Austrian Patient Summary (R4)
1.0.0 - STU1

Austrian Patient Summary (R4) - Downloaded Version 1.0.0 See the Directory of published versions

## Resource Profile: AT APS Observation Results Laboratory Pathology

Official URL: https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultslaboratorypathology | Version: 1.0.0
Active as of 2026-02-17 | Computable Name: AtApsObservationResultsLaboratoryPathology

Das AT APS-Profil für die Observation-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte `imposeProfile`-Erweiterung verwendet wird.

Usages:

- Refer to this Profile: AT APS Composition, AT APS DiagnosticReport and AT APS Observation Results Laboratory Pathology
- Examples for this Profile: Observation/AtApsExampleObservationResultsLaboratoryPathology01
- CapabilityStatements using this Profile: AT APS CapabilityStatement (Server)

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | AtApsObservation | AT APS Observation Results Laboratory Pathology This profile also imposes the profile Observation Results - Laboratory/Pathology (IPS) 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
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: https://termgit.elga.gv.at/ValueSet/elga-laborstruktur (extensible)
code | Σ | 1..1 | CodeableConceptIPS | Type of observation (code / type) Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-antibiogramm | Extensible
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueString | Σ C | 0..1 | string | Actual result
value[x]:valueQuantity | Σ C | 0..1 | Quantity | Actual result
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis | candidate
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation (extensible)
hasMember | Σ | 0..* | Reference(AT APS Observation Results Laboratory Pathology) | Related resource that belongs to the Observation group
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborstruktur | Not State | Unknown
Observation.code | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborparameter | Not State | Unknown
Observation.value[x]:valueCodeableConcept | Base | extensible | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.interpretation | Base | extensible | https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation | Not State | Unknown

#### 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 AtApsObservation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | AtApsObservation | AT APS Observation Results Laboratory Pathology This profile also imposes the profile Observation Results - Laboratory/Pathology (IPS)
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: https://termgit.elga.gv.at/ValueSet/elga-laborstruktur (extensible)
code |  | 1..1 | CodeableConceptIPS | Type of observation (code / type) Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-antibiogramm | Extensible
Slices for value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this
value[x]:valueString |  | 0..1 | string | Actual result
value[x]:valueQuantity |  | 0..1 | Quantity | Actual result
value[x]:valueCodeableConcept |  | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis | candidate
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation (extensible)
hasMember |  | 0..* | Reference(AT APS Observation Results Laboratory Pathology) | Related resource that belongs to the Observation group
component |  |  |  |
code |  | 1..1 | CodeableConceptIPS | Type of component observation (code / type) Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-antibiogramm | Extensible
Slices for value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept |  | 0..1 | CodeableConcept | Actual component result Binding: Results Coded Values Laboratory/Pathology - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis | candidate
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.category | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborstruktur | Not State | Unknown
Observation.code | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborparameter | Not State | Unknown
Observation.value[x]:valueCodeableConcept | Base | extensible | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.interpretation | Base | extensible | https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation | Not State | Unknown
Observation.component.​code | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborparameter | Not State | Unknown
Observation.component.​value[x]:valueCodeableConcept | Base | extensible | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.component.​interpretation | Base | extensible | https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation | Not State | Unknown

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | AtApsObservation | AT APS Observation Results Laboratory Pathology This profile also imposes the profile Observation Results - Laboratory/Pathology (IPS) 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 Bindings | Purpose
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 | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(AT APS CarePlan | DeviceRequest | ImmunizationRecommendation | AT APS MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(AT APS MedicationAdministration | AT APS MedicationDispense | AT APS MedicationStatement | AT APS Procedure | AT APS Immunization | AT APS ImagingStudy) | Part of referenced event
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: https://termgit.elga.gv.at/ValueSet/elga-laborstruktur (extensible)
code | Σ | 1..1 | CodeableConceptIPS | Type of observation (code / type) Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-antibiogramm | Extensible
subject | Σ | 0..1 | Reference(AT APS Patient | Group | AT APS 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(AT APS Practitioner | AT APS PractitionerRole | AT APS Organization | CareTeam | AT APS Patient | RelatedPerson) | Who is responsible for the observation
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueString | Σ C | 0..1 | string | Actual result
value[x]:valueQuantity | Σ C | 0..1 | Quantity | Actual result
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis | candidate
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation (extensible)
note |  | 0..* | Annotation | Comments about the observation
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(AT APS Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(AT APS Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation 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 | C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(AT APS Observation Results Laboratory Pathology) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(AT APS DocumentReference | AT APS ImagingStudy | Media | QuestionnaireResponse | AT APS 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 | CodeableConceptIPS | Type of component observation (code / type) Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-antibiogramm | Extensible
Slices for value[x] | Σ | 0..1 |  | Actual component result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueCodeableConcept | Σ | 0..1 | CodeableConcept | Actual component result Binding: Results Coded Values Laboratory/Pathology - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis | candidate
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: https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation (extensible)
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
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 | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborstruktur | Not State | Unknown
Observation.code | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborparameter | Not State | Unknown
Observation.value[x]:valueCodeableConcept | Base | extensible | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation | Not State | Unknown
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 | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborparameter | Not State | Unknown
Observation.component.​value[x]:valueCodeableConcept | Base | extensible | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation | Not State | Unknown

#### 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-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 AtApsObservation

Summary

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- AT APS Observation Results Laboratory Pathology (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultslaboratorypathology)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.value[x]
- The element 1 is sliced based on the value of Observation.component.value[x]

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | AtApsObservation | AT APS Observation Results Laboratory Pathology This profile also imposes the profile Observation Results - Laboratory/Pathology (IPS) 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
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: https://termgit.elga.gv.at/ValueSet/elga-laborstruktur (extensible)
code | Σ | 1..1 | CodeableConceptIPS | Type of observation (code / type) Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-antibiogramm | Extensible
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueString | Σ C | 0..1 | string | Actual result
value[x]:valueQuantity | Σ C | 0..1 | Quantity | Actual result
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis | candidate
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation (extensible)
hasMember | Σ | 0..* | Reference(AT APS Observation Results Laboratory Pathology) | Related resource that belongs to the Observation group
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborstruktur | Not State | Unknown
Observation.code | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborparameter | Not State | Unknown
Observation.value[x]:valueCodeableConcept | Base | extensible | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.interpretation | Base | extensible | https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation | Not State | Unknown

#### 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 AtApsObservation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | AtApsObservation | AT APS Observation Results Laboratory Pathology This profile also imposes the profile Observation Results - Laboratory/Pathology (IPS)
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: https://termgit.elga.gv.at/ValueSet/elga-laborstruktur (extensible)
code |  | 1..1 | CodeableConceptIPS | Type of observation (code / type) Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-antibiogramm | Extensible
Slices for value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this
value[x]:valueString |  | 0..1 | string | Actual result
value[x]:valueQuantity |  | 0..1 | Quantity | Actual result
value[x]:valueCodeableConcept |  | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis | candidate
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation (extensible)
hasMember |  | 0..* | Reference(AT APS Observation Results Laboratory Pathology) | Related resource that belongs to the Observation group
component |  |  |  |
code |  | 1..1 | CodeableConceptIPS | Type of component observation (code / type) Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-antibiogramm | Extensible
Slices for value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept |  | 0..1 | CodeableConcept | Actual component result Binding: Results Coded Values Laboratory/Pathology - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis | candidate
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.category | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborstruktur | Not State | Unknown
Observation.code | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborparameter | Not State | Unknown
Observation.value[x]:valueCodeableConcept | Base | extensible | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.interpretation | Base | extensible | https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation | Not State | Unknown
Observation.component.​code | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborparameter | Not State | Unknown
Observation.component.​value[x]:valueCodeableConcept | Base | extensible | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.component.​interpretation | Base | extensible | https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation | Not State | Unknown

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | AtApsObservation | AT APS Observation Results Laboratory Pathology This profile also imposes the profile Observation Results - Laboratory/Pathology (IPS) 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 Bindings | Purpose
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 | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(AT APS CarePlan | DeviceRequest | ImmunizationRecommendation | AT APS MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(AT APS MedicationAdministration | AT APS MedicationDispense | AT APS MedicationStatement | AT APS Procedure | AT APS Immunization | AT APS ImagingStudy) | Part of referenced event
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: https://termgit.elga.gv.at/ValueSet/elga-laborstruktur (extensible)
code | Σ | 1..1 | CodeableConceptIPS | Type of observation (code / type) Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-antibiogramm | Extensible
subject | Σ | 0..1 | Reference(AT APS Patient | Group | AT APS 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(AT APS Practitioner | AT APS PractitionerRole | AT APS Organization | CareTeam | AT APS Patient | RelatedPerson) | Who is responsible for the observation
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueString | Σ C | 0..1 | string | Actual result
value[x]:valueQuantity | Σ C | 0..1 | Quantity | Actual result
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis | candidate
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation (extensible)
note |  | 0..* | Annotation | Comments about the observation
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(AT APS Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(AT APS Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation 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 | C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(AT APS Observation Results Laboratory Pathology) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(AT APS DocumentReference | AT APS ImagingStudy | Media | QuestionnaireResponse | AT APS 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 | CodeableConceptIPS | Type of component observation (code / type) Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-antibiogramm | Extensible
Slices for value[x] | Σ | 0..1 |  | Actual component result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueCodeableConcept | Σ | 0..1 | CodeableConcept | Actual component result Binding: Results Coded Values Laboratory/Pathology - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis | candidate
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: https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation (extensible)
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
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 | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborstruktur | Not State | Unknown
Observation.code | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborparameter | Not State | Unknown
Observation.value[x]:valueCodeableConcept | Base | extensible | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation | Not State | Unknown
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 | extensible | https://termgit.elga.gv.at/ValueSet/elga-laborparameter | Not State | Unknown
Observation.component.​value[x]:valueCodeableConcept | Base | extensible | Results Coded Values Laboratory/Pathology - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | https://termgit.elga.gv.at/ValueSet/at-aps-observationinterpretation | Not State | Unknown

#### 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-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 AtApsObservation

Summary

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- AT APS Observation Results Laboratory Pathology (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultslaboratorypathology)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.value[x]
- The element 1 is sliced based on the value of Observation.component.value[x]

Other representations of profile: CSV, Excel, Schematron