerRole | Patient) | Who is responsible for the observation. | ||||||||
| value[x] |
SΣC | 0..1 | Actual result (HL7 v2 OBX-5) | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
| note |
0..* | Annotation | Comments about the observation | |||||||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality. | |||||||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (preferred): Methods for simple observations. | |||||||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||||||
| 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 | ||||||||
| 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 |
SΣ | 1..* | 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 |
SΣ | 0..* | BackboneElement | Component / sub 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: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation | ||||||||
| value[x] |
Σ | 0..1 | Actual component result | |||||||||
| valueQuantity |
Quantity | |||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||
| valueString |
string | |||||||||||
| valueBoolean |
boolean | |||||||||||
| valueInteger |
integer | |||||||||||
| valueRange |
Range | |||||||||||
| valueRatio |
Ratio | |||||||||||
| valueSampledData |
SampledData | |||||||||||
| valueTime |
time | |||||||||||
| valueDateTime |
dateTime | |||||||||||
| valuePeriod |
Period | |||||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||
| Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Observation.extension:triggeredByR5.extension:type [] | required | http://hl7.org/fhir/ValueSet/observation-triggeredbytypehttp://hl7.org/fhir/ValueSet/observation-triggeredbytype | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType | ||||
| Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Observation.encounter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | preferred | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | preferred | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
This structure is derived from Observation
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ Manchester University NHS Foundation Trust. Package north-west.england.nhs.uk#0.0.1 based on FHIR 4.0.1. Generated 2025-04-20
Links: Table of Contents |
QA Report
| New Issue | Issues
Version History |
|
Propose a change