{
"description": "Obligations for the logical model of general observation",
"_filename": "StructureDefinition-EHDSObservationObligations.json",
"package_name": "xtehr.eu.ehds.models",
"date": "2026-04-13T14:09:30+02:00",
"derivation": "constraint",
"publisher": "Xt-EHR",
"fhirVersion": "5.0.0",
"name": "EHDSObservationObligations",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Observation Obligations",
"package_version": "1.0.0",
"snapshot": {
"element": [ {
"path": "EHDSObservation",
"min": 0,
"definition": "Model for information about an oservation and its results.",
"isModifier": false,
"short": "Observation model",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"max": "*",
"id": "EHDSObservation",
"base": {
"max": "*",
"min": 0,
"path": "Base"
}
}, {
"id": "EHDSObservation.header",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "EHDSDataSet.header"
},
"path": "EHDSObservation.header",
"type": [ {
"code": "Base"
} ],
"short": "Basic metadata for this information",
"definition": "Basic metadata for this information"
}, {
"path": "EHDSObservation.header.subject",
"min": 1,
"definition": "Patient/subject information",
"short": "Patient who is receiving health care. This patient might be different from the direct subject of the observation.",
"type": [ {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR systems SHALL provide information about the subject of care (patient)."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL render information about the subject of care in such a way that unambiguous assignment to the care subject is preserved."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:process"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Information about the subject of care SHALL be processed by the EHR system in such a way that the identity of the subject of care cannot be confused."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "1",
"id": "EHDSObservation.header.subject",
"base": {
"max": "1",
"min": 1,
"path": "EHDSDataSet.header.subject"
}
}, {
"path": "EHDSObservation.header.identifier",
"min": 0,
"definition": "Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).",
"short": "Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).",
"type": [ {
"code": "Identifier"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "A business identifier of the observation SHALL be populated if known."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:process"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "EHR systems SHALL be able to process identifiers accordingly. Processing means mainly storing identifiers as part of the resource if EHR system stores it."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "*",
"id": "EHDSObservation.header.identifier",
"base": {
"max": "*",
"min": 0,
"path": "EHDSDataSet.header.identifier"
}
}, {
"path": "EHDSObservation.header.author[x]",
"min": 0,
"definition": "Author(s) responsible for the provided information. The exact role of the responsible author varies across use cases and is specific to individual models.",
"short": "Author(s) responsible for the provided information.",
"type": [ {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional"
}, {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"
}, {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to populate known information about authorhip of the observation. Multiple authors could be provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If provided, EHR system SHOULD display information about authorship of the Observation."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "*",
"id": "EHDSObservation.header.author[x]",
"base": {
"max": "*",
"min": 0,
"path": "EHDSDataSet.header.author[x]"
}
}, {
"id": "EHDSObservation.header.date",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EHDSDataSet.header.date"
},
"path": "EHDSObservation.header.date",
"type": [ {
"code": "dateTime"
} ],
"short": "Date and optionally time of authoring/issuing",
"definition": "Date and optionally time of authoring/issuing"
}, {
"path": "EHDSObservation.header.status",
"min": 1,
"definition": "Status of the resource or document",
"short": "Status of the resource or document",
"type": [ {
"code": "CodeableConcept"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "HL7 Observation status (e.g., “final,” “preliminary”) SHALL be provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Always show status of the Observation, esp. If different from \"final\", e.g., “Status: preliminary” in UI and printouts; accept any valid status code."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "HL7 Observation status"
},
"max": "1",
"id": "EHDSObservation.header.status",
"base": {
"max": "1",
"min": 1,
"path": "EHDSDataSet.header.status"
}
}, {
"id": "EHDSObservation.header.source",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EHDSDataSet.header.source"
},
"path": "EHDSObservation.header.source",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.",
"definition": "Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information."
}, {
"path": "EHDSObservation.header.language",
"min": 0,
"definition": "Language in which the resource is written. Language is expressed by the IETF language tag.",
"short": "Language in which the resource is written. Language is expressed by the IETF language tag.",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "BCP 47"
},
"max": "1",
"id": "EHDSObservation.header.language",
"base": {
"max": "1",
"min": 0,
"path": "EHDSDataSet.header.language"
}
}, {
"path": "EHDSObservation.header.directSubject[x]",
"min": 0,
"definition": "The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device. Additional types of subject may be allowed in implementations.",
"short": "The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device. Additional types of subject may be allowed in implementations.",
"type": [ {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient"
}, {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSLocation"
}, {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice"
}, {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional"
}, {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"
}, {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSProcedure"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "SHALL provide information about direct subject of the observation if diferent from the subject of care (another patient, animal or other allowed subject type)."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL always display information about subject of the observation if different from subject of care."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "1",
"id": "EHDSObservation.header.directSubject[x]",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.header.directSubject[x]"
}
}, {
"path": "EHDSObservation.observationDate[x]",
"min": 1,
"definition": "Clinically relevant time or time period for the observation",
"short": "Clinically relevant time or time period for the observation",
"slicing": {
"rules": "closed",
"ordered": false,
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"type": [ {
"code": "dateTime"
}, {
"code": "Period"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to populate date and time and/or period for when the test was performed."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Observation date or period SHALL be displayed if provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "1",
"id": "EHDSObservation.observationDate[x]",
"base": {
"max": "1",
"min": 1,
"path": "EHDSObservation.observationDate[x]"
}
}, {
"path": "EHDSObservation.observationDate[x]",
"min": 0,
"definition": "Clinically relevant time or time period for the observation",
"short": "Clinically relevant time or time period for the observation",
"type": [ {
"code": "dateTime"
} ],
"sliceName": "observationDateDateTime",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to populate exact date and time when the test was performed."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Show Observation Date in UI and print; accept any valid ISO 8601 dateTime."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "1",
"id": "EHDSObservation.observationDate[x]:observationDateDateTime",
"base": {
"max": "1",
"min": 1,
"path": "EHDSObservation.observationDate[x]"
}
}, {
"path": "EHDSObservation.observationDate[x]",
"min": 0,
"definition": "Clinically relevant time or time period for the observation",
"short": "Clinically relevant time or time period for the observation",
"type": [ {
"code": "Period"
} ],
"sliceName": "observationDatePeriod",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to populate period for when the test was performed."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Show Observation Period; accept any valid Period (start ≤ end)."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "1",
"id": "EHDSObservation.observationDate[x]:observationDatePeriod",
"base": {
"max": "1",
"min": 1,
"path": "EHDSObservation.observationDate[x]"
}
}, {
"path": "EHDSObservation.type",
"min": 1,
"definition": "Observation type. Code and name representing the type of the observation using the agreed code systems.",
"short": "Observation type. Code and name representing the type of the observation using the agreed code systems.",
"type": [ {
"code": "CodeableConcept"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "Test code is mandatory element for identification of the kind of test performed from approved code system."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Observation type is a mandatory element. EHR system SHALL display observation type. The type carries the correct semantic meaning of the observation. i.e. code and display name. Any valid CodeableConcept SHALL be accepted."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:process"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Observation type SHALL be processed accordingly, this value should be taken into consideration especially when comparing result values."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "LOINC, SNOMED CT"
},
"max": "1",
"id": "EHDSObservation.type",
"base": {
"max": "1",
"min": 1,
"path": "EHDSObservation.type"
}
}, {
"path": "EHDSObservation.originalName",
"min": 0,
"definition": "Original (conventional) name of the observation as used in the local laboratory or clinical system.",
"short": "Original (conventional) name of the observation as used in the local laboratory or clinical system.",
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If the EHR system supplies its own original test name, it SHALL be provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Original (local) test name SHOULD be displayed, if provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "1",
"id": "EHDSObservation.originalName",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.originalName"
}
}, {
"path": "EHDSObservation.method",
"min": 0,
"definition": "Observation method (measurement principle) to obtain the result.",
"short": "Observation method",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"max": "1",
"id": "EHDSObservation.method",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.method"
}
}, {
"id": "EHDSObservation.specimen",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.specimen"
},
"path": "EHDSObservation.specimen",
"type": [ {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSSpecimen"
} ],
"short": "Specimen used for this observation.",
"definition": "Specimen used for this observation."
}, {
"id": "EHDSObservation.order",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.order"
},
"path": "EHDSObservation.order",
"type": [ {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSServiceRequest"
} ],
"short": "Identifies order and order placer this observation belongs to",
"definition": "Identifies order and order placer this observation belongs to"
}, {
"path": "EHDSObservation.performer[x]",
"min": 0,
"definition": "Performer of the observation. Some test could be performed by the patient himself or by a care giver. Those are in the scope of this deliverable under specified conditions.",
"short": "Performer of the observation. Some test could be performed by the patient himself or by a care giver. Those are in the scope of this deliverable under specified conditions.",
"type": [ {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"
}, {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional"
}, {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient"
}, {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL provide information about performer of the test, if available. Test can be performed by professional, patient himself or by a care giver."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "*",
"id": "EHDSObservation.performer[x]",
"base": {
"max": "*",
"min": 0,
"path": "EHDSObservation.performer[x]"
}
}, {
"id": "EHDSObservation.bodySite",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.bodySite"
},
"path": "EHDSObservation.bodySite",
"type": [ {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSBodyStructure"
} ],
"short": "Anatomic location and laterality where the observation was performed.",
"definition": "Anatomic location and laterality where the observation was performed."
}, {
"path": "EHDSObservation.result",
"min": 1,
"definition": "Result of the observation including text, numeric, coded, and other types of results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.",
"short": "Result of the observation including text, numeric, coded, and other types of results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.",
"type": [ {
"code": "Base"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to provide test results."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "SHALL display results of the Observation."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "1",
"id": "EHDSObservation.result",
"base": {
"max": "1",
"min": 1,
"path": "EHDSObservation.result"
}
}, {
"path": "EHDSObservation.result.value[x]",
"min": 0,
"definition": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"short": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"slicing": {
"rules": "closed",
"ordered": false,
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"type": [ {
"code": "string"
}, {
"code": "Quantity"
}, {
"code": "Range"
}, {
"code": "Ratio"
}, {
"code": "CodeableConcept"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to provide test result values in various forms: numeric, textual and coded."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "SHALL display results of the Observation."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units, SNOMED CT for coded results"
},
"max": "1",
"id": "EHDSObservation.result.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.result.value[x]"
}
}, {
"path": "EHDSObservation.result.value[x]",
"min": 0,
"definition": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"short": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"type": [ {
"code": "string"
} ],
"sliceName": "valueString",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If only purely textual results are expected, it MUST be provided. Coded results are preferred in most cases."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display textual Result Value in UI and printouts; accept any string."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units, SNOMED CT for coded results"
},
"max": "1",
"id": "EHDSObservation.result.value[x]:valueString",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.result.value[x]"
}
}, {
"path": "EHDSObservation.result.value[x]",
"min": 0,
"definition": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"short": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"type": [ {
"code": "Quantity"
} ],
"sliceName": "valueQuantity",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If EHR system knows numeric result value or numeric range, it MUST be provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display numeric Result Value in UI and printouts; accept any valid Quantity/Range."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units, SNOMED CT for coded results"
},
"max": "1",
"id": "EHDSObservation.result.value[x]:valueQuantity",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.result.value[x]"
}
}, {
"path": "EHDSObservation.result.value[x]",
"min": 0,
"definition": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"short": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"type": [ {
"code": "Range"
} ],
"sliceName": "valueRange",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If EHR system knows numeric result value or numeric range, it MUST be provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display numeric Result Value in UI and printouts; accept any valid Quantity/Range."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units, SNOMED CT for coded results"
},
"max": "1",
"id": "EHDSObservation.result.value[x]:valueRange",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.result.value[x]"
}
}, {
"path": "EHDSObservation.result.value[x]",
"min": 0,
"definition": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"short": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"type": [ {
"code": "Ratio"
} ],
"sliceName": "valueRatio",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If EHR system knows numeric result value or numeric range, it MUST be provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display numeric Result Value in UI and printouts; accept any valid Quantity/Range."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "1",
"id": "EHDSObservation.result.value[x]:valueRatio",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.result.value[x]"
}
}, {
"path": "EHDSObservation.result.value[x]",
"min": 0,
"definition": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"short": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If the EHR system knows coded result value, it SHALL be provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display coded Result Value in UI and printouts; accept any valid CodeableConcept."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units, SNOMED CT for coded results"
},
"max": "1",
"id": "EHDSObservation.result.value[x]:valueCodeableConcept",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.result.value[x]"
}
}, {
"path": "EHDSObservation.result.uncertainty",
"min": 0,
"definition": "Measurement uncertainty information about the observation result.",
"short": "Measurement uncertainty type and interval if needed.",
"type": [ {
"code": "Base"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If the test reports uncertainty (e.g., “±0.1”), allow numeric entry of uncertainty. Store in Quantity or Range."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHOULD display uncertainty of measurement in UI and printouts. Show “Uncertainty: ±0.1”."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "1",
"id": "EHDSObservation.result.uncertainty",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.result.uncertainty"
}
}, {
"id": "EHDSObservation.result.uncertainty.value",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "EHDSObservation.result.uncertainty.value"
},
"path": "EHDSObservation.result.uncertainty.value",
"type": [ {
"code": "decimal"
} ],
"short": "The numerical value of the measurement uncertainty.",
"definition": "The numerical value of the measurement uncertainty."
}, {
"path": "EHDSObservation.result.uncertainty.type",
"min": 0,
"definition": "Probability Distribution Type for uncertainty",
"short": "Probability Distribution Type for uncertainty",
"type": [ {
"code": "Coding"
} ],
"binding": {
"strength": "preferred",
"description": "HL7 ProbabilityDistributionType"
},
"max": "1",
"id": "EHDSObservation.result.uncertainty.type",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.result.uncertainty.type"
}
}, {
"path": "EHDSObservation.result.dataAbsentReason",
"min": 0,
"definition": "Provides a reason why the expected value in the element Observation.value[x] is missing.",
"short": "Provides a reason why the expected value in the element Observation.value[x] is missing.",
"type": [ {
"code": "CodeableConcept"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If no result is available, EHR system SHALL be able to provide data absent reason. Data absent reason SHOULD NOT be expressed as a test result value."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If provided, display e.g. “No result: not‐performed” in UI and print; accept any valid dataAbsentReason without error."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "HL7 Data absent reason"
},
"max": "1",
"id": "EHDSObservation.result.dataAbsentReason",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.result.dataAbsentReason"
}
}, {
"path": "EHDSObservation.referenceRange",
"min": 0,
"definition": "Reference range, multiple reference ranges of different types could be provided. Provides guide for interpretation of the result.",
"short": "Reference range, multiple reference ranges of different types could be provided. Provides guide for interpretation of the result.",
"type": [ {
"code": "Base"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "Allow zero or more referenceRange entries (e.g., normal range “12–16 g/dL”). Populate each as a structured Range or coded description."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, display each range clearly (e.g., “Reference: 12.0–16.0 g/dL”); accept any valid referenceRange structure."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "*",
"id": "EHDSObservation.referenceRange",
"comment": "Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.",
"base": {
"max": "*",
"min": 0,
"path": "EHDSObservation.referenceRange"
}
}, {
"path": "EHDSObservation.referenceRange.low",
"min": 0,
"definition": "Low limit of the reference range.",
"short": "Low limit of the reference range.",
"type": [ {
"code": "Quantity"
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units"
},
"max": "1",
"id": "EHDSObservation.referenceRange.low",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.referenceRange.low"
}
}, {
"path": "EHDSObservation.referenceRange.high",
"min": 0,
"definition": "High limit of the reference range.",
"short": "High limit of the reference range.",
"type": [ {
"code": "Quantity"
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units"
},
"max": "1",
"id": "EHDSObservation.referenceRange.high",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.referenceRange.high"
}
}, {
"path": "EHDSObservation.referenceRange.normalValue",
"min": 0,
"definition": "Normal value, if relevant for the reference range.",
"short": "Normal value, if relevant for the reference range.",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"max": "1",
"id": "EHDSObservation.referenceRange.normalValue",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.referenceRange.normalValue"
}
}, {
"path": "EHDSObservation.referenceRange.type",
"min": 0,
"definition": "Type of reference range.",
"short": "Type of reference range.",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "HL7 Observation Reference Range Meaning Codes"
},
"max": "1",
"id": "EHDSObservation.referenceRange.type",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.referenceRange.type"
}
}, {
"path": "EHDSObservation.referenceRange.appliesTo",
"min": 0,
"definition": "Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race. Multiple appliesTo are interpreted as an \\\"AND\\\" of the target populations.",
"short": "Codes to indicate the target population this reference range applies to.",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT, HL7 v3-Race"
},
"max": "*",
"id": "EHDSObservation.referenceRange.appliesTo",
"comment": "Multiple appliesTo are interpreted as an \"AND\" of the target populations.",
"base": {
"max": "*",
"min": 0,
"path": "EHDSObservation.referenceRange.appliesTo"
}
}, {
"path": "EHDSObservation.referenceRange.age",
"min": 0,
"definition": "Age range to which this reference range applies if applicable.",
"short": "Age range to which this reference range applies if applicable.",
"type": [ {
"code": "Range"
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units"
},
"max": "1",
"id": "EHDSObservation.referenceRange.age",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.referenceRange.age"
}
}, {
"id": "EHDSObservation.referenceRange.text",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.referenceRange.text"
},
"path": "EHDSObservation.referenceRange.text",
"type": [ {
"code": "string"
} ],
"short": "Text based reference range in an observation.",
"definition": "Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of \\\"Negative\\\" or a list or table of \\\"normals\\\"."
}, {
"path": "EHDSObservation.interpretation",
"min": 0,
"definition": "Information about reference intervals and result interpretation.",
"short": "Information about reference intervals and result interpretation.",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT, HL7 ObservationInterpretation"
},
"max": "*",
"id": "EHDSObservation.interpretation",
"base": {
"max": "*",
"min": 0,
"path": "EHDSObservation.interpretation"
}
}, {
"id": "EHDSObservation.note",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.note"
},
"path": "EHDSObservation.note",
"type": [ {
"code": "string"
} ],
"short": "Comments and narrative representation of the observation result and findings.",
"definition": "Comments and narrative representation of the observation result and findings."
}, {
"id": "EHDSObservation.component",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "EHDSObservation.component"
},
"path": "EHDSObservation.component",
"type": [ {
"code": "Base"
} ],
"short": "Component in case the observation consists of multiple sub-observations (e.g. blood pressure).",
"definition": "Component in case the observation consists of multiple sub-observations (e.g. blood pressure)."
}, {
"path": "EHDSObservation.component.type",
"min": 1,
"definition": "Code representing the observation using the agreed code systems.",
"short": "Code representing the observation using the agreed code systems.",
"type": [ {
"code": "CodeableConcept"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "Component code is mandatory element for identification of the kind of test performed from approved code system."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Observation type is a mandatory element. EHR system SHOULD display observation type and SHALL process it accordingly. The type carries the correct semantic meaning of the observation. i.e. code and display name. Any valid CodeableConcept SHALL be accepted."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:process"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Observation type is a mandatory element. EHR system SHOULD display observation type and SHALL process it accordingly. The type carries the correct semantic meaning of the observation. i.e. code and display name. Any valid CodeableConcept SHALL be accepted."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "LOINC, SNOMED CT"
},
"max": "1",
"id": "EHDSObservation.component.type",
"base": {
"max": "1",
"min": 1,
"path": "EHDSObservation.component.type"
}
}, {
"path": "EHDSObservation.component.originalName",
"min": 0,
"definition": "Original (user-friendly) name of the observation as used in the local laboratory or clinical system.",
"short": "Original (user-friendly) name of the observation as used in the local laboratory or clinical system.",
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If the EHR system supplies its own original test name, it SHALL be provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Original (local) test name SHOULD be displayed, if provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "1",
"id": "EHDSObservation.component.originalName",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.originalName"
}
}, {
"path": "EHDSObservation.component.result",
"min": 1,
"definition": "Result of the observation including text, numeric, coded, and other types of results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.",
"short": "Result of the observation including text, numeric, coded, and other types of results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.",
"type": [ {
"code": "Base"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to provide test results in various forms: numeric, textual and coded."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "SHALL display results of the Observation."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "1",
"id": "EHDSObservation.component.result",
"base": {
"max": "1",
"min": 1,
"path": "EHDSObservation.component.result"
}
}, {
"path": "EHDSObservation.component.result.value[x]",
"min": 0,
"definition": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"short": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"slicing": {
"rules": "closed",
"ordered": false,
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"type": [ {
"code": "string"
}, {
"code": "Quantity"
}, {
"code": "Range"
}, {
"code": "Ratio"
}, {
"code": "CodeableConcept"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units, SNOMED CT for coded results"
},
"max": "1",
"id": "EHDSObservation.component.result.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.value[x]"
}
}, {
"path": "EHDSObservation.component.result.value[x]",
"min": 0,
"definition": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"short": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"type": [ {
"code": "string"
} ],
"sliceName": "valueString",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If only purely textual results are expected, it MUST be provided. Coded results are preferred in most cases."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display textual Result Value in UI and printouts; accept any string."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units, SNOMED CT for coded results"
},
"max": "1",
"id": "EHDSObservation.component.result.value[x]:valueString",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.value[x]"
}
}, {
"path": "EHDSObservation.component.result.value[x]",
"min": 0,
"definition": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"short": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"type": [ {
"code": "Quantity"
} ],
"sliceName": "valueQuantity",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If EHR system knows numeric result value or numeric range, it MUST be provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display numeric Result Value in UI and printouts; accept any valid Quantity/Range."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units, SNOMED CT for coded results"
},
"max": "1",
"id": "EHDSObservation.component.result.value[x]:valueQuantity",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.value[x]"
}
}, {
"path": "EHDSObservation.component.result.value[x]",
"min": 0,
"definition": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"short": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"type": [ {
"code": "Range"
} ],
"sliceName": "valueRange",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If EHR system knows numeric result value or numeric range, it MUST be provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display numeric Result Value in UI and printouts; accept any valid Quantity/Range."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units, SNOMED CT for coded results"
},
"max": "1",
"id": "EHDSObservation.component.result.value[x]:valueRange",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.value[x]"
}
}, {
"path": "EHDSObservation.component.result.value[x]",
"min": 0,
"definition": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"short": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"type": [ {
"code": "Ratio"
} ],
"sliceName": "valueRatio",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If EHR system knows numeric result value or numeric range, it MUST be provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display numeric Result Value in UI and printouts; accept any valid Quantity/Range."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "1",
"id": "EHDSObservation.component.result.value[x]:valueRatio",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.value[x]"
}
}, {
"path": "EHDSObservation.component.result.value[x]",
"min": 0,
"definition": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"short": "Observation result value according to the type of observation. Model covers only most frequently used data types but other data types can be used as well.\r\n Text result value should be used only if coded result value is not expected otherwise use valueCodeableConcept.text. For Quantity, Range and Ratio, result units of the measurement should be provided.",
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If the EHR system knows coded result value, it SHALL be provided."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display coded Result Value in UI and printouts; accept any valid CodeableConcept."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units, SNOMED CT for coded results"
},
"max": "1",
"id": "EHDSObservation.component.result.value[x]:valueCodeableConcept",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.value[x]"
}
}, {
"path": "EHDSObservation.component.result.uncertainty",
"min": 0,
"definition": "Measurement uncertainty information about the observation result.",
"short": "Measurement uncertainty type and interval if needed.",
"type": [ {
"code": "Base"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If the test reports uncertainty (e.g., “±0.1”), allow numeric entry of uncertainty. Store in Quantity or Range."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHOULD display uncertainty of measurement in UI and printouts. Show “Uncertainty: ±0.1”."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "1",
"id": "EHDSObservation.component.result.uncertainty",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.uncertainty"
}
}, {
"id": "EHDSObservation.component.result.uncertainty.value",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "EHDSObservation.component.result.uncertainty.value"
},
"path": "EHDSObservation.component.result.uncertainty.value",
"type": [ {
"code": "decimal"
} ],
"short": "The numerical value of the measurement uncertainty.",
"definition": "The numerical value of the measurement uncertainty."
}, {
"path": "EHDSObservation.component.result.uncertainty.type",
"min": 0,
"definition": "Probability Distribution Type for uncertainty",
"short": "Probability Distribution Type for uncertainty",
"type": [ {
"code": "Coding"
} ],
"binding": {
"strength": "preferred",
"description": "HL7 ProbabilityDistributionType"
},
"max": "1",
"id": "EHDSObservation.component.result.uncertainty.type",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.uncertainty.type"
}
}, {
"path": "EHDSObservation.component.result.dataAbsentReason",
"min": 0,
"definition": "Provides a reason why the expected value in the element component.value[x] is missing.",
"short": "Provides a reason why the expected value in the element component.value[x] is missing.",
"type": [ {
"code": "CodeableConcept"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If no result is available, EHR system SHALL be able to provide data absent reason. Data absent reason SHOULD NOT be expressed as a test result value."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If provided, display e.g. “No result: not‐performed” in UI and print; accept any valid dataAbsentReason without error."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"binding": {
"strength": "preferred",
"description": "HL7 Data absent reason"
},
"max": "1",
"id": "EHDSObservation.component.result.dataAbsentReason",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.dataAbsentReason"
}
}, {
"path": "EHDSObservation.component.referenceRange",
"min": 0,
"definition": "Reference range, multiple reference ranges of different types could be provided. Provides guide for interpretation of the result.",
"short": "Reference range, multiple reference ranges of different types could be provided. Provides guide for interpretation of the result.",
"type": [ {
"code": "Base"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "Allow zero or more referenceRange entries (e.g., normal range “12–16 g/dL”). Populate each as a structured Range or coded description."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, display each range clearly (e.g., “Reference: 12.0–16.0 g/dL”); accept any valid referenceRange structure."
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations|1.0.0"
} ]
} ],
"max": "*",
"id": "EHDSObservation.component.referenceRange",
"comment": "Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.",
"base": {
"max": "*",
"min": 0,
"path": "EHDSObservation.component.referenceRange"
}
}, {
"path": "EHDSObservation.component.referenceRange.low",
"min": 0,
"definition": "Low limit of the reference range.",
"short": "Low limit of the reference range.",
"type": [ {
"code": "Quantity"
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units"
},
"max": "1",
"id": "EHDSObservation.component.referenceRange.low",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.referenceRange.low"
}
}, {
"path": "EHDSObservation.component.referenceRange.high",
"min": 0,
"definition": "High limit of the reference range.",
"short": "High limit of the reference range.",
"type": [ {
"code": "Quantity"
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units"
},
"max": "1",
"id": "EHDSObservation.component.referenceRange.high",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.referenceRange.high"
}
}, {
"path": "EHDSObservation.component.referenceRange.normalValue",
"min": 0,
"definition": "Normal value, if relevant for the reference range.",
"short": "Normal value, if relevant for the reference range.",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"max": "1",
"id": "EHDSObservation.component.referenceRange.normalValue",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.referenceRange.normalValue"
}
}, {
"path": "EHDSObservation.component.referenceRange.type",
"min": 0,
"definition": "Type of reference range.",
"short": "Type of reference range.",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "HL7 Observation Reference Range Meaning Codes"
},
"max": "1",
"id": "EHDSObservation.component.referenceRange.type",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.referenceRange.type"
}
}, {
"path": "EHDSObservation.component.referenceRange.appliesTo",
"min": 0,
"definition": "Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race. Multiple appliesTo are interpreted as an \\\"AND\\\" of the target populations.",
"short": "Codes to indicate the target population this reference range applies to.",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT, HL7 v3-Race"
},
"max": "*",
"id": "EHDSObservation.component.referenceRange.appliesTo",
"comment": "Multiple appliesTo are interpreted as an \"AND\" of the target populations.",
"base": {
"max": "*",
"min": 0,
"path": "EHDSObservation.component.referenceRange.appliesTo"
}
}, {
"path": "EHDSObservation.component.referenceRange.age",
"min": 0,
"definition": "Age range to which this reference range applies if applicable.",
"short": "Age range to which this reference range applies if applicable.",
"type": [ {
"code": "Range"
} ],
"binding": {
"strength": "preferred",
"description": "UCUM for units"
},
"max": "1",
"id": "EHDSObservation.component.referenceRange.age",
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.referenceRange.age"
}
}, {
"id": "EHDSObservation.component.referenceRange.text",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EHDSObservation.component.referenceRange.text"
},
"path": "EHDSObservation.component.referenceRange.text",
"type": [ {
"code": "string"
} ],
"short": "Text based reference range in an observation.",
"definition": "Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of \\\"Negative\\\" or a list or table of \\\"normals\\\"."
}, {
"path": "EHDSObservation.component.interpretation",
"min": 0,
"definition": "Information about reference intervals and result interpretation.",
"short": "Information about reference intervals and result interpretation.",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT, HL7 ObservationInterpretation"
},
"max": "*",
"id": "EHDSObservation.component.interpretation",
"base": {
"max": "*",
"min": 0,
"path": "EHDSObservation.component.interpretation"
}
}, {
"id": "EHDSObservation.derivedFrom[x]",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "EHDSObservation.derivedFrom[x]"
},
"path": "EHDSObservation.derivedFrom[x]",
"type": [ {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation"
}, {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSLaboratoryObservation"
}, {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImagingStudy"
} ],
"short": "Reference to the related resource from which the observation has been made. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.",
"definition": "Reference to the related resource from which the observation has been made. For example, a calculated anion gap or a fetal measurement based on an ultrasound image."
}, {
"id": "EHDSObservation.hasMember[x]",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "EHDSObservation.hasMember[x]"
},
"path": "EHDSObservation.hasMember[x]",
"type": [ {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSLaboratoryObservation"
}, {
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation"
} ],
"short": "This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.",
"definition": "This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group."
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "1.0.0"
} ]
},
"status": "active",
"language": "en",
"id": "aef4eb76-e213-4b67-b757-68a90aadeafe",
"kind": "logical",
"url": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationObligations",
"version": "1.0.0",
"differential": {
"element": [ {
"id": "EHDSObservation",
"path": "EHDSObservation"
}, {
"id": "EHDSObservation.header.subject",
"path": "EHDSObservation.header.subject",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR systems SHALL provide information about the subject of care (patient)."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL render information about the subject of care in such a way that unambiguous assignment to the care subject is preserved."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:process"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Information about the subject of care SHALL be processed by the EHR system in such a way that the identity of the subject of care cannot be confused."
} ]
} ]
}, {
"id": "EHDSObservation.header.identifier",
"path": "EHDSObservation.header.identifier",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "A business identifier of the observation SHALL be populated if known."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:process"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "EHR systems SHALL be able to process identifiers accordingly. Processing means mainly storing identifiers as part of the resource if EHR system stores it."
} ]
} ]
}, {
"id": "EHDSObservation.header.author[x]",
"path": "EHDSObservation.header.author[x]",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to populate known information about authorhip of the observation. Multiple authors could be provided."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If provided, EHR system SHOULD display information about authorship of the Observation."
} ]
} ]
}, {
"id": "EHDSObservation.header.status",
"path": "EHDSObservation.header.status",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "HL7 Observation status (e.g., “final,” “preliminary”) SHALL be provided."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Always show status of the Observation, esp. If different from \"final\", e.g., “Status: preliminary” in UI and printouts; accept any valid status code."
} ]
} ]
}, {
"id": "EHDSObservation.header.directSubject[x]",
"path": "EHDSObservation.header.directSubject[x]",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "SHALL provide information about direct subject of the observation if diferent from the subject of care (another patient, animal or other allowed subject type)."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL always display information about subject of the observation if different from subject of care."
} ]
} ]
}, {
"id": "EHDSObservation.observationDate[x]",
"path": "EHDSObservation.observationDate[x]",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to populate date and time and/or period for when the test was performed."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Observation date or period SHALL be displayed if provided."
} ]
} ]
}, {
"id": "EHDSObservation.observationDate[x]:observationDateDateTime",
"max": "1",
"min": 0,
"path": "EHDSObservation.observationDate[x]",
"type": [ {
"code": "dateTime"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to populate exact date and time when the test was performed."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Show Observation Date in UI and print; accept any valid ISO 8601 dateTime."
} ]
} ],
"sliceName": "observationDateDateTime"
}, {
"id": "EHDSObservation.observationDate[x]:observationDatePeriod",
"max": "1",
"min": 0,
"path": "EHDSObservation.observationDate[x]",
"type": [ {
"code": "Period"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to populate period for when the test was performed."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Show Observation Period; accept any valid Period (start ≤ end)."
} ]
} ],
"sliceName": "observationDatePeriod"
}, {
"id": "EHDSObservation.type",
"path": "EHDSObservation.type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "Test code is mandatory element for identification of the kind of test performed from approved code system."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Observation type is a mandatory element. EHR system SHALL display observation type. The type carries the correct semantic meaning of the observation. i.e. code and display name. Any valid CodeableConcept SHALL be accepted."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:process"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Observation type SHALL be processed accordingly, this value should be taken into consideration especially when comparing result values."
} ]
} ]
}, {
"id": "EHDSObservation.originalName",
"path": "EHDSObservation.originalName",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If the EHR system supplies its own original test name, it SHALL be provided."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Original (local) test name SHOULD be displayed, if provided."
} ]
} ]
}, {
"id": "EHDSObservation.performer[x]",
"path": "EHDSObservation.performer[x]",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL provide information about performer of the test, if available. Test can be performed by professional, patient himself or by a care giver."
} ]
} ]
}, {
"id": "EHDSObservation.result",
"path": "EHDSObservation.result",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to provide test results."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "SHALL display results of the Observation."
} ]
} ]
}, {
"id": "EHDSObservation.result.value[x]",
"path": "EHDSObservation.result.value[x]",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to provide test result values in various forms: numeric, textual and coded."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "SHALL display results of the Observation."
} ]
} ]
}, {
"id": "EHDSObservation.result.value[x]:valueString",
"max": "1",
"min": 0,
"path": "EHDSObservation.result.value[x]",
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If only purely textual results are expected, it MUST be provided. Coded results are preferred in most cases."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display textual Result Value in UI and printouts; accept any string."
} ]
} ],
"sliceName": "valueString"
}, {
"id": "EHDSObservation.result.value[x]:valueQuantity",
"max": "1",
"min": 0,
"path": "EHDSObservation.result.value[x]",
"type": [ {
"code": "Quantity"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If EHR system knows numeric result value or numeric range, it MUST be provided."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display numeric Result Value in UI and printouts; accept any valid Quantity/Range."
} ]
} ],
"sliceName": "valueQuantity"
}, {
"id": "EHDSObservation.result.value[x]:valueRange",
"max": "1",
"min": 0,
"path": "EHDSObservation.result.value[x]",
"type": [ {
"code": "Range"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If EHR system knows numeric result value or numeric range, it MUST be provided."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display numeric Result Value in UI and printouts; accept any valid Quantity/Range."
} ]
} ],
"sliceName": "valueRange"
}, {
"id": "EHDSObservation.result.value[x]:valueRatio",
"max": "1",
"min": 0,
"path": "EHDSObservation.result.value[x]",
"type": [ {
"code": "Ratio"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If EHR system knows numeric result value or numeric range, it MUST be provided."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display numeric Result Value in UI and printouts; accept any valid Quantity/Range."
} ]
} ],
"sliceName": "valueRatio"
}, {
"id": "EHDSObservation.result.value[x]:valueCodeableConcept",
"max": "1",
"min": 0,
"path": "EHDSObservation.result.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If the EHR system knows coded result value, it SHALL be provided."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display coded Result Value in UI and printouts; accept any valid CodeableConcept."
} ]
} ],
"sliceName": "valueCodeableConcept"
}, {
"id": "EHDSObservation.result.uncertainty",
"path": "EHDSObservation.result.uncertainty",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If the test reports uncertainty (e.g., “±0.1”), allow numeric entry of uncertainty. Store in Quantity or Range."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHOULD display uncertainty of measurement in UI and printouts. Show “Uncertainty: ±0.1”."
} ]
} ]
}, {
"id": "EHDSObservation.result.dataAbsentReason",
"path": "EHDSObservation.result.dataAbsentReason",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If no result is available, EHR system SHALL be able to provide data absent reason. Data absent reason SHOULD NOT be expressed as a test result value."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If provided, display e.g. “No result: not‐performed” in UI and print; accept any valid dataAbsentReason without error."
} ]
} ]
}, {
"id": "EHDSObservation.referenceRange",
"path": "EHDSObservation.referenceRange",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "Allow zero or more referenceRange entries (e.g., normal range “12–16 g/dL”). Populate each as a structured Range or coded description."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, display each range clearly (e.g., “Reference: 12.0–16.0 g/dL”); accept any valid referenceRange structure."
} ]
} ]
}, {
"id": "EHDSObservation.component.type",
"path": "EHDSObservation.component.type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "Component code is mandatory element for identification of the kind of test performed from approved code system."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Observation type is a mandatory element. EHR system SHOULD display observation type and SHALL process it accordingly. The type carries the correct semantic meaning of the observation. i.e. code and display name. Any valid CodeableConcept SHALL be accepted."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:process"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Observation type is a mandatory element. EHR system SHOULD display observation type and SHALL process it accordingly. The type carries the correct semantic meaning of the observation. i.e. code and display name. Any valid CodeableConcept SHALL be accepted."
} ]
} ]
}, {
"id": "EHDSObservation.component.originalName",
"path": "EHDSObservation.component.originalName",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If the EHR system supplies its own original test name, it SHALL be provided."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "Original (local) test name SHOULD be displayed, if provided."
} ]
} ]
}, {
"id": "EHDSObservation.component.result",
"path": "EHDSObservation.component.result",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "EHR system SHALL be able to provide test results in various forms: numeric, textual and coded."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "SHALL display results of the Observation."
} ]
} ]
}, {
"id": "EHDSObservation.component.result.value[x]",
"path": "EHDSObservation.component.result.value[x]",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
} ]
} ]
}, {
"id": "EHDSObservation.component.result.value[x]:valueString",
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.value[x]",
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If only purely textual results are expected, it MUST be provided. Coded results are preferred in most cases."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display textual Result Value in UI and printouts; accept any string."
} ]
} ],
"sliceName": "valueString"
}, {
"id": "EHDSObservation.component.result.value[x]:valueQuantity",
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.value[x]",
"type": [ {
"code": "Quantity"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If EHR system knows numeric result value or numeric range, it MUST be provided."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display numeric Result Value in UI and printouts; accept any valid Quantity/Range."
} ]
} ],
"sliceName": "valueQuantity"
}, {
"id": "EHDSObservation.component.result.value[x]:valueRange",
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.value[x]",
"type": [ {
"code": "Range"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If EHR system knows numeric result value or numeric range, it MUST be provided."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display numeric Result Value in UI and printouts; accept any valid Quantity/Range."
} ]
} ],
"sliceName": "valueRange"
}, {
"id": "EHDSObservation.component.result.value[x]:valueRatio",
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.value[x]",
"type": [ {
"code": "Ratio"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If EHR system knows numeric result value or numeric range, it MUST be provided."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display numeric Result Value in UI and printouts; accept any valid Quantity/Range."
} ]
} ],
"sliceName": "valueRatio"
}, {
"id": "EHDSObservation.component.result.value[x]:valueCodeableConcept",
"max": "1",
"min": 0,
"path": "EHDSObservation.component.result.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If the EHR system knows coded result value, it SHALL be provided."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHALL display coded Result Value in UI and printouts; accept any valid CodeableConcept."
} ]
} ],
"sliceName": "valueCodeableConcept"
}, {
"id": "EHDSObservation.component.result.uncertainty",
"path": "EHDSObservation.component.result.uncertainty",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If the test reports uncertainty (e.g., “±0.1”), allow numeric entry of uncertainty. Store in Quantity or Range."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, SHOULD display uncertainty of measurement in UI and printouts. Show “Uncertainty: ±0.1”."
} ]
} ]
}, {
"id": "EHDSObservation.component.result.dataAbsentReason",
"path": "EHDSObservation.component.result.dataAbsentReason",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "If no result is available, EHR system SHALL be able to provide data absent reason. Data absent reason SHOULD NOT be expressed as a test result value."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If provided, display e.g. “No result: not‐performed” in UI and print; accept any valid dataAbsentReason without error."
} ]
} ]
}, {
"id": "EHDSObservation.component.referenceRange",
"path": "EHDSObservation.component.referenceRange",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHOULD:able-to-populate"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}, {
"url": "documentation",
"valueMarkdown": "Allow zero or more referenceRange entries (e.g., normal range “12–16 g/dL”). Populate each as a structured Range or coded description."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [ {
"url": "code",
"valueCode": "SHALL:display"
}, {
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}, {
"url": "documentation",
"valueMarkdown": "If present, display each range clearly (e.g., “Reference: 12.0–16.0 g/dL”); accept any valid referenceRange structure."
} ]
} ]
} ]
},
"contact": [ {
"name": "Xt-EHR",
"telecom": [ {
"value": "http://www.xt-ehr.eu/",
"system": "url"
} ]
} ],
"baseDefinition": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation"
}