Diagnostic Data Services

DDS-Report-Observation-1-0

This constrained FHIR Observation resource will mainly be used to represent Diagnostic test results and a secondary use will be to represent other appropriate supporting information.

Follow this link to view examples for DDS-Report-Observation-1-0: Examples
NameCard.TypeDescription & Constraints
..ObservationObservationMeasurements and simple assertions

...identifier0..1IdentifierUnique Id for this particular observation

....use0..1Codeusual | official | temp | secondary (If known)
Binding: Identifies the purpose for this identifier, if known . (http://hl7.org/fhir/ValueSet/identifier-use)
Binding Strength: Required
Example Value: official

....type0..1CodeableConceptDescription of identifier
Binding: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. (http://hl7.org/fhir/ValueSet/identifier-type)
Binding Strength: Extensible

.....coding0..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....system1..1UriThe namespace for the identifier
Example Value: http://www.sampleth.nhs.uk/pathology/bloodsciences/labno

....value1..1StringThe value that is unique
Example Value: HAEM8667800009

....period0..1PeriodTime period when id is/was valid for use

.....start1..1DateTimeStarting time with inclusive boundary

.....end0..1DateTimeEnd time with inclusive boundary, if not ongoing

....assigner0..1OrganizationOrganization that issued id (may be just text)

.....reference1..1StringAbsolute URL reference
Example Value: Organization/223F5C66-66BF-4CEA-A5D7-25AB9348B448

.....display0..1StringText alternative for the resource

...status1..1Coderegistered | preliminary | final | amended +
Binding: Codes providing the status of an observation. (http://hl7.org/fhir/ValueSet/observation-status)
Binding Strength: Required
Example Value: final

...category0..1CodeableConceptClassification of type of observation
Binding: Codes for high level observation categories . (http://hl7.org/fhir/ValueSet/observation-category)
Binding Strength: Example

....coding0..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/ValueSet/observation-category

.....version0..1StringVersion of the system - if relevant

.....code1..1CodeSymbol in syntax defined by the system
Example Value: laboratory

.....display1..1StringRepresentation defined by the system
Example Value: Laboratory

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...code1..1CodeableConceptType of observation (code / type)
Binding: Codes identifying names of simple observations. (http://snomed.info/sct)
Binding Strength: Example

....coding0..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Fixed Value: http://snomed.info/sct

.....version0..1StringVersion of the system - if relevant

.....code1..1CodeSymbol in syntax defined by the system
Example Value: 1022441000000101

.....display1..1StringRepresentation defined by the system
Example Value: Full blood count

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...subject0..1dds-report-patient-1-0, Group, Device, LocationWho and/or what this is about

...encounter0..1EncounterHealthcare event during which this observation is made

....reference1..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...effective[x]0..1DateTime, PeriodClinically relevant time/time-period for observation

...issued0..1InstantDate/Time this was made available

...performer0..*Practitioner, Organization, RelatedPersonWho is responsible for the observation

...value[x]0..1Quantity, CodeableConcept, String, Range, Ratio, SampledData, Attachment, Time, DateTime, PeriodActual result

...dataAbsentReason0..1CodeableConceptWhy the result is missing
Binding: Codes specifying why the result (Observation.value[x]) is missing. (http://hl7.org/fhir/ValueSet/observation-valueabsentreason)
Binding Strength: Extensible

....coding0..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system

.....version0..1StringVersion of the system - if relevant

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...interpretation0..1CodeableConceptHigh, low, normal, etc.
Binding: Codes identifying interpretations of observations. (http://hl7.org/fhir/ValueSet/observation-interpretation)
Binding Strength: Extensible

....coding0..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Example Value: http://hl7.org/fhir/ValueSet/observation-interpretation

.....version0..1StringVersion of the system - if relevant

.....code1..1CodeSymbol in syntax defined by the system
Example Value: N

.....display1..1StringRepresentation defined by the system
Example Value: Normal

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...comments0..1StringComments about result
Example Value: Platelets are clumped, but appear adequate in number. Red cells are mainly normocytic normochromic with mild rouleaux. White cells appear normal.

...bodySite0..1CodeableConceptObserved body part
Binding: Codes describing anatomical locations. May include laterality. (http://hl7.org/fhir/ValueSet/body-site)
Binding Strength: Example

....coding0..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/ValueSet/body-site

.....version0..1StringVersion of the system - if relevant

.....code1..1CodeSymbol in syntax defined by the system
Example Value: 308046002

.....display1..1StringRepresentation defined by the system
Example Value: Structure of superficial forearm vein

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...method0..1CodeableConceptHow it was done
Binding: Methods for simple observations. (http://snomed.info/sct)
Binding Strength: Example

....coding0..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Fixed Value: http://snomed.info/sct

.....version0..1StringVersion of the system - if relevant

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...specimen0..1SpecimenSpecimen used for this observation

....reference1..1StringRelative URL reference
Example Value: Specimen/B603CEDE-8C3F-4909-9CB1-D47C0FDE9F8A

....display0..1StringText alternative for the resource

...device0..1Device, DeviceMetric(Measurement) Device

...referenceRange0..*BackboneElementProvides guide for interpretation

....low0..1StructureDefinition/SimpleQuantityLow Range, if relevant

.....value1..1DecimalNumerical value (with implicit precision)

.....comparator0..1Code< | <= | >= | > - how to understand the value
Binding: How the Quantity should be understood and represented. (http://hl7.org/fhir/ValueSet/quantity-comparator)
Binding Strength: Required

.....unit1..1StringUnit representation

.....system1..1UriSystem that defines coded unit form

.....code1..1CodeCoded form of the unit

....high0..1StructureDefinition/SimpleQuantityHigh Range, if relevant

.....value1..1DecimalNumerical value (with implicit precision)

.....comparator0..1Code< | <= | >= | > - how to understand the value
Binding: How the Quantity should be understood and represented. (http://hl7.org/fhir/ValueSet/quantity-comparator)
Binding Strength: Required

.....unit1..1StringUnit representation

.....system1..1UriSystem that defines coded unit form

.....code1..1CodeCoded form of the unit

....meaning0..1CodeableConceptIndicates the meaning/use of this range of this range
Binding: Code for the meaning of a reference range. (http://hl7.org/fhir/ValueSet/referencerange-meaning)
Binding Strength: Example

.....coding0..*CodingCode defined by a terminology system

......system0..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code0..1CodeSymbol in syntax defined by the system

......display0..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....age0..1RangeApplicable age range, if relevant

.....low0..1StructureDefinition/SimpleQuantityLow limit

......value0..1DecimalNumerical value (with implicit precision)

......comparator0..1Code< | <= | >= | > - how to understand the value
Binding: How the Quantity should be understood and represented. (http://hl7.org/fhir/ValueSet/quantity-comparator)
Binding Strength: Required

......unit0..1StringUnit representation

......system0..1UriSystem that defines coded unit form

......code0..1CodeCoded form of the unit

.....high0..1StructureDefinition/SimpleQuantityHigh limit

......value0..1DecimalNumerical value (with implicit precision)

......comparator0..1Code< | <= | >= | > - how to understand the value
Binding: How the Quantity should be understood and represented. (http://hl7.org/fhir/ValueSet/quantity-comparator)
Binding Strength: Required

......unit0..1StringUnit representation

......system0..1UriSystem that defines coded unit form

......code0..1CodeCoded form of the unit

....text0..1StringText based reference range in an observation

...related0..*BackboneElementResource related to this observation

....type0..1Codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: Codes specifying how two observations are related. (http://hl7.org/fhir/ValueSet/observation-relationshiptypes)
Binding Strength: Required

....target1..1dds-report-observation-1-0Resource that is related to this one

...component0..*BackboneElementComponent results

....code1..1CodeableConceptType of component observation (code / type)
Binding: Codes identifying names of simple observations. (http://snomed.info/sct)
Binding Strength: Example

.....coding0..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value: http://snomed.info/sct

......version0..1StringVersion of the system - if relevant

......code1..1CodeSymbol in syntax defined by the system
Example Value: 1022541000000102

......display1..1StringRepresentation defined by the system
Example Value: Total white cell count

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept
Example Value: White cell count

....value[x]0..1QuantityActual component result

....dataAbsentReason0..1CodeableConceptWhy the component result is missing
Binding: Codes specifying why the result (Observation.value[x]) is missing. (http://hl7.org/fhir/ValueSet/observation-valueabsentreason)
Binding Strength: Extensible

.....coding0..*CodingCode defined by a terminology system

......system0..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code0..1CodeSymbol in syntax defined by the system

......display0..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....referenceRange0..1see referenceRangeProvides guide for interpretation of component result