MyHealth@Eu Medical Imaging Report
9.1.1 - ci-build 150

MyHealth@Eu Medical Imaging Report - Local Development build (v9.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Observation Results: IDR

Official URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/observationResults-img-myhealtheu | Version: 9.1.1
Standards status: Draft | Maturity Level: 1 | Computable Name: ObservationResultsImgMyHealthEu

This profile constrains the Observation resource to represent results produced by imaging services for the purpose of this guide. This observation may represent the result of a simple imaging test such as a chest X-ray or it may group the set of results produced by a multi-test imaging study or panel such as a CT scan series, an MRI study, or a comprehensive radiological examination. In the latter case, the observation carries the overall conclusion of the study and or a global interpretation by the producer of the study, in the comment element; and references the atomic results of the study as "has-member" child observations.

Usages:

- Use this Profile: Bundle: Imaging
- Refer to this Profile: Extension: HL7IDR KeyImage Finding, Extension: HL7IDR Impression, Composition Imaging MyHealth@EU and DiagnosticReport MyHealthEu Imaging
- Examples for this Profile: Observation/ExampleObservationResultsImg

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | MedicalTestResultMyHealthCore | Measurements and simple assertions This profile also imposes the profile Observation: Imaging Finding Constraints: obs-6, obs-7, obs-value-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodyStructure |  | 0..1 | Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) | R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1
extension:triggeredBy |  | 0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:observation |  | 1..1 | Extension | Extension Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "observation"
value[x] |  | 1..1 | Reference(Observation: Medical Test Result (Core)) | Triggering observation
extension:type |  | 1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-1
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
extension:reason |  | 0..1 | Extension | R5: Reason that the observation was triggered (new) Constraints: ext-1
url |  | 1..1 | uri | "reason"
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension:value-r5 |  | 0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUid | Σ | 0..1 | Identifier | Business Identifier for observation
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging/CodeSystem/codesystem-missing-dicom-terminology
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderEuImagingaccession | Σ | 0..* | Reference(ServiceRequest: Imaging) | Fulfills plan, proposal or order
identifier | Σ | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 1..* | CodeableConcept | Classification of type of observation Binding: eHDSI Observation category (extensible)
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: eHDSI Observation Code With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core)) | Who and/or what the observation is about
effective[x] | Σ | 1..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Closed by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | Σ C | 0..1 | QuantityMyHealth | Actual result
Slices for extension |  |  |  | Content/Rules for all slices
extension:uncertainty |  | 0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | Actual result Binding: eHDSI Observation Results Coded Value With Exceptions (required)
value[x]:valueRatio | Σ C | 0..1 | RatioMyHealth | Actual result
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.extension:triggeredBy.​extension:type.value[x] | Base | required | Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.identifier:observationUid.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Observation.identifier:observationUid.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | extensible | eHDSI Observation category | 📦9.1.0 | This IG
Observation.code | Base | required | eHDSI Observation Code With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.value[x]:valueCodeableConcept | Base | required | eHDSI Observation Results Coded Value With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Observation.extension:bodyStructure, Observation.extension:triggeredBy, Observation.extension:triggeredBy.extension, Observation.extension:triggeredBy.extension:observation, Observation.extension:triggeredBy.extension:type, Observation.extension:triggeredBy.extension:reason, Observation.extension:value-r5, Observation.modifierExtension, Observation.value[x]:valueQuantity.extension:uncertainty | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`
obs-value-1 | error | Observation | The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. | `value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()`

This structure is derived from MedicalTestResultMyHealthCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  |  | MedicalTestResultMyHealthCore | This profile also imposes the profile Observation: Imaging Finding
Slices for identifier |  | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUid |  | 0..1 | Identifier | Business Identifier for observation
type |  | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging/CodeSystem/codesystem-missing-dicom-terminology
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018
Slices for basedOn |  | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderEuImagingaccession |  | 0..* | Reference(ServiceRequest: Imaging) | Fulfills plan, proposal or order
identifier |  | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | MedicalTestResultMyHealthCore | Measurements and simple assertions This profile also imposes the profile Observation: Imaging Finding Constraints: obs-6, obs-7, obs-value-1
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 observation Binding: eHDSI Language (required)
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:bodyStructure |  | 0..1 | Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) | R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1
extension:triggeredBy |  | 0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:observation |  | 1..1 | Extension | Extension Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "observation"
value[x] |  | 1..1 | Reference(Observation: Medical Test Result (Core)) | Triggering observation
extension:type |  | 1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
extension:reason |  | 0..1 | Extension | R5: Reason that the observation was triggered (new) Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "reason"
value[x] |  | 0..1 | string | Reason that the observation was triggered
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension:value-r5 |  | 0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
value[x] |  | 0..1 | Attachment | Actual result
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUid | Σ | 0..1 | Identifier | Business Identifier for 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
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging/CodeSystem/codesystem-missing-dicom-terminology
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
Slices for basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderEuImagingaccession | Σ | 0..* | Reference(ServiceRequest: Imaging) | Fulfills plan, proposal or order
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 | Σ C | 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 | Σ | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 1..* | CodeableConcept | Classification of type of observation Binding: eHDSI Observation category (extensible)
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: eHDSI Observation Code With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core)) | Who and/or what the observation is about
focus | Σ | 0..* | Reference(Patient (Core) | RelatedPerson | Location (Core)) | What the observation is about, when it is not about the subject of record
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
effective[x] | Σ | 1..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) | Who is responsible for the observation
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:performerFunction |  | 0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference | Σ C | 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 | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Closed by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | Σ C | 0..1 | QuantityMyHealth | Actual result
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:uncertainty |  | 0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | Actual result Binding: eHDSI Observation Results Coded Value With Exceptions (required)
value[x]:valueRatio | Σ C | 0..1 | RatioMyHealth | Actual result
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: eHDSI Data Absent Reason (extensible)
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: eHDSI Observation Interpretation With Exceptions (required)
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: eHDSI Body Site With Exceptions (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(BodyStructure (Core)) | Value of extension
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
method |  | 0..1 | CodeableConcept | How it was done Binding: eHDSI Observation Method With Exceptions (required)
specimen |  | 0..1 | Reference(Specimen) | Specimen used for the observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: eHDSI Reference Range Meaning With Exceptions (required)
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: eHDSI Reference Range Applies To With Exceptions (required)
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(Observation: Medical Test Result (Core)) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(Observation: Medical Test Result (Core) | ImagingStudy) | Related measurements the observation is made from
component | Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:value-r5 |  | 0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
value[x] |  | 0..1 | Attachment | Actual result
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: eHDSI Observation Code With Exceptions (required)
Slices for value[x] | Σ | 0..1 |  | Actual component result Slice: Unordered, Closed by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | Σ | 0..1 | QuantityMyHealth | Actual component result
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:uncertainty |  | 0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
value[x]:valueCodeableConcept | Σ | 0..1 | CodeableConcept | Actual component result Binding: eHDSI Observation Results Coded Value With Exceptions (required)
value[x]:valueRatio | Σ | 0..1 | RatioMyHealth | Actual component result
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: eHDSI Data Absent Reason (extensible)
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: eHDSI Observation Interpretation With Exceptions (required)
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
Observation.extension:triggeredBy.​extension:type.value[x] | Base | required | Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.identifier:observationUid.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Observation.identifier:observationUid.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
Observation.basedOn:ServiceRequestOrderEuImagingaccession.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | extensible | eHDSI Observation category | 📦9.1.0 | This IG
Observation.code | Base | required | eHDSI Observation Code With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.performer.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Observation.value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.value[x]:valueCodeableConcept | Base | required | eHDSI Observation Results Coded Value With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.dataAbsentReason | Base | extensible | eHDSI Data Absent Reason | 📦9.1.0 | This IG
Observation.interpretation | Base | required | eHDSI Observation Interpretation With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.bodySite | Base | required | eHDSI Body Site With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.method | Base | required | eHDSI Observation Method With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.referenceRange.​type | Base | required | eHDSI Reference Range Meaning With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.referenceRange.​appliesTo | Base | required | eHDSI Reference Range Applies To With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.component.​code | Base | required | eHDSI Observation Code With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.component.​value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.component.​value[x]:valueCodeableConcept | Base | required | eHDSI Observation Results Coded Value With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.component.​dataAbsentReason | Base | extensible | eHDSI Data Absent Reason | 📦9.1.0 | This IG
Observation.component.​interpretation | Base | required | eHDSI Observation Interpretation With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text | `low.exists() or high.exists() or text.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`
obs-value-1 | error | Observation | The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. | `value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()`

This structure is derived from MedicalTestResultMyHealthCore

Summary

Mandatory: 0 element(2 nested mandatory elements)

Structures

This structure refers to these other structures:

- ServiceRequest: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/serviceRequest-img-myhealtheu)
- Identifier: Accession Number (http://hl7.eu/fhir/imaging/StructureDefinition/AccessionNumberIdentifierEuImaging)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.identifier
- The element 1 is sliced based on the value of Observation.basedOn

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | MedicalTestResultMyHealthCore | Measurements and simple assertions This profile also imposes the profile Observation: Imaging Finding Constraints: obs-6, obs-7, obs-value-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodyStructure |  | 0..1 | Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) | R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1
extension:triggeredBy |  | 0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:observation |  | 1..1 | Extension | Extension Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "observation"
value[x] |  | 1..1 | Reference(Observation: Medical Test Result (Core)) | Triggering observation
extension:type |  | 1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-1
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
extension:reason |  | 0..1 | Extension | R5: Reason that the observation was triggered (new) Constraints: ext-1
url |  | 1..1 | uri | "reason"
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension:value-r5 |  | 0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUid | Σ | 0..1 | Identifier | Business Identifier for observation
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging/CodeSystem/codesystem-missing-dicom-terminology
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderEuImagingaccession | Σ | 0..* | Reference(ServiceRequest: Imaging) | Fulfills plan, proposal or order
identifier | Σ | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 1..* | CodeableConcept | Classification of type of observation Binding: eHDSI Observation category (extensible)
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: eHDSI Observation Code With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core)) | Who and/or what the observation is about
effective[x] | Σ | 1..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Closed by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | Σ C | 0..1 | QuantityMyHealth | Actual result
Slices for extension |  |  |  | Content/Rules for all slices
extension:uncertainty |  | 0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | Actual result Binding: eHDSI Observation Results Coded Value With Exceptions (required)
value[x]:valueRatio | Σ C | 0..1 | RatioMyHealth | Actual result
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.extension:triggeredBy.​extension:type.value[x] | Base | required | Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.identifier:observationUid.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Observation.identifier:observationUid.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | extensible | eHDSI Observation category | 📦9.1.0 | This IG
Observation.code | Base | required | eHDSI Observation Code With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.value[x]:valueCodeableConcept | Base | required | eHDSI Observation Results Coded Value With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Observation.extension:bodyStructure, Observation.extension:triggeredBy, Observation.extension:triggeredBy.extension, Observation.extension:triggeredBy.extension:observation, Observation.extension:triggeredBy.extension:type, Observation.extension:triggeredBy.extension:reason, Observation.extension:value-r5, Observation.modifierExtension, Observation.value[x]:valueQuantity.extension:uncertainty | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`
obs-value-1 | error | Observation | The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. | `value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()`

Differential View

This structure is derived from MedicalTestResultMyHealthCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  |  | MedicalTestResultMyHealthCore | This profile also imposes the profile Observation: Imaging Finding
Slices for identifier |  | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUid |  | 0..1 | Identifier | Business Identifier for observation
type |  | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging/CodeSystem/codesystem-missing-dicom-terminology
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018
Slices for basedOn |  | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderEuImagingaccession |  | 0..* | Reference(ServiceRequest: Imaging) | Fulfills plan, proposal or order
identifier |  | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | MedicalTestResultMyHealthCore | Measurements and simple assertions This profile also imposes the profile Observation: Imaging Finding Constraints: obs-6, obs-7, obs-value-1
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 observation Binding: eHDSI Language (required)
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:bodyStructure |  | 0..1 | Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) | R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1
extension:triggeredBy |  | 0..* | (Complex) | R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:observation |  | 1..1 | Extension | Extension Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "observation"
value[x] |  | 1..1 | Reference(Observation: Medical Test Result (Core)) | Triggering observation
extension:type |  | 1..1 | Extension | R5: reflex | repeat | re-run (new) Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | code | reflex | repeat | re-run Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
extension:reason |  | 0..1 | Extension | R5: Reason that the observation was triggered (new) Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "reason"
value[x] |  | 0..1 | string | Reason that the observation was triggered
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension:value-r5 |  | 0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
value[x] |  | 0..1 | Attachment | Actual result
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUid | Σ | 0..1 | Identifier | Business Identifier for 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
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging/CodeSystem/codesystem-missing-dicom-terminology
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
Slices for basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderEuImagingaccession | Σ | 0..* | Reference(ServiceRequest: Imaging) | Fulfills plan, proposal or order
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 | Σ C | 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 | Σ | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 1..* | CodeableConcept | Classification of type of observation Binding: eHDSI Observation category (extensible)
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: eHDSI Observation Code With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core)) | Who and/or what the observation is about
focus | Σ | 0..* | Reference(Patient (Core) | RelatedPerson | Location (Core)) | What the observation is about, when it is not about the subject of record
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
effective[x] | Σ | 1..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) | Who is responsible for the observation
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:performerFunction |  | 0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference | Σ C | 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 | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Closed by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | Σ C | 0..1 | QuantityMyHealth | Actual result
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:uncertainty |  | 0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | Actual result Binding: eHDSI Observation Results Coded Value With Exceptions (required)
value[x]:valueRatio | Σ C | 0..1 | RatioMyHealth | Actual result
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: eHDSI Data Absent Reason (extensible)
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: eHDSI Observation Interpretation With Exceptions (required)
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: eHDSI Body Site With Exceptions (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(BodyStructure (Core)) | Value of extension
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
method |  | 0..1 | CodeableConcept | How it was done Binding: eHDSI Observation Method With Exceptions (required)
specimen |  | 0..1 | Reference(Specimen) | Specimen used for the observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: eHDSI Reference Range Meaning With Exceptions (required)
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: eHDSI Reference Range Applies To With Exceptions (required)
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(Observation: Medical Test Result (Core)) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(Observation: Medical Test Result (Core) | ImagingStudy) | Related measurements the observation is made from
component | Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:value-r5 |  | 0..1 | (Complex) | only for Diagrams or Pictures URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
value[x] |  | 0..1 | Attachment | Actual result
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: eHDSI Observation Code With Exceptions (required)
Slices for value[x] | Σ | 0..1 |  | Actual component result Slice: Unordered, Closed by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueQuantity | Σ | 0..1 | QuantityMyHealth | Actual component result
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:uncertainty |  | 0..1 | decimal | Standard Deviation (same units as the quantity) URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
value[x]:valueCodeableConcept | Σ | 0..1 | CodeableConcept | Actual component result Binding: eHDSI Observation Results Coded Value With Exceptions (required)
value[x]:valueRatio | Σ | 0..1 | RatioMyHealth | Actual component result
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: eHDSI Data Absent Reason (extensible)
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: eHDSI Observation Interpretation With Exceptions (required)
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
Observation.extension:triggeredBy.​extension:type.value[x] | Base | required | Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.identifier:observationUid.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Observation.identifier:observationUid.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
Observation.basedOn:ServiceRequestOrderEuImagingaccession.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | extensible | eHDSI Observation category | 📦9.1.0 | This IG
Observation.code | Base | required | eHDSI Observation Code With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.performer.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Observation.value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.value[x]:valueCodeableConcept | Base | required | eHDSI Observation Results Coded Value With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.dataAbsentReason | Base | extensible | eHDSI Data Absent Reason | 📦9.1.0 | This IG
Observation.interpretation | Base | required | eHDSI Observation Interpretation With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.bodySite | Base | required | eHDSI Body Site With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.method | Base | required | eHDSI Observation Method With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.referenceRange.​type | Base | required | eHDSI Reference Range Meaning With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.referenceRange.​appliesTo | Base | required | eHDSI Reference Range Applies To With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.component.​code | Base | required | eHDSI Observation Code With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.component.​value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.component.​value[x]:valueCodeableConcept | Base | required | eHDSI Observation Results Coded Value With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Observation.component.​dataAbsentReason | Base | extensible | eHDSI Data Absent Reason | 📦9.1.0 | This IG
Observation.component.​interpretation | Base | required | eHDSI Observation Interpretation With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text | `low.exists() or high.exists() or text.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`
obs-value-1 | error | Observation | The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. | `value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()`

This structure is derived from MedicalTestResultMyHealthCore

Summary

Mandatory: 0 element(2 nested mandatory elements)

Structures

This structure refers to these other structures:

- ServiceRequest: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/serviceRequest-img-myhealtheu)
- Identifier: Accession Number (http://hl7.eu/fhir/imaging/StructureDefinition/AccessionNumberIdentifierEuImaging)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.identifier
- The element 1 is sliced based on the value of Observation.basedOn

Maturity: 1

Other representations of profile: CSV, Excel, Schematron