description: The US Core Laboratory Result Observation Profile is based upon the US Core Observation Clinical Result Profile and, along with the US Core DiagnosticReport Profile for Laboratory Results Reporting, meets the U.S. Core Data for Interoperability (USCDI) Laboratory requirements. Laboratory results are grouped and summarized using the DiagnosticReport resource, which references Observation resources. Each Observation resource represents an individual laboratory test and result value, a “nested” panel (such as a microbial susceptibility panel) that references other observations, or rarely a laboratory test with component result values. The US Core Laboratory Result Observation Profile sets minimum expectations for the Observation resource to record, search, and fetch laboratory test results associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.
package_name: hl7.fhir.us.core
derivation: constraint
name: USCoreLaboratoryResultObservationProfile
type: Observation
elements:
  category:
    short: (USCDI) Classification of  type of observation
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: laboratory, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
    index: 0
    slicing:
      slices:
        us-core:
          match: {}
          schema:
            short: (USCDI) Classification of  type of observation
            mustSupport: true
            _required: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: laboratory, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
            index: 0
          min: 1
          max: 1
  valueTime:
    constraint:
      us-core-4:
        human: SHOULD use Snomed CT for coded Results
        severity: warning
        extension:
        - {url: 'http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice', valueBoolean: true}
        expression: value.ofType(CodeableConcept).coding.system.empty() or value.ofType(CodeableConcept).coding.system = 'http://snomed.info/sct'
    short: (USCDI) Result Value
    type: time
    mustSupport: true
    choiceOf: value
    index: 12
  specimen:
    type: Reference
    short: (USCDI) Specimen used for this observation
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen']
    index: 15
  valueQuantity:
    constraint:
      us-core-4:
        human: SHOULD use Snomed CT for coded Results
        severity: warning
        extension:
        - {url: 'http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice', valueBoolean: true}
        expression: value.ofType(CodeableConcept).coding.system.empty() or value.ofType(CodeableConcept).coding.system = 'http://snomed.info/sct'
    short: (USCDI) Result Value
    type: Quantity
    mustSupport: true
    choiceOf: value
    index: 4
  value:
    constraint:
      us-core-4:
        human: SHOULD use Snomed CT for coded Results
        severity: warning
        extension:
        - {url: 'http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice', valueBoolean: true}
        expression: value.ofType(CodeableConcept).coding.system.empty() or value.ofType(CodeableConcept).coding.system = 'http://snomed.info/sct'
    short: (USCDI) Result Value
    mustSupport: true
    choices: [valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueInteger, valueRange, valueRatio, valueSampledData, valueTime, valueDateTime, valuePeriod]
    index: 3
  valueString:
    constraint:
      us-core-4:
        human: SHOULD use Snomed CT for coded Results
        severity: warning
        extension:
        - {url: 'http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice', valueBoolean: true}
        expression: value.ofType(CodeableConcept).coding.system.empty() or value.ofType(CodeableConcept).coding.system = 'http://snomed.info/sct'
    short: (USCDI) Result Value
    type: string
    mustSupport: true
    choiceOf: value
    index: 6
  valueRatio:
    constraint:
      us-core-4:
        human: SHOULD use Snomed CT for coded Results
        severity: warning
        extension:
        - {url: 'http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice', valueBoolean: true}
        expression: value.ofType(CodeableConcept).coding.system.empty() or value.ofType(CodeableConcept).coding.system = 'http://snomed.info/sct'
    short: (USCDI) Result Value
    type: Ratio
    mustSupport: true
    choiceOf: value
    index: 10
  valueBoolean:
    constraint:
      us-core-4:
        human: SHOULD use Snomed CT for coded Results
        severity: warning
        extension:
        - {url: 'http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice', valueBoolean: true}
        expression: value.ofType(CodeableConcept).coding.system.empty() or value.ofType(CodeableConcept).coding.system = 'http://snomed.info/sct'
    short: (USCDI) Result Value
    type: boolean
    mustSupport: true
    choiceOf: value
    index: 7
  valueDateTime:
    constraint:
      us-core-4:
        human: SHOULD use Snomed CT for coded Results
        severity: warning
        extension:
        - {url: 'http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice', valueBoolean: true}
        expression: value.ofType(CodeableConcept).coding.system.empty() or value.ofType(CodeableConcept).coding.system = 'http://snomed.info/sct'
    short: (USCDI) Result Value
    type: dateTime
    mustSupport: true
    choiceOf: value
    index: 13
  valueSampledData:
    constraint:
      us-core-4:
        human: SHOULD use Snomed CT for coded Results
        severity: warning
        extension:
        - {url: 'http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice', valueBoolean: true}
        expression: value.ofType(CodeableConcept).coding.system.empty() or value.ofType(CodeableConcept).coding.system = 'http://snomed.info/sct'
    short: (USCDI) Result Value
    type: SampledData
    mustSupport: true
    choiceOf: value
    index: 11
  code:
    short: (USCDI) Laboratory Test Name
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-laboratory-test-codes'}
    mustSupport: true
    index: 1
  valueCodeableConcept:
    constraint:
      us-core-4:
        human: SHOULD use Snomed CT for coded Results
        severity: warning
        extension:
        - {url: 'http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice', valueBoolean: true}
        expression: value.ofType(CodeableConcept).coding.system.empty() or value.ofType(CodeableConcept).coding.system = 'http://snomed.info/sct'
    short: (USCDI) Result Value
    type: CodeableConcept
    mustSupport: true
    choiceOf: value
    index: 5
  valuePeriod:
    constraint:
      us-core-4:
        human: SHOULD use Snomed CT for coded Results
        severity: warning
        extension:
        - {url: 'http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice', valueBoolean: true}
        expression: value.ofType(CodeableConcept).coding.system.empty() or value.ofType(CodeableConcept).coding.system = 'http://snomed.info/sct'
    short: (USCDI) Result Value
    type: Period
    mustSupport: true
    choiceOf: value
    index: 14
  valueRange:
    constraint:
      us-core-4:
        human: SHOULD use Snomed CT for coded Results
        severity: warning
        extension:
        - {url: 'http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice', valueBoolean: true}
        expression: value.ofType(CodeableConcept).coding.system.empty() or value.ofType(CodeableConcept).coding.system = 'http://snomed.info/sct'
    short: (USCDI) Result Value
    type: Range
    mustSupport: true
    choiceOf: value
    index: 9
  valueInteger:
    constraint:
      us-core-4:
        human: SHOULD use Snomed CT for coded Results
        severity: warning
        extension:
        - {url: 'http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice', valueBoolean: true}
        expression: value.ofType(CodeableConcept).coding.system.empty() or value.ofType(CodeableConcept).coding.system = 'http://snomed.info/sct'
    short: (USCDI) Result Value
    type: integer
    mustSupport: true
    choiceOf: value
    index: 8
package_version: 6.1.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result
version: 6.1.0
required: [category]