{ "description": "Results data elements. Section A5 of the MyHealth@EUguideline.", "_filename": "StructureDefinition-Result.json", "package_name": "myhealth.eu.fhir.laboratory", "date": "2025-03-20T14:16:21+01:00", "derivation": "specialization", "publisher": "MyHealth@Eu", "fhirVersion": "4.0.1", "jurisdiction": [ { "coding": [ { "code": "150", "system": "http://unstats.un.org/unsd/methods/m49/m49.htm", "display": "Europe" } ] } ], "name": "ResultLabMyHEU", "abstract": false, "type": "http://fhir.ehdsi.eu/laboratory/StructureDefinition/Result", "experimental": null, "resourceType": "StructureDefinition", "title": "Results data elements", "package_version": "0.1.1", "snapshot": { "element": [ { "id": "Result", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Base" }, "path": "Result", "short": "Results data elements", "definition": "Results data elements. Section A5 of the MyHealth@EUguideline.", "isModifier": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.narrative", "min": 0, "definition": "Laboratory report narrative", "short": "Laboratory report narrative", "type": [ { "code": "BackboneElement" } ], "max": "1", "id": "Result.narrative", "base": { "max": "1", "min": 0, "path": "Result.narrative" } }, { "path": "Result.narrative.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Result.narrative.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.narrative.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Result.narrative.extension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.narrative.modifierExtension", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "isModifier": true, "short": "Extensions that cannot be ignored even if unrecognized", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Result.narrative.modifierExtension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true }, { "id": "Result.narrative.report", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.narrative.report" }, "path": "Result.narrative.report", "type": [ { "code": "Narrative" } ], "short": "Narrative report", "definition": "Entire report (textual summary inside the laboratory result report document) as issued by the laboratory." }, { "id": "Result.narrative.notes", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.narrative.notes" }, "path": "Result.narrative.notes", "type": [ { "code": "Narrative" } ], "short": "Comments, interpretation and recommendations", "definition": "Comments, such as a textual interpretation or advice accompanying the result report, for example." }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.observation", "min": 0, "definition": "The report could consist of multiple observations, some observations can have multiple component observations", "short": "Observation details", "type": [ { "code": "BackboneElement" } ], "max": "*", "id": "Result.observation", "base": { "max": "*", "min": 0, "path": "Result.observation" } }, { "path": "Result.observation.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Result.observation.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Result.observation.extension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.modifierExtension", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "isModifier": true, "short": "Extensions that cannot be ignored even if unrecognized", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Result.observation.modifierExtension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true }, { "path": "Result.observation.dateTime", "min": 1, "definition": "Date and time of the observation", "short": "Observation date", "type": [ { "code": "CodeableConcept" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "max": "1", "id": "Result.observation.dateTime", "base": { "max": "1", "min": 1, "path": "Result.observation.dateTime" } }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.observation.code", "min": 1, "definition": "Observation code", "short": "Observation code", "type": [ { "code": "CodeableConcept" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "max": "*", "id": "Result.observation.code", "base": { "max": "*", "min": 1, "path": "Result.observation.code" } }, { "path": "Result.observation.code.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Result.observation.code.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.code.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Result.observation.code.extension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.observation.code.coding", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "definition": "A reference to a code defined by a terminology system.", "isModifier": false, "short": "Code defined by a terminology system", "mapping": [ { "map": "C*E.1-8, C*E.10-22", "identity": "v2" }, { "map": "union(., ./translation)", "identity": "rim" }, { "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding", "identity": "orim" } ], "type": [ { "code": "Coding" } ], "max": "*", "id": "Result.observation.code.coding", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "base": { "max": "*", "min": 0, "path": "CodeableConcept.coding" }, "isSummary": true }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.observation.code.text", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "isModifier": false, "short": "Plain text representation of the concept", "mapping": [ { "map": "C*E.9. But note many systems use C*E.2 for this", "identity": "v2" }, { "map": "./originalText[mediaType/code=\"text/plain\"]/data", "identity": "rim" }, { "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText", "identity": "orim" } ], "type": [ { "code": "string" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "max": "1", "id": "Result.observation.code.text", "comment": "Very often the text is the same as a displayName of one of the codings.", "base": { "max": "1", "min": 0, "path": "CodeableConcept.text" }, "isSummary": true }, { "path": "Result.observation.code.code", "min": 1, "definition": "Code representing the observation using the agreed code systems", "short": "Observation code", "type": [ { "code": "Coding" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "max": "*", "id": "Result.observation.code.code", "base": { "max": "*", "min": 1, "path": "Result.observation.code.code" } }, { "path": "Result.observation.code.name", "min": 1, "definition": "Full name of the observation according to the used test coding standard", "short": "Observation name", "type": [ { "code": "string" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "max": "1", "id": "Result.observation.code.name", "base": { "max": "1", "min": 1, "path": "Result.observation.code.name" } }, { "id": "Result.observation.code.originalName", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.code.originalName" }, "path": "Result.observation.code.originalName", "type": [ { "code": "string" } ], "short": "Observation original name", "definition": "Original (conventional) name of the observation as used by the laboratory" }, { "id": "Result.observation.code.displayName", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.code.displayName" }, "path": "Result.observation.code.displayName", "type": [ { "code": "string" } ], "short": "Observation display name", "definition": "Simplified (short name of the observation) for display." }, { "id": "Result.observation.method", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.method" }, "path": "Result.observation.method", "type": [ { "code": "CodeableConcept" } ], "short": "Observation method", "definition": "Observation method (measurement principle) to obtain the result." }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.observation.device", "min": 0, "definition": "(Device (analyzer), laboratory test kit and used calibrator information (identifier, type, name, model, manufacturer)", "short": "Observation device", "type": [ { "code": "CodeableConcept" } ], "max": "*", "id": "Result.observation.device", "base": { "max": "*", "min": 0, "path": "Result.observation.device" } }, { "path": "Result.observation.device.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Result.observation.device.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.device.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Result.observation.device.extension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.observation.device.coding", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "definition": "A reference to a code defined by a terminology system.", "isModifier": false, "short": "Code defined by a terminology system", "mapping": [ { "map": "C*E.1-8, C*E.10-22", "identity": "v2" }, { "map": "union(., ./translation)", "identity": "rim" }, { "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding", "identity": "orim" } ], "type": [ { "code": "Coding" } ], "max": "*", "id": "Result.observation.device.coding", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "base": { "max": "*", "min": 0, "path": "CodeableConcept.coding" }, "isSummary": true }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.observation.device.text", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "isModifier": false, "short": "Plain text representation of the concept", "mapping": [ { "map": "C*E.9. But note many systems use C*E.2 for this", "identity": "v2" }, { "map": "./originalText[mediaType/code=\"text/plain\"]/data", "identity": "rim" }, { "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText", "identity": "orim" } ], "type": [ { "code": "string" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "max": "1", "id": "Result.observation.device.text", "comment": "Very often the text is the same as a displayName of one of the codings.", "base": { "max": "1", "min": 0, "path": "CodeableConcept.text" }, "isSummary": true }, { "path": "Result.observation.device.name", "min": 0, "definition": "The name of the device as given by the manufacturer", "short": "Device Name", "type": [ { "code": "CodeableConcept" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "max": "*", "id": "Result.observation.device.name", "base": { "max": "*", "min": 0, "path": "Result.observation.device.name" } }, { "id": "Result.observation.device.modelName", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.device.modelName" }, "path": "Result.observation.device.modelName", "type": [ { "code": "string" } ], "short": "Model Name", "definition": "Model name of the device" }, { "id": "Result.observation.device.identifier", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.device.identifier" }, "path": "Result.observation.device.identifier", "type": [ { "code": "string" } ], "short": "Device Identifier", "definition": "Unique device identifier" }, { "id": "Result.observation.device.type", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.device.type" }, "path": "Result.observation.device.type", "type": [ { "code": "Identifier" } ], "short": "Device Type", "definition": "Kind or Type of device" }, { "id": "Result.observation.device.manufacturer", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.device.manufacturer" }, "path": "Result.observation.device.manufacturer", "type": [ { "code": "string" } ], "short": "Manufacturer", "definition": "Name of device manufacturer" }, { "id": "Result.observation.device.labKit", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.device.labKit" }, "path": "Result.observation.device.labKit", "type": [ { "code": "BackboneElement" } ], "short": "Laboratory Kit Information", "definition": "Laboratory Kit Information" }, { "id": "Result.observation.referenceMaterial", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.referenceMaterial" }, "path": "Result.observation.referenceMaterial", "type": [ { "code": "BackboneElement" } ], "short": "Certified Reference Material", "definition": "Information about which end-user calibrator the laboratory has been used for the measurement to indicate the metrological traceability chain." }, { "path": "Result.observation.order", "min": 0, "definition": "Identifies order and order placer this observation belongs to.", "short": "Order", "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "max": "*", "id": "Result.observation.order", "base": { "max": "*", "min": 0, "path": "Result.observation.order" } }, { "path": "Result.observation.specimen", "min": 0, "definition": "Identifies specimen this observation refers to", "short": "Specimen", "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "max": "*", "id": "Result.observation.specimen", "base": { "max": "*", "min": 0, "path": "Result.observation.specimen" } }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.observation.performer", "min": 0, "definition": "Identifies the originator/author and provides provenance information about the source of the results data that may have not originated with the source of the whole Laboratory Report document.", "short": "Performer", "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "max": "*", "id": "Result.observation.performer", "base": { "max": "*", "min": 0, "path": "Result.observation.performer" } }, { "path": "Result.observation.performer.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Result.observation.performer.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.performer.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Result.observation.performer.extension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.performer.modifierExtension", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "isModifier": true, "short": "Extensions that cannot be ignored even if unrecognized", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Result.observation.performer.modifierExtension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true }, { "path": "Result.observation.performer.identifier", "min": 0, "definition": "Health professional identification number", "short": "Performer identifier", "type": [ { "code": "Identifier" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "max": "*", "id": "Result.observation.performer.identifier", "base": { "max": "*", "min": 0, "path": "Result.observation.performer.identifier" } }, { "id": "Result.observation.performer.name", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.performer.name" }, "path": "Result.observation.performer.name", "type": [ { "code": "HumanName" } ], "short": "Performer Name", "definition": "Name of the Health professional" }, { "id": "Result.observation.performer.telecom", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.performer.telecom" }, "path": "Result.observation.performer.telecom", "type": [ { "code": "ContactPoint" } ], "short": "Performer telecom", "definition": "Contact details that are specific to the role/location/service" }, { "id": "Result.observation.performer.role", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.performer.role" }, "path": "Result.observation.performer.role", "type": [ { "code": "CodeableConcept" } ], "short": "Performer Role", "definition": "Health professional role" }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.observation.performer.organization", "min": 0, "definition": "(Organization where the roles of practitioner are available or organization as the performer)", "short": "Performer Organization", "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "max": "*", "id": "Result.observation.performer.organization", "base": { "max": "*", "min": 0, "path": "Result.observation.performer.organization" } }, { "path": "Result.observation.performer.organization.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Result.observation.performer.organization.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.performer.organization.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Result.observation.performer.organization.extension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.performer.organization.modifierExtension", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "isModifier": true, "short": "Extensions that cannot be ignored even if unrecognized", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Result.observation.performer.organization.modifierExtension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true }, { "id": "Result.observation.performer.organization.name", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.performer.organization.name" }, "path": "Result.observation.performer.organization.name", "type": [ { "code": "string" } ], "short": "Organization Name", "definition": "Name of the organization" }, { "id": "Result.observation.performer.organization.address", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.performer.organization.address" }, "path": "Result.observation.performer.organization.address", "type": [ { "code": "Address" } ], "short": "Organization Address", "definition": "Address of the organization" }, { "path": "Result.observation.performer.organization.telecom", "min": 0, "definition": "Telecom of the organization", "short": "Organization telecom", "type": [ { "code": "ContactPoint" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "max": "*", "id": "Result.observation.performer.organization.telecom", "base": { "max": "*", "min": 0, "path": "Result.observation.performer.organization.telecom" } }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.observation.reporter", "min": 0, "definition": "With certain observation results, e.g. there may also be an interpreter or a person responsible for validation.", "short": "Reporter", "type": [ { "code": "BackboneElement" } ], "max": "*", "id": "Result.observation.reporter", "base": { "max": "*", "min": 0, "path": "Result.observation.reporter" } }, { "path": "Result.observation.reporter.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Result.observation.reporter.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.reporter.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Result.observation.reporter.extension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.reporter.modifierExtension", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "isModifier": true, "short": "Extensions that cannot be ignored even if unrecognized", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Result.observation.reporter.modifierExtension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true }, { "id": "Result.observation.reporter.name", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.reporter.name" }, "path": "Result.observation.reporter.name", "type": [ { "code": "HumanName" } ], "short": "Reporter Name", "definition": "Name of the Reporter" }, { "id": "Result.observation.reporter.telecom", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.reporter.telecom" }, "path": "Result.observation.reporter.telecom", "type": [ { "code": "ContactPoint" } ], "short": "Reporter telecom", "definition": "Contact details that are specific to the role/location/service" }, { "id": "Result.observation.reporter.role", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.reporter.role" }, "path": "Result.observation.reporter.role", "type": [ { "code": "CodeableConcept" } ], "short": "Reporter Role", "definition": "Healthcare professional role" }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.observation.reporter.organization", "min": 0, "definition": "(Organization where the roles of reporter are available)", "short": "Reporter Organization", "type": [ { "code": "BackboneElement" } ], "max": "*", "id": "Result.observation.reporter.organization", "base": { "max": "*", "min": 0, "path": "Result.observation.reporter.organization" } }, { "path": "Result.observation.reporter.organization.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Result.observation.reporter.organization.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.reporter.organization.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Result.observation.reporter.organization.extension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.reporter.organization.modifierExtension", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "isModifier": true, "short": "Extensions that cannot be ignored even if unrecognized", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Result.observation.reporter.organization.modifierExtension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true }, { "id": "Result.observation.reporter.organization.name", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.reporter.organization.name" }, "path": "Result.observation.reporter.organization.name", "type": [ { "code": "string" } ], "short": "Organization Name", "definition": "Name of the organization" }, { "id": "Result.observation.reporter.organization.address", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.reporter.organization.address" }, "path": "Result.observation.reporter.organization.address", "type": [ { "code": "Address" } ], "short": "Organization Address", "definition": "Address of the organization" }, { "id": "Result.observation.reporter.organization.telecom", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.reporter.organization.telecom" }, "path": "Result.observation.reporter.organization.telecom", "type": [ { "code": "ContactPoint" } ], "short": "Organization telecom", "definition": "Telecom of the organization" }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.observation.result", "min": 0, "definition": "Result of the observation including text, numeric and coded results of the measurement with measurement units and measurement uncertainty and other aspects necessary for proper interpretation and comparability of the result of the observation. Content of the observation result will vary according to the type of the observation.", "short": "Observation result", "type": [ { "code": "BackboneElement" } ], "max": "*", "id": "Result.observation.result", "base": { "max": "*", "min": 0, "path": "Result.observation.result" } }, { "path": "Result.observation.result.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Result.observation.result.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.result.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Result.observation.result.extension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.result.modifierExtension", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "isModifier": true, "short": "Extensions that cannot be ignored even if unrecognized", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Result.observation.result.modifierExtension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true }, { "id": "Result.observation.result.text", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.result.text" }, "path": "Result.observation.result.text", "type": [ { "code": "string" } ], "short": "Textual Result", "definition": "Narrative text result" }, { "id": "Result.observation.result.numeric", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.result.numeric" }, "path": "Result.observation.result.numeric", "type": [ { "code": "Quantity" } ], "short": "Numeric Result", "definition": "A numeric value or interval (open or closed) of the result, Result units of the measurement should be provided Measurement uncertainty interval are provided if needed." }, { "id": "Result.observation.result.coded", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.result.coded" }, "path": "Result.observation.result.coded", "type": [ { "code": "CodeableConcept" } ], "short": "Coded Result", "definition": "A coded result from a selected coding system(s). This could be a code describing bacteria or other microorganism identified, description of urinary concernment, code explaining technical reason why the test could not be done etc." }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Result.observation.interpretation", "min": 0, "definition": "Information about reference intervals and result interpretation", "short": "Observation interpretation", "type": [ { "code": "BackboneElement" } ], "max": "*", "id": "Result.observation.interpretation", "base": { "max": "*", "min": 0, "path": "Result.observation.interpretation" } }, { "path": "Result.observation.interpretation.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Result.observation.interpretation.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.interpretation.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Result.observation.interpretation.extension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Result.observation.interpretation.modifierExtension", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "isModifier": true, "short": "Extensions that cannot be ignored even if unrecognized", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Result.observation.interpretation.modifierExtension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true }, { "id": "Result.observation.interpretation.code", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.interpretation.code" }, "path": "Result.observation.interpretation.code", "type": [ { "code": "CodeableConcept" } ], "short": "Result interpretation code", "definition": "Codes identifying interpretations of observations" }, { "id": "Result.observation.interpretation.referenceRange", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.interpretation.referenceRange" }, "path": "Result.observation.interpretation.referenceRange", "type": [ { "code": "Range" } ], "short": "Standard reference range", "definition": "Provides guide for interpretation of result. Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied." }, { "id": "Result.observation.description", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.description" }, "path": "Result.observation.description", "type": [ { "code": "Narrative" } ], "short": "Result description", "definition": "Comments and narrative representation of the observation result and findings." }, { "id": "Result.observation.accreditationStatus", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Result.observation.accreditationStatus" }, "path": "Result.observation.accreditationStatus", "type": [ { "code": "BackboneElement" } ], "short": "Accreditation status", "definition": "Accreditation status of the laboratory for the particular observation." } ], "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString": "4.0.1" } ] }, "status": "active", "id": "fc60bb73-c49c-472b-8d29-34ab49e31256", "kind": "logical", "url": "http://fhir.ehdsi.eu/laboratory/StructureDefinition/Result", "version": "0.1.1", "differential": { "element": [ { "id": "Result", "path": "Result", "short": "Results data elements", "definition": "Results data elements. Section A5 of the MyHealth@EUguideline." }, { "id": "Result.narrative", "max": "1", "min": 0, "path": "Result.narrative", "type": [ { "code": "BackboneElement" } ], "short": "Laboratory report narrative", "definition": "Laboratory report narrative" }, { "id": "Result.narrative.report", "max": "*", "min": 0, "path": "Result.narrative.report", "type": [ { "code": "Narrative" } ], "short": "Narrative report", "definition": "Entire report (textual summary inside the laboratory result report document) as issued by the laboratory." }, { "id": "Result.narrative.notes", "max": "*", "min": 0, "path": "Result.narrative.notes", "type": [ { "code": "Narrative" } ], "short": "Comments, interpretation and recommendations", "definition": "Comments, such as a textual interpretation or advice accompanying the result report, for example." }, { "id": "Result.observation", "max": "*", "min": 0, "path": "Result.observation", "type": [ { "code": "BackboneElement" } ], "short": "Observation details", "definition": "The report could consist of multiple observations, some observations can have multiple component observations" }, { "id": "Result.observation.dateTime", "max": "1", "min": 1, "path": "Result.observation.dateTime", "type": [ { "code": "CodeableConcept" } ], "short": "Observation date", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "definition": "Date and time of the observation" }, { "id": "Result.observation.code", "max": "*", "min": 1, "path": "Result.observation.code", "type": [ { "code": "CodeableConcept" } ], "short": "Observation code", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "definition": "Observation code" }, { "id": "Result.observation.code.code", "max": "*", "min": 1, "path": "Result.observation.code.code", "type": [ { "code": "Coding" } ], "short": "Observation code", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "definition": "Code representing the observation using the agreed code systems" }, { "id": "Result.observation.code.name", "max": "1", "min": 1, "path": "Result.observation.code.name", "type": [ { "code": "string" } ], "short": "Observation name", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "definition": "Full name of the observation according to the used test coding standard" }, { "id": "Result.observation.code.originalName", "max": "*", "min": 0, "path": "Result.observation.code.originalName", "type": [ { "code": "string" } ], "short": "Observation original name", "definition": "Original (conventional) name of the observation as used by the laboratory" }, { "id": "Result.observation.code.displayName", "max": "*", "min": 0, "path": "Result.observation.code.displayName", "type": [ { "code": "string" } ], "short": "Observation display name", "definition": "Simplified (short name of the observation) for display." }, { "id": "Result.observation.method", "max": "*", "min": 0, "path": "Result.observation.method", "type": [ { "code": "CodeableConcept" } ], "short": "Observation method", "definition": "Observation method (measurement principle) to obtain the result." }, { "id": "Result.observation.device", "max": "*", "min": 0, "path": "Result.observation.device", "type": [ { "code": "CodeableConcept" } ], "short": "Observation device", "definition": "(Device (analyzer), laboratory test kit and used calibrator information (identifier, type, name, model, manufacturer)" }, { "id": "Result.observation.device.name", "max": "*", "min": 0, "path": "Result.observation.device.name", "type": [ { "code": "CodeableConcept" } ], "short": "Device Name", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "definition": "The name of the device as given by the manufacturer" }, { "id": "Result.observation.device.modelName", "max": "*", "min": 0, "path": "Result.observation.device.modelName", "type": [ { "code": "string" } ], "short": "Model Name", "definition": "Model name of the device" }, { "id": "Result.observation.device.identifier", "max": "*", "min": 0, "path": "Result.observation.device.identifier", "type": [ { "code": "string" } ], "short": "Device Identifier", "definition": "Unique device identifier" }, { "id": "Result.observation.device.type", "max": "*", "min": 0, "path": "Result.observation.device.type", "type": [ { "code": "Identifier" } ], "short": "Device Type", "definition": "Kind or Type of device" }, { "id": "Result.observation.device.manufacturer", "max": "*", "min": 0, "path": "Result.observation.device.manufacturer", "type": [ { "code": "string" } ], "short": "Manufacturer", "definition": "Name of device manufacturer" }, { "id": "Result.observation.device.labKit", "max": "*", "min": 0, "path": "Result.observation.device.labKit", "type": [ { "code": "BackboneElement" } ], "short": "Laboratory Kit Information", "definition": "Laboratory Kit Information" }, { "id": "Result.observation.referenceMaterial", "max": "*", "min": 0, "path": "Result.observation.referenceMaterial", "type": [ { "code": "BackboneElement" } ], "short": "Certified Reference Material", "definition": "Information about which end-user calibrator the laboratory has been used for the measurement to indicate the metrological traceability chain." }, { "id": "Result.observation.order", "max": "*", "min": 0, "path": "Result.observation.order", "type": [ { "code": "BackboneElement" } ], "short": "Order", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "definition": "Identifies order and order placer this observation belongs to." }, { "id": "Result.observation.specimen", "max": "*", "min": 0, "path": "Result.observation.specimen", "type": [ { "code": "BackboneElement" } ], "short": "Specimen", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "definition": "Identifies specimen this observation refers to" }, { "id": "Result.observation.performer", "max": "*", "min": 0, "path": "Result.observation.performer", "type": [ { "code": "BackboneElement" } ], "short": "Performer", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "definition": "Identifies the originator/author and provides provenance information about the source of the results data that may have not originated with the source of the whole Laboratory Report document." }, { "id": "Result.observation.performer.identifier", "max": "*", "min": 0, "path": "Result.observation.performer.identifier", "type": [ { "code": "Identifier" } ], "short": "Performer identifier", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "definition": "Health professional identification number" }, { "id": "Result.observation.performer.name", "max": "*", "min": 0, "path": "Result.observation.performer.name", "type": [ { "code": "HumanName" } ], "short": "Performer Name", "definition": "Name of the Health professional" }, { "id": "Result.observation.performer.telecom", "max": "*", "min": 0, "path": "Result.observation.performer.telecom", "type": [ { "code": "ContactPoint" } ], "short": "Performer telecom", "definition": "Contact details that are specific to the role/location/service" }, { "id": "Result.observation.performer.role", "max": "*", "min": 0, "path": "Result.observation.performer.role", "type": [ { "code": "CodeableConcept" } ], "short": "Performer Role", "definition": "Health professional role" }, { "id": "Result.observation.performer.organization", "max": "*", "min": 0, "path": "Result.observation.performer.organization", "type": [ { "code": "BackboneElement" } ], "short": "Performer Organization", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "definition": "(Organization where the roles of practitioner are available or organization as the performer)" }, { "id": "Result.observation.performer.organization.name", "max": "*", "min": 0, "path": "Result.observation.performer.organization.name", "type": [ { "code": "string" } ], "short": "Organization Name", "definition": "Name of the organization" }, { "id": "Result.observation.performer.organization.address", "max": "*", "min": 0, "path": "Result.observation.performer.organization.address", "type": [ { "code": "Address" } ], "short": "Organization Address", "definition": "Address of the organization" }, { "id": "Result.observation.performer.organization.telecom", "max": "*", "min": 0, "path": "Result.observation.performer.organization.telecom", "type": [ { "code": "ContactPoint" } ], "short": "Organization telecom", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/obligation", "extension": [ { "url": "code", "valueCode": "SHALL:handle" }, { "url": "actor", "valueCanonical": "http://hl7.eu/fhir/laboratory/actor-handler-eu-lab" } ] } ], "definition": "Telecom of the organization" }, { "id": "Result.observation.reporter", "max": "*", "min": 0, "path": "Result.observation.reporter", "type": [ { "code": "BackboneElement" } ], "short": "Reporter", "definition": "With certain observation results, e.g. there may also be an interpreter or a person responsible for validation." }, { "id": "Result.observation.reporter.name", "max": "*", "min": 0, "path": "Result.observation.reporter.name", "type": [ { "code": "HumanName" } ], "short": "Reporter Name", "definition": "Name of the Reporter" }, { "id": "Result.observation.reporter.telecom", "max": "*", "min": 0, "path": "Result.observation.reporter.telecom", "type": [ { "code": "ContactPoint" } ], "short": "Reporter telecom", "definition": "Contact details that are specific to the role/location/service" }, { "id": "Result.observation.reporter.role", "max": "*", "min": 0, "path": "Result.observation.reporter.role", "type": [ { "code": "CodeableConcept" } ], "short": "Reporter Role", "definition": "Healthcare professional role" }, { "id": "Result.observation.reporter.organization", "max": "*", "min": 0, "path": "Result.observation.reporter.organization", "type": [ { "code": "BackboneElement" } ], "short": "Reporter Organization", "definition": "(Organization where the roles of reporter are available)" }, { "id": "Result.observation.reporter.organization.name", "max": "*", "min": 0, "path": "Result.observation.reporter.organization.name", "type": [ { "code": "string" } ], "short": "Organization Name", "definition": "Name of the organization" }, { "id": "Result.observation.reporter.organization.address", "max": "*", "min": 0, "path": "Result.observation.reporter.organization.address", "type": [ { "code": "Address" } ], "short": "Organization Address", "definition": "Address of the organization" }, { "id": "Result.observation.reporter.organization.telecom", "max": "*", "min": 0, "path": "Result.observation.reporter.organization.telecom", "type": [ { "code": "ContactPoint" } ], "short": "Organization telecom", "definition": "Telecom of the organization" }, { "id": "Result.observation.result", "max": "*", "min": 0, "path": "Result.observation.result", "type": [ { "code": "BackboneElement" } ], "short": "Observation result", "definition": "Result of the observation including text, numeric and coded results of the measurement with measurement units and measurement uncertainty and other aspects necessary for proper interpretation and comparability of the result of the observation. Content of the observation result will vary according to the type of the observation." }, { "id": "Result.observation.result.text", "max": "*", "min": 0, "path": "Result.observation.result.text", "type": [ { "code": "string" } ], "short": "Textual Result", "definition": "Narrative text result" }, { "id": "Result.observation.result.numeric", "max": "*", "min": 0, "path": "Result.observation.result.numeric", "type": [ { "code": "Quantity" } ], "short": "Numeric Result", "definition": "A numeric value or interval (open or closed) of the result, Result units of the measurement should be provided Measurement uncertainty interval are provided if needed." }, { "id": "Result.observation.result.coded", "max": "*", "min": 0, "path": "Result.observation.result.coded", "type": [ { "code": "CodeableConcept" } ], "short": "Coded Result", "definition": "A coded result from a selected coding system(s). This could be a code describing bacteria or other microorganism identified, description of urinary concernment, code explaining technical reason why the test could not be done etc." }, { "id": "Result.observation.interpretation", "max": "*", "min": 0, "path": "Result.observation.interpretation", "type": [ { "code": "BackboneElement" } ], "short": "Observation interpretation", "definition": "Information about reference intervals and result interpretation" }, { "id": "Result.observation.interpretation.code", "max": "*", "min": 0, "path": "Result.observation.interpretation.code", "type": [ { "code": "CodeableConcept" } ], "short": "Result interpretation code", "definition": "Codes identifying interpretations of observations" }, { "id": "Result.observation.interpretation.referenceRange", "max": "*", "min": 0, "path": "Result.observation.interpretation.referenceRange", "type": [ { "code": "Range" } ], "short": "Standard reference range", "definition": "Provides guide for interpretation of result. Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied." }, { "id": "Result.observation.description", "max": "*", "min": 0, "path": "Result.observation.description", "type": [ { "code": "Narrative" } ], "short": "Result description", "definition": "Comments and narrative representation of the observation result and findings." }, { "id": "Result.observation.accreditationStatus", "max": "*", "min": 0, "path": "Result.observation.accreditationStatus", "type": [ { "code": "BackboneElement" } ], "short": "Accreditation status", "definition": "Accreditation status of the laboratory for the particular observation." } ] }, "contact": [ { "name": "MyHealth@Eu", "telecom": [ { "value": "https://health.ec.europa.eu/other-pages/basic-page/myhealtheu-flyer-addressed-patients-and-health-professionals_en", "system": "url" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base" }