description: This profile constrains the US Core Laboratory Result Observation to At-Home In-Vitro Sample Tests.
package_name: hl7.fhir.us.home-lab-report.r4b
derivation: constraint
name: ObservationAtHomeInVitroTestResult
type: Observation
elements:
  hasMember:
    type: Reference
    short: Multiplex Assay tests that serve as a single test to diagnose infection caused by multiple viruses (e.g. CDC Flu SC2 Multiplex Assay for SARS-CoV-2, influenza A, and/or influenza B viruses) should be recorded using multiple Observation.hasMember elements.
    refers: ['http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-at-home-in-vitro-test-result']
    index: 15
  specimen:
    type: Reference
    short: The Specimen SHALL be from at-home sample. The referenced specifimen should contain a Specimen.identifier and a Specimen.identifier.assigner.
    refers: ['http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Specimen-at-home-in-vitro-test']
    index: 13
  value:
    short: 'At-Home Test Result value. Consult LIVD: https://www.cdc.gov/csels/dls/livd-codes.html to obtain the values to be used for each particular use case. V2: OBX-5.1, OBX-5.2, OBX-5.3, OBX-5.7'
    choices: [valueCodeableConcept]
    index: 11
  extension: {type: Extension, url: 'http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Extension-at-home-in-vitro-test-proctored-info', index: 1}
  effectiveDateTime: {type: dateTime, short: 'At-Home Test date of interpretation/result date. The effectiveTime SHALL be precise to at least the minute and SHALL include a time zone offset. NOTE: For multiplex tests, this field must match across all results. V2: OBX-7.1, OBX-19', choiceOf: effective, index: 7}
  status:
    short: 'At-Home Test result status final. V2: OBR-25, OBX-11'
    pattern: {type: Code, value: final}
    index: 2
  effective:
    short: 'At-Home Test date of interpretation/result date. The effectiveTime SHALL be precise to at least the minute and SHALL include a time zone offset. NOTE: For multiplex tests, this field must match across all results. V2: OBX-7.1, OBX-19'
    choices: [effectiveDateTime]
    index: 6
  id: {mustSupport: true, index: 0}
  code: {short: 'At-Home Test performed code. Consult LIVD: https://www.cdc.gov/csels/dls/livd-codes.html to obtain the values to be used for each particular use case. V2: OBX-3.1, OBX-3.2, OBX-3.3, OBX-3.7', index: 3}
  valueCodeableConcept: {type: CodeableConcept, short: 'At-Home Test Result value. Consult LIVD: https://www.cdc.gov/csels/dls/livd-codes.html to obtain the values to be used for each particular use case. V2: OBX-5.1, OBX-5.2, OBX-5.3, OBX-5.7', choiceOf: value, index: 12}
  issued: {short: 'At-Home Test result date released - when test item is done (in the at-home setting will mostly be the same as the Observation.effective[x], could be different when a proctor is involved - when the proctor releases the result). V2: OBR-22.1', mustSupport: true, index: 8}
  device:
    short: The referenced device SHALL be at-home test device.
    refers: ['http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Device-at-home-in-vitro-test']
    type: Reference
    mustSupport: true
    label: At home test device
    index: 14
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Patient-at-home-in-vitro-test']
    index: 4
  performer:
    type: Reference
    short: If the performer is not the patient being tested, specify the person performing the test.
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson', 'http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Patient-at-home-in-vitro-test']
    index: 9
package_version: 1.1.0
extensions: {}
class: profile
kind: resource
url: http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-at-home-in-vitro-test-result
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
version: 1.1.0
required: [device, effectiveDateTime, id, specimen, effective]