MIO Laborbefund
Version 1.0.0-update - ci-build

Resource Profile: KBV_PR_MIO_LAB_Observation_Image_Attachment

Official URL: https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_LAB_Observation_Image_Attachment Version: 1.0.0-update
Draft as of 2026-06-11 Computable Name: KBV_PR_MIO_LAB_Observation_Image_Attachment

Copyright/Legal: Im folgenden Profil können Codes aus den Code-Systemen SNOMED CT®, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT® Clinical Terms® (SNOMED CT® CT®) which is used by permission of SNOMED CT® International. All rights reserved. SNOMED CT® CT®, was originally created by The College of American Pathologists. SNOMED CT® and SNOMED CT® CT are registered trademarks of SNOMED CT® International. Implementers of these artefacts must have the appropriate SNOMED CT® CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED ‘AS IS.’ ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enthält Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datenträger der amtlichen Fassung der ATC-Klassifikation mit DDD des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts für Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte © Weltgesundheitsorganisation, übersetzt und herausgegeben durch das Deutsche Institut für Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation.

Abbildung, die zu einer Laboruntersuchung oder einer Untersuchungsgruppe als Ergänzung mitgegeben wird. Beispielsweise kann die Ausprägung einer Elektrophorese-Kurve eine hilfreiche oder wichtige Zusatzinformation zu einer Erkrankung geben, die durch den quantitativen Ergebniswert allein nicht hinreichend erkennbar wird.

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
... meta SΣ 0..1 Meta Metadata about the resource
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:value S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] S 1..1 Attachment Actual result
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: KBV_VS_MIO_LAB_MIME_Types (1.0.0-update) (required)
Example General: text/plain; charset=UTF-8, image/png
...... data S 1..1 base64Binary Data inline, base64ed
...... title SΣ 1..1 string Label to display in place of the data
Example General: Official Corporate Logo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... coding SΣ 1..1 Coding Code defined by a terminology system
Binding: KBV_VS_MIO_LAB_Type_Diagram (1.0.0-update) (example)
..... system SΣ 1..1 uri Identity of the terminology system
..... version SΣ 1..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... subject SΣ 1..1 Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) Zu behandelnde Person
.... identifier SΣ 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
... performer SΣ 0..* Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) | KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) | KBV_PR_MIO_LAB_Organization(1.0.0-update)) Who is responsible for the observation
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... note S 0..* Annotation Comments about the observation
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... derivedFrom SΣ 1..* Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group(1.0.0-update) | KBV_PR_MIO_LAB_Observation_Laboratory_Study(1.0.0-update)) Related measurements the observation is made from
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.extension:value.​value[x].contentType Base required Dateiformat 📍1.0.0-update This IG
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.code.coding Base example Typisierung Messdiagramm 📍1.0.0-update This IG
Observation.component.​code Base example LOINC 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()
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 0..* Observation Measurements and simple assertions
... meta S 0..1 Meta Metadata about the resource
.... id 0..0 Unique id for inter-element referencing
.... versionId S 0..1 id Version specific identifier
.... lastUpdated S 0..1 instant When the resource version last changed
.... source 0..0 Identifies where the resource comes from
... implicitRules 0..0 A set of rules under which this content was created
... language 0..0 Language of the resource content
... text
.... status 1..1 code generated | extensions | additional | empty
Required Pattern: extensions
... contained 0..0 Contained, inline Resources
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:value S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
..... extension 0..0 Extension
..... value[x] S 1..1 Attachment Actual result
...... contentType S 1..1 code Mime type of the content, with charset etc.
Binding: KBV_VS_MIO_LAB_MIME_Types (1.0.0-update) (required)
...... language 0..0 Human language of the content (BCP-47)
...... data S 1..1 base64Binary Data inline, base64ed
...... url 0..0 Uri where the data can be found
...... size 0..0 Number of bytes of content (if url provided)
...... hash 0..0 Hash of the data (sha-1, base64ed)
...... title S 1..1 string Label to display in place of the data
...... creation 0..0 Date attachment was first created
... identifier 0..0 Business Identifier for observation
... basedOn 0..0 Fulfills plan, proposal or order
... partOf 0..0 Part of referenced event
... status S 1..1 code registered | preliminary | final | amended +
... category 0..0 Classification of type of observation
... code S 1..1 CodeableConcept Type of observation (code / type)
.... coding S 1..1 Coding Code defined by a terminology system
Binding: KBV_VS_MIO_LAB_Type_Diagram (1.0.0-update) (example)
..... system S 1..1 uri Identity of the terminology system
..... version S 1..1 string Version of the system - if relevant
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
..... userSelected 0..0 If this coding was chosen directly by the user
.... text 0..0 Plain text representation of the concept
... subject S 1..1 Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) Zu behandelnde Person
.... identifier S 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
... focus 0..0 What the observation is about, when it is not about the subject of record
... encounter 0..0 Healthcare event during which this observation is made
... effective[x] 0..0 Clinically relevant time/time-period for observation
... issued 0..0 Date/Time this version was made available
... performer S 0..* Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) | KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) | KBV_PR_MIO_LAB_Organization(1.0.0-update)) Who is responsible for the observation
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... value[x] 0..0 Actual result
... interpretation 0..0 High, low, normal, etc.
... note S 0..* Annotation Comments about the observation
.... author[x] 0..0 Individual responsible for the annotation
.... time 0..0 When the annotation was made
.... text S 1..1 markdown The annotation - text content (as markdown)
... bodySite 0..0 Observed body part
... method 0..0 How it was done
... specimen 0..0 Specimen used for this observation
... device 0..0 (Measurement) Device
... referenceRange 0..0 Provides guide for interpretation
... hasMember 0..0 Related resource that belongs to the Observation group
... derivedFrom S 1..* Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group(1.0.0-update) | KBV_PR_MIO_LAB_Observation_Laboratory_Study(1.0.0-update)) Related measurements the observation is made from
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... type 0..0 Type the reference refers to (e.g. "Patient")
.... identifier 0..0 Logical reference, when literal reference is not known
.... display 0..0 Text alternative for the resource
... component 0..0 Component results

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.extension:value.​value[x].contentType Base required Dateiformat 📍1.0.0-update This IG
Observation.code.coding Base example Typisierung Messdiagramm 📍1.0.0-update This IG
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 SΣ 0..1 Meta Metadata about the resource
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... status 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
Required Pattern: extensions
.... div C 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
.... extension:value S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] S 1..1 Attachment Actual result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: KBV_VS_MIO_LAB_MIME_Types (1.0.0-update) (required)
Example General: text/plain; charset=UTF-8, image/png
...... data S 1..1 base64Binary Data inline, base64ed
...... title SΣ 1..1 string Label to display in place of the data
Example General: Official Corporate Logo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..1 Coding Code defined by a terminology system
Binding: KBV_VS_MIO_LAB_Type_Diagram (1.0.0-update) (example)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version SΣ 1..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... subject SΣ 1..1 Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) Zu behandelnde Person
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... performer SΣ 0..* Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) | KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) | KBV_PR_MIO_LAB_Organization(1.0.0-update)) Who is responsible for the observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... note S 0..* Annotation Comments about the observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... derivedFrom SΣ 1..* Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group(1.0.0-update) | KBV_PR_MIO_LAB_Observation_Laboratory_Study(1.0.0-update)) Related measurements the observation is made from
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Observation.text.status Base required NarrativeStatus 📍4.0.1 FHIR Std.
Observation.extension:value.​value[x].contentType Base required Dateiformat 📍1.0.0-update This IG
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.code.coding Base example Typisierung Messdiagramm 📍1.0.0-update This IG
Observation.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.performer.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍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()
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()
txt-1 error Observation.text.div The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes htmlChecks()
txt-2 error Observation.text.div The narrative SHALL have some non-whitespace content htmlChecks()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... meta SΣ 0..1 Meta Metadata about the resource
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:value S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] S 1..1 Attachment Actual result
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: KBV_VS_MIO_LAB_MIME_Types (1.0.0-update) (required)
Example General: text/plain; charset=UTF-8, image/png
...... data S 1..1 base64Binary Data inline, base64ed
...... title SΣ 1..1 string Label to display in place of the data
Example General: Official Corporate Logo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... coding SΣ 1..1 Coding Code defined by a terminology system
Binding: KBV_VS_MIO_LAB_Type_Diagram (1.0.0-update) (example)
..... system SΣ 1..1 uri Identity of the terminology system
..... version SΣ 1..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... subject SΣ 1..1 Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) Zu behandelnde Person
.... identifier SΣ 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
... performer SΣ 0..* Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) | KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) | KBV_PR_MIO_LAB_Organization(1.0.0-update)) Who is responsible for the observation
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... note S 0..* Annotation Comments about the observation
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... derivedFrom SΣ 1..* Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group(1.0.0-update) | KBV_PR_MIO_LAB_Observation_Laboratory_Study(1.0.0-update)) Related measurements the observation is made from
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.extension:value.​value[x].contentType Base required Dateiformat 📍1.0.0-update This IG
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.code.coding Base example Typisierung Messdiagramm 📍1.0.0-update This IG
Observation.component.​code Base example LOINC 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()
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 0..* Observation Measurements and simple assertions
... meta S 0..1 Meta Metadata about the resource
.... id 0..0 Unique id for inter-element referencing
.... versionId S 0..1 id Version specific identifier
.... lastUpdated S 0..1 instant When the resource version last changed
.... source 0..0 Identifies where the resource comes from
... implicitRules 0..0 A set of rules under which this content was created
... language 0..0 Language of the resource content
... text
.... status 1..1 code generated | extensions | additional | empty
Required Pattern: extensions
... contained 0..0 Contained, inline Resources
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:value S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
..... extension 0..0 Extension
..... value[x] S 1..1 Attachment Actual result
...... contentType S 1..1 code Mime type of the content, with charset etc.
Binding: KBV_VS_MIO_LAB_MIME_Types (1.0.0-update) (required)
...... language 0..0 Human language of the content (BCP-47)
...... data S 1..1 base64Binary Data inline, base64ed
...... url 0..0 Uri where the data can be found
...... size 0..0 Number of bytes of content (if url provided)
...... hash 0..0 Hash of the data (sha-1, base64ed)
...... title S 1..1 string Label to display in place of the data
...... creation 0..0 Date attachment was first created
... identifier 0..0 Business Identifier for observation
... basedOn 0..0 Fulfills plan, proposal or order
... partOf 0..0 Part of referenced event
... status S 1..1 code registered | preliminary | final | amended +
... category 0..0 Classification of type of observation
... code S 1..1 CodeableConcept Type of observation (code / type)
.... coding S 1..1 Coding Code defined by a terminology system
Binding: KBV_VS_MIO_LAB_Type_Diagram (1.0.0-update) (example)
..... system S 1..1 uri Identity of the terminology system
..... version S 1..1 string Version of the system - if relevant
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
..... userSelected 0..0 If this coding was chosen directly by the user
.... text 0..0 Plain text representation of the concept
... subject S 1..1 Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) Zu behandelnde Person
.... identifier S 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
... focus 0..0 What the observation is about, when it is not about the subject of record
... encounter 0..0 Healthcare event during which this observation is made
... effective[x] 0..0 Clinically relevant time/time-period for observation
... issued 0..0 Date/Time this version was made available
... performer S 0..* Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) | KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) | KBV_PR_MIO_LAB_Organization(1.0.0-update)) Who is responsible for the observation
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... value[x] 0..0 Actual result
... interpretation 0..0 High, low, normal, etc.
... note S 0..* Annotation Comments about the observation
.... author[x] 0..0 Individual responsible for the annotation
.... time 0..0 When the annotation was made
.... text S 1..1 markdown The annotation - text content (as markdown)
... bodySite 0..0 Observed body part
... method 0..0 How it was done
... specimen 0..0 Specimen used for this observation
... device 0..0 (Measurement) Device
... referenceRange 0..0 Provides guide for interpretation
... hasMember 0..0 Related resource that belongs to the Observation group
... derivedFrom S 1..* Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group(1.0.0-update) | KBV_PR_MIO_LAB_Observation_Laboratory_Study(1.0.0-update)) Related measurements the observation is made from
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... type 0..0 Type the reference refers to (e.g. "Patient")
.... identifier 0..0 Logical reference, when literal reference is not known
.... display 0..0 Text alternative for the resource
... component 0..0 Component results

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.extension:value.​value[x].contentType Base required Dateiformat 📍1.0.0-update This IG
Observation.code.coding Base example Typisierung Messdiagramm 📍1.0.0-update This IG

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 SΣ 0..1 Meta Metadata about the resource
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... status 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
Required Pattern: extensions
.... div C 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
.... extension:value S 1..1 (Complex) R5: value additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] S 1..1 Attachment Actual result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: KBV_VS_MIO_LAB_MIME_Types (1.0.0-update) (required)
Example General: text/plain; charset=UTF-8, image/png
...... data S 1..1 base64Binary Data inline, base64ed
...... title SΣ 1..1 string Label to display in place of the data
Example General: Official Corporate Logo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..1 Coding Code defined by a terminology system
Binding: KBV_VS_MIO_LAB_Type_Diagram (1.0.0-update) (example)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version SΣ 1..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... subject SΣ 1..1 Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) Zu behandelnde Person
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... performer SΣ 0..* Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) | KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) | KBV_PR_MIO_LAB_Organization(1.0.0-update)) Who is responsible for the observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... note S 0..* Annotation Comments about the observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... text SΣ 1..1 markdown The annotation - text content (as markdown)
... derivedFrom SΣ 1..* Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group(1.0.0-update) | KBV_PR_MIO_LAB_Observation_Laboratory_Study(1.0.0-update)) Related measurements the observation is made from
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Observation.text.status Base required NarrativeStatus 📍4.0.1 FHIR Std.
Observation.extension:value.​value[x].contentType Base required Dateiformat 📍1.0.0-update This IG
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.code.coding Base example Typisierung Messdiagramm 📍1.0.0-update This IG
Observation.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.performer.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍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()
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()
txt-1 error Observation.text.div The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes htmlChecks()
txt-2 error Observation.text.div The narrative SHALL have some non-whitespace content htmlChecks()

 

Other representations of profile: CSV, Excel, Schematron