Guía de Solucitud de Exámenes HSI
0.2.0 - draft Argentina flag

Guía de Solucitud de Exámenes HSI - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Observación de resultados de laboratorio/imágenes/AnatomPatológica HSI

Official URL: http://service-request.ri.hsisalud.org/StructureDefinition/ObservationResultHSI Version: 0.2.0
Draft as of 2026-11-01 Computable Name: ObservationResultHSI

Perfil para representar resultados individuales de exámenes de laboratorio, incluyendo valores medidos, unidades, notas y rangos de referencia.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificador de la observación
... code SΣ 1..1 CodeableConcept Código del examen o parámetro medido. Candidatos según tipo de observación
Binding: Códigos LOINC de resultados de exámenes/procedimientos (extensible)
Additional BindingsPurpose
Códigos LOINC de resultados de laboratorio HSI candidate
Códigos LOINC de resultados de imagenología HSI candidate
Códigos LOINC de resultados de anatomía patológica HSI candidate
... value[x] SΣC 1..1 Tipo de Valor y Valor de la medición. En caso de ser valor numérico, se determina ucum como definición de unidad
Constraints: inv-ucum-quantity, inv-ucum-range, inv-ucum-ratio
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... interpretation S 0..* CodeableConcept Set de códigos para la interpretación del resultado obtenido
Binding: ObservationInterpretationCodes (extensible)
... note S 0..* Annotation Observaciones adicionales del resultado
... referenceRange SC 0..* BackboneElement Rangos de referencia del resultado
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SC 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type S 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo S 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age S 0..1 Range Applicable age range, if relevant
.... text S 0..1 string Text based reference range in an observation

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.code Base extensible Códigos LOINC de resultados de exámenes/procedimientos 📦0.2.0 This IG
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
inv-ucum-quantity error Observation.value[x] Si value[x] es Quantity, la unidad debe utilizar UCUM. value.ofType(Quantity).exists() implies (value.ofType(Quantity).system = 'http://unitsofmeasure.org')
inv-ucum-range error Observation.value[x] Si value[x] es Range, las unidades de low y high deben utilizar UCUM. value.ofType(Range).exists() implies ((value.ofType(Range).low.exists() implies (value.ofType(Range).low.system = 'http://unitsofmeasure.org')) and (value.ofType(Range).high.exists() implies (value.ofType(Range).high.system = 'http://unitsofmeasure.org')))
inv-ucum-ratio error Observation.value[x] Si value[x] es Ratio, numerator y denominator deben utilizar UCUM. value.ofType(Ratio).exists() implies ((value.ofType(Ratio).numerator.exists() implies (value.ofType(Ratio).numerator.system = 'http://unitsofmeasure.org')) and (value.ofType(Ratio).denominator.exists() implies (value.ofType(Ratio).denominator.system = 'http://unitsofmeasure.org')))
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation Observation
... identifier S 0..* Identifier Identificador de la observación
... status S 1..1 code Estado del resultado de laboratorio
Binding: ObservationStatus (required)
... code S 1..1 CodeableConcept Código del examen o parámetro medido. Candidatos según tipo de observación
Binding: Códigos LOINC de resultados de exámenes/procedimientos (extensible)
Additional BindingsPurpose
Códigos LOINC de resultados de laboratorio HSI candidate
Códigos LOINC de resultados de imagenología HSI candidate
Códigos LOINC de resultados de anatomía patológica HSI candidate
... interpretation S 0..* CodeableConcept Set de códigos para la interpretación del resultado obtenido
Binding: ObservationInterpretationCodes (extensible)
... note S 0..* Annotation Observaciones adicionales del resultado
... referenceRange S 0..* BackboneElement Rangos de referencia del resultado
.... low S 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high S 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type S 0..1 CodeableConcept Reference range qualifier
.... appliesTo S 0..* CodeableConcept Reference range population
.... age S 0..1 Range Applicable age range, if relevant
.... text S 0..1 string Text based reference range in an observation

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.code Base extensible Códigos LOINC de resultados de exámenes/procedimientos 📦0.2.0 This IG
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
inv-ucum-quantity error Observation.value[x] Si value[x] es Quantity, la unidad debe utilizar UCUM. value.ofType(Quantity).exists() implies (value.ofType(Quantity).system = 'http://unitsofmeasure.org')
inv-ucum-range error Observation.value[x] Si value[x] es Range, las unidades de low y high deben utilizar UCUM. value.ofType(Range).exists() implies ((value.ofType(Range).low.exists() implies (value.ofType(Range).low.system = 'http://unitsofmeasure.org')) and (value.ofType(Range).high.exists() implies (value.ofType(Range).high.system = 'http://unitsofmeasure.org')))
inv-ucum-ratio error Observation.value[x] Si value[x] es Ratio, numerator y denominator deben utilizar UCUM. value.ofType(Ratio).exists() implies ((value.ofType(Ratio).numerator.exists() implies (value.ofType(Ratio).numerator.system = 'http://unitsofmeasure.org')) and (value.ofType(Ratio).denominator.exists() implies (value.ofType(Ratio).denominator.system = 'http://unitsofmeasure.org')))
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificador de la observación
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code Estado del resultado de laboratorio
Binding: ObservationStatus (required)
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Código del examen o parámetro medido. Candidatos según tipo de observación
Binding: Códigos LOINC de resultados de exámenes/procedimientos (extensible)
Additional BindingsPurpose
Códigos LOINC de resultados de laboratorio HSI candidate
Códigos LOINC de resultados de imagenología HSI candidate
Códigos LOINC de resultados de anatomía patológica HSI candidate
... subject Σ 0..1 Reference(Patient | Group | Device | Location) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] SΣC 1..1 Tipo de Valor y Valor de la medición. En caso de ser valor numérico, se determina ucum como definición de unidad
Constraints: inv-ucum-quantity, inv-ucum-range, inv-ucum-ratio
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation S 0..* CodeableConcept Set de códigos para la interpretación del resultado obtenido
Binding: ObservationInterpretationCodes (extensible)
... note S 0..* Annotation Observaciones adicionales del resultado
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange SC 0..* BackboneElement Rangos de referencia del resultado
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SC 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type S 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo S 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age S 0..1 Range Applicable age range, if relevant
.... text S 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Códigos LOINC de resultados de exámenes/procedimientos 📦0.2.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
inv-ucum-quantity error Observation.value[x] Si value[x] es Quantity, la unidad debe utilizar UCUM. value.ofType(Quantity).exists() implies (value.ofType(Quantity).system = 'http://unitsofmeasure.org')
inv-ucum-range error Observation.value[x] Si value[x] es Range, las unidades de low y high deben utilizar UCUM. value.ofType(Range).exists() implies ((value.ofType(Range).low.exists() implies (value.ofType(Range).low.system = 'http://unitsofmeasure.org')) and (value.ofType(Range).high.exists() implies (value.ofType(Range).high.system = 'http://unitsofmeasure.org')))
inv-ucum-ratio error Observation.value[x] Si value[x] es Ratio, numerator y denominator deben utilizar UCUM. value.ofType(Ratio).exists() implies ((value.ofType(Ratio).numerator.exists() implies (value.ofType(Ratio).numerator.system = 'http://unitsofmeasure.org')) and (value.ofType(Ratio).denominator.exists() implies (value.ofType(Ratio).denominator.system = 'http://unitsofmeasure.org')))
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 1 element
Must-Support: 13 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificador de la observación
... code SΣ 1..1 CodeableConcept Código del examen o parámetro medido. Candidatos según tipo de observación
Binding: Códigos LOINC de resultados de exámenes/procedimientos (extensible)
Additional BindingsPurpose
Códigos LOINC de resultados de laboratorio HSI candidate
Códigos LOINC de resultados de imagenología HSI candidate
Códigos LOINC de resultados de anatomía patológica HSI candidate
... value[x] SΣC 1..1 Tipo de Valor y Valor de la medición. En caso de ser valor numérico, se determina ucum como definición de unidad
Constraints: inv-ucum-quantity, inv-ucum-range, inv-ucum-ratio
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... interpretation S 0..* CodeableConcept Set de códigos para la interpretación del resultado obtenido
Binding: ObservationInterpretationCodes (extensible)
... note S 0..* Annotation Observaciones adicionales del resultado
... referenceRange SC 0..* BackboneElement Rangos de referencia del resultado
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SC 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type S 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo S 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age S 0..1 Range Applicable age range, if relevant
.... text S 0..1 string Text based reference range in an observation

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.code Base extensible Códigos LOINC de resultados de exámenes/procedimientos 📦0.2.0 This IG
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
inv-ucum-quantity error Observation.value[x] Si value[x] es Quantity, la unidad debe utilizar UCUM. value.ofType(Quantity).exists() implies (value.ofType(Quantity).system = 'http://unitsofmeasure.org')
inv-ucum-range error Observation.value[x] Si value[x] es Range, las unidades de low y high deben utilizar UCUM. value.ofType(Range).exists() implies ((value.ofType(Range).low.exists() implies (value.ofType(Range).low.system = 'http://unitsofmeasure.org')) and (value.ofType(Range).high.exists() implies (value.ofType(Range).high.system = 'http://unitsofmeasure.org')))
inv-ucum-ratio error Observation.value[x] Si value[x] es Ratio, numerator y denominator deben utilizar UCUM. value.ofType(Ratio).exists() implies ((value.ofType(Ratio).numerator.exists() implies (value.ofType(Ratio).numerator.system = 'http://unitsofmeasure.org')) and (value.ofType(Ratio).denominator.exists() implies (value.ofType(Ratio).denominator.system = 'http://unitsofmeasure.org')))
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation Observation
... identifier S 0..* Identifier Identificador de la observación
... status S 1..1 code Estado del resultado de laboratorio
Binding: ObservationStatus (required)
... code S 1..1 CodeableConcept Código del examen o parámetro medido. Candidatos según tipo de observación
Binding: Códigos LOINC de resultados de exámenes/procedimientos (extensible)
Additional BindingsPurpose
Códigos LOINC de resultados de laboratorio HSI candidate
Códigos LOINC de resultados de imagenología HSI candidate
Códigos LOINC de resultados de anatomía patológica HSI candidate
... interpretation S 0..* CodeableConcept Set de códigos para la interpretación del resultado obtenido
Binding: ObservationInterpretationCodes (extensible)
... note S 0..* Annotation Observaciones adicionales del resultado
... referenceRange S 0..* BackboneElement Rangos de referencia del resultado
.... low S 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high S 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type S 0..1 CodeableConcept Reference range qualifier
.... appliesTo S 0..* CodeableConcept Reference range population
.... age S 0..1 Range Applicable age range, if relevant
.... text S 0..1 string Text based reference range in an observation

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.code Base extensible Códigos LOINC de resultados de exámenes/procedimientos 📦0.2.0 This IG
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
inv-ucum-quantity error Observation.value[x] Si value[x] es Quantity, la unidad debe utilizar UCUM. value.ofType(Quantity).exists() implies (value.ofType(Quantity).system = 'http://unitsofmeasure.org')
inv-ucum-range error Observation.value[x] Si value[x] es Range, las unidades de low y high deben utilizar UCUM. value.ofType(Range).exists() implies ((value.ofType(Range).low.exists() implies (value.ofType(Range).low.system = 'http://unitsofmeasure.org')) and (value.ofType(Range).high.exists() implies (value.ofType(Range).high.system = 'http://unitsofmeasure.org')))
inv-ucum-ratio error Observation.value[x] Si value[x] es Ratio, numerator y denominator deben utilizar UCUM. value.ofType(Ratio).exists() implies ((value.ofType(Ratio).numerator.exists() implies (value.ofType(Ratio).numerator.system = 'http://unitsofmeasure.org')) and (value.ofType(Ratio).denominator.exists() implies (value.ofType(Ratio).denominator.system = 'http://unitsofmeasure.org')))

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificador de la observación
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code Estado del resultado de laboratorio
Binding: ObservationStatus (required)
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Código del examen o parámetro medido. Candidatos según tipo de observación
Binding: Códigos LOINC de resultados de exámenes/procedimientos (extensible)
Additional BindingsPurpose
Códigos LOINC de resultados de laboratorio HSI candidate
Códigos LOINC de resultados de imagenología HSI candidate
Códigos LOINC de resultados de anatomía patológica HSI candidate
... subject Σ 0..1 Reference(Patient | Group | Device | Location) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] SΣC 1..1 Tipo de Valor y Valor de la medición. En caso de ser valor numérico, se determina ucum como definición de unidad
Constraints: inv-ucum-quantity, inv-ucum-range, inv-ucum-ratio
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation S 0..* CodeableConcept Set de códigos para la interpretación del resultado obtenido
Binding: ObservationInterpretationCodes (extensible)
... note S 0..* Annotation Observaciones adicionales del resultado
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange SC 0..* BackboneElement Rangos de referencia del resultado
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SC 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type S 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo S 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age S 0..1 Range Applicable age range, if relevant
.... text S 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Códigos LOINC de resultados de exámenes/procedimientos 📦0.2.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
inv-ucum-quantity error Observation.value[x] Si value[x] es Quantity, la unidad debe utilizar UCUM. value.ofType(Quantity).exists() implies (value.ofType(Quantity).system = 'http://unitsofmeasure.org')
inv-ucum-range error Observation.value[x] Si value[x] es Range, las unidades de low y high deben utilizar UCUM. value.ofType(Range).exists() implies ((value.ofType(Range).low.exists() implies (value.ofType(Range).low.system = 'http://unitsofmeasure.org')) and (value.ofType(Range).high.exists() implies (value.ofType(Range).high.system = 'http://unitsofmeasure.org')))
inv-ucum-ratio error Observation.value[x] Si value[x] es Ratio, numerator y denominator deben utilizar UCUM. value.ofType(Ratio).exists() implies ((value.ofType(Ratio).numerator.exists() implies (value.ofType(Ratio).numerator.system = 'http://unitsofmeasure.org')) and (value.ofType(Ratio).denominator.exists() implies (value.ofType(Ratio).denominator.system = 'http://unitsofmeasure.org')))
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 1 element
Must-Support: 13 elements

 

Other representations of profile: CSV, Excel, Schematron