AU Base Diagnostic Imaging Result - AU Base Implementation Guide v4.1.2-preview

AU Base Implementation Guide
4.1.2-preview - Preview Australia flag

This page is part of the Australian Base IG (v4.1.2-preview: AU Base) based on FHIR R4. For a full list of available versions, see the Directory of published versions

Resource Profile: AU Base Diagnostic Imaging Result

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-imagingresult		Version: 4.1.2-preview
Standards status: Trial-use	Maturity Level: 1	Computable Name: AUBaseDiagnosticImagingResult
Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

This profile defines an observation structure to represent a imaging examination result issued by a diagnostic service provider in an Australian context. The observation may represent the result of a simple test such as haemoglobin or it may group the set of results produced by a multi-test study or panel such as a full blood count, or urine specimen study.

Usage Notes

Profile specific implementation guidance:

The bodySite extension may be suitable for use where
- body site is not implicit in the code found in Observation.code and
- body site information cannot be adequately captured by a single inline coded element in Observation.bodySite.
When sending an observation that represents a study series or panel:
- the group / panel code is sent in Observation.code
- the overall comments are sent in Observation.note
- the global interpretation by the producer of the study is sent in Observation.interpretation
- individual results may be sent in Observation.component or by referencing individual observation results in Observation.hasMember
When sending observations that group the set of results of a multi-modality procedure:
- A multi-modality procedure observation is sent with individual component examinations in Observation.hasMember.
- An individual component examination observation is referenced by that multi-modality procedure observation (Observation.hasMember) rather than directly at the diagnostic report level (DiagnosticReport.result).

Usage:

Refer to this Resource Profile: AU Base Diagnostic Report, AU Base Diagnostic Result, AU Base Diagnostic Imaging Report and AU Base Diagnostic Imaging Result

Formal Views of Profile Content

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

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	A imaging examination result in an Australian healthcare context inv-obs-0: An imaging result shall at least have value or data absent reason or a child observation with a value or data absent reason
Slices for category		1..*	CodeableConcept	Relevant diagnostic imaging category: service, modality and anatomic region Slice: Unordered, Open by value:coding.system, value:coding.code
category:diagImg		1..1	CodeableConcept	Observation generated by imaging
coding		1..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
category:anatomicRegionOfInterest		0..*	CodeableConcept	Anatomic Region Of Interest Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-anatomic-region-of-interest-1 (extensible)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	CodeableConcept	Diagnostic imaging examination or study Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1 (preferred)
subject		1..1	Reference(Patient)	Who and/or what the observation is about
effective[x]		1..1		Time of diagnostic imaging examination
effectiveDateTime			dateTime
effectivePeriod			Period
value[x]	C	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing
bodySite		0..1	CodeableConcept	Observed body part Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
bodySite		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
hasMember	C	0..*	Reference(AU Base Diagnostic Result \| AU Base Diagnostic Imaging Result)	Individual examinations in a group or study series
component		0..*	BackboneElement	Individual examinations in a group or study series
code		1..1	CodeableConcept	Diagnostic imaging examination or study Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1 (preferred)
value[x]	C	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.category:anatomicRegionOfInterest	extensible	https://healthterminologies.gov.au/fhir/ValueSet/imaging-anatomic-region-of-interest-1
Observation.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1
Observation.bodySite	preferred	https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Observation.component.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-obs-0	error	Observation	An imaging result shall at least have value or data absent reason or a child observation with a value or data absent reason : value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.exists()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	A imaging examination result in an Australian healthcare context inv-obs-0: An imaging result shall at least have value or data absent reason or a child observation with a value or data absent reason
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		1..*	CodeableConcept	Relevant diagnostic imaging category: service, modality and anatomic region Slice: Unordered, Open by value:coding.system, value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:diagImg		1..1	CodeableConcept	Observation generated by imaging Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
coding	Σ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
category:anatomicRegionOfInterest		0..*	CodeableConcept	Anatomic Region Of Interest Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-anatomic-region-of-interest-1 (extensible)
code	Σ	1..1	CodeableConcept	Diagnostic imaging examination or study Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1 (preferred)
subject	Σ	1..1	Reference(Patient)	Who and/or what the observation is about
effective[x]	Σ	1..1		Time of diagnostic imaging examination
effectiveDateTime			dateTime
effectivePeriod			Period
value[x]	ΣC	0..1		Actual 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 result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
bodySite		0..1	CodeableConcept	Observed body part Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
bodySite		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
hasMember	ΣC	0..*	Reference(AU Base Diagnostic Result \| AU Base Diagnostic Imaging Result)	Individual examinations in a group or study series
component	Σ	0..*	BackboneElement	Individual examinations in a group or study series
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Diagnostic imaging examination or study Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1 (preferred)
value[x]	ΣC	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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.status	required	ObservationStatus
Observation.category	preferred	ObservationCategoryCodes
Observation.category:diagImg	preferred	ObservationCategoryCodes
Observation.category:anatomicRegionOfInterest	extensible	https://healthterminologies.gov.au/fhir/ValueSet/imaging-anatomic-region-of-interest-1
Observation.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.bodySite	preferred	https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Observation.component.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1
Observation.component.dataAbsentReason	extensible	DataAbsentReason

Constraints

Id	Grade	Path(s)	Details	Requirements
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-obs-0	error	Observation	An imaging result shall at least have value or data absent reason or a child observation with a value or data absent reason : value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.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()

Description & Constraints

Observation

C

0..*

Observation

A imaging examination result in an Australian healthcare context
inv-obs-0: An imaging result shall at least have value or data absent reason or a child observation with a value or data absent reason

id

Σ

0..1

id

Logical id of this artifact

Terminology Bindings

Path

Conformance

ValueSet

Observation.language

preferred

CommonLanguages

Additional Bindings

Purpose

AllLanguages

Max Binding

Observation.status

required

ObservationStatus

Observation.category

preferred

ObservationCategoryCodes

Observation.category:diagImg

preferred

ObservationCategoryCodes

Observation.category:anatomicRegionOfInterest

extensible

https://healthterminologies.gov.au/fhir/ValueSet/imaging-anatomic-region-of-interest-1

Observation.code

preferred

https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1

Observation.dataAbsentReason

extensible

DataAbsentReason

Observation.interpretation

extensible

ObservationInterpretationCodes

Observation.bodySite

preferred

https://healthterminologies.gov.au/fhir/ValueSet/body-site-1

Observation.method

example

ObservationMethods

Observation.referenceRange.type

preferred

ObservationReferenceRangeMeaningCodes

Observation.referenceRange.appliesTo

example

ObservationReferenceRangeAppliesToCodes

Observation.component.code

preferred

https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1

Observation.component.dataAbsentReason

extensible

DataAbsentReason

Observation.component.interpretation

extensible

ObservationInterpretationCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
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-obs-0	error	Observation	An imaging result shall at least have value or data absent reason or a child observation with a value or data absent reason : value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.exists()
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: 7 elements (1 nested mandatory element)
Fixed Value: 3 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

http://hl7.org/fhir/StructureDefinition/bodySite

Slices

This structure defines the following Slices:

The element Observation.category is sliced based on the values of value:coding.system, value:coding.code

Maturity: 1

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	A imaging examination result in an Australian healthcare context inv-obs-0: An imaging result shall at least have value or data absent reason or a child observation with a value or data absent reason
Slices for category		1..*	CodeableConcept	Relevant diagnostic imaging category: service, modality and anatomic region Slice: Unordered, Open by value:coding.system, value:coding.code
category:diagImg		1..1	CodeableConcept	Observation generated by imaging
coding		1..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
category:anatomicRegionOfInterest		0..*	CodeableConcept	Anatomic Region Of Interest Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-anatomic-region-of-interest-1 (extensible)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	CodeableConcept	Diagnostic imaging examination or study Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1 (preferred)
subject		1..1	Reference(Patient)	Who and/or what the observation is about
effective[x]		1..1		Time of diagnostic imaging examination
effectiveDateTime			dateTime
effectivePeriod			Period
value[x]	C	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing
bodySite		0..1	CodeableConcept	Observed body part Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
bodySite		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
hasMember	C	0..*	Reference(AU Base Diagnostic Result \| AU Base Diagnostic Imaging Result)	Individual examinations in a group or study series
component		0..*	BackboneElement	Individual examinations in a group or study series
code		1..1	CodeableConcept	Diagnostic imaging examination or study Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1 (preferred)
value[x]	C	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.category:anatomicRegionOfInterest	extensible	https://healthterminologies.gov.au/fhir/ValueSet/imaging-anatomic-region-of-interest-1
Observation.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1
Observation.bodySite	preferred	https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Observation.component.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-obs-0	error	Observation	An imaging result shall at least have value or data absent reason or a child observation with a value or data absent reason : value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	A imaging examination result in an Australian healthcare context inv-obs-0: An imaging result shall at least have value or data absent reason or a child observation with a value or data absent reason
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		1..*	CodeableConcept	Relevant diagnostic imaging category: service, modality and anatomic region Slice: Unordered, Open by value:coding.system, value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:diagImg		1..1	CodeableConcept	Observation generated by imaging Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
coding	Σ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
category:anatomicRegionOfInterest		0..*	CodeableConcept	Anatomic Region Of Interest Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-anatomic-region-of-interest-1 (extensible)
code	Σ	1..1	CodeableConcept	Diagnostic imaging examination or study Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1 (preferred)
subject	Σ	1..1	Reference(Patient)	Who and/or what the observation is about
effective[x]	Σ	1..1		Time of diagnostic imaging examination
effectiveDateTime			dateTime
effectivePeriod			Period
value[x]	ΣC	0..1		Actual 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 result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
bodySite		0..1	CodeableConcept	Observed body part Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
bodySite		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
hasMember	ΣC	0..*	Reference(AU Base Diagnostic Result \| AU Base Diagnostic Imaging Result)	Individual examinations in a group or study series
component	Σ	0..*	BackboneElement	Individual examinations in a group or study series
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Diagnostic imaging examination or study Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1 (preferred)
value[x]	ΣC	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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.status	required	ObservationStatus
Observation.category	preferred	ObservationCategoryCodes
Observation.category:diagImg	preferred	ObservationCategoryCodes
Observation.category:anatomicRegionOfInterest	extensible	https://healthterminologies.gov.au/fhir/ValueSet/imaging-anatomic-region-of-interest-1
Observation.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.bodySite	preferred	https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Observation.component.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1
Observation.component.dataAbsentReason	extensible	DataAbsentReason

Constraints

Id	Grade	Path(s)	Details	Requirements
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-obs-0	error	Observation	An imaging result shall at least have value or data absent reason or a child observation with a value or data absent reason : value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.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()

Snapshot View

Description & Constraints

Observation

C

0..*

Observation

A imaging examination result in an Australian healthcare context
inv-obs-0: An imaging result shall at least have value or data absent reason or a child observation with a value or data absent reason

id

Σ

0..1

id

Logical id of this artifact

Terminology Bindings

Path

Conformance

ValueSet

Observation.language

preferred

CommonLanguages

Additional Bindings

Purpose

AllLanguages

Max Binding

Observation.status

required

ObservationStatus

Observation.category

preferred

ObservationCategoryCodes

Observation.category:diagImg

preferred

ObservationCategoryCodes

Observation.category:anatomicRegionOfInterest

extensible

https://healthterminologies.gov.au/fhir/ValueSet/imaging-anatomic-region-of-interest-1

Observation.code

preferred

https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1

Observation.dataAbsentReason

extensible

DataAbsentReason

Observation.interpretation

extensible

ObservationInterpretationCodes

Observation.bodySite

preferred

https://healthterminologies.gov.au/fhir/ValueSet/body-site-1

Observation.method

example

ObservationMethods

Observation.referenceRange.type

preferred

ObservationReferenceRangeMeaningCodes

Observation.referenceRange.appliesTo

example

ObservationReferenceRangeAppliesToCodes

Observation.component.code

preferred

https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1

Observation.component.dataAbsentReason

extensible

DataAbsentReason

Observation.component.interpretation

extensible

ObservationInterpretationCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
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-obs-0	error	Observation	An imaging result shall at least have value or data absent reason or a child observation with a value or data absent reason : value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.exists()
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: 7 elements (1 nested mandatory element)
Fixed Value: 3 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

http://hl7.org/fhir/StructureDefinition/bodySite

Slices

This structure defines the following Slices:

The element Observation.category is sliced based on the values of value:coding.system, value:coding.code

Maturity: 1

Other representations of profile: CSV, Excel, Schematron

IG © 2017+ HL7 Australia. Package hl7.fhir.au.base#4.1.2-preview based on FHIR 4.0.1. Generated 2023-11-15
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