Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	AT APS Observation Results Laboratory Pathology This profile also imposes the profile Observation Results: laboratory/pathology (IPS) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
category		0..*	CodeableConcept	Classification of type of observation Binding: https://termgit.elga.gv.at/ValueSet/elga-laborstruktur (extensible) ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children
subject	Σ	0..1	Reference(AT APS Patient | Group | Device | Location)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
performer	Σ	0..*	Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Organization | CareTeam | AT APS Patient | RelatedPerson)	Who is responsible for the observation ele-1: All FHIR elements must have a @value or children
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
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	ΣC	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 ele-1: All FHIR elements must have a @value or children
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: AT APS ObservationInterpretation (extensible) ele-1: All FHIR elements must have a @value or children
specimen		0..1	Reference(AT APS Specimen)	Specimen used for this observation ele-1: All FHIR elements must have a @value or children
hasMember	Σ	0..*	Reference(AT APS Observation Results Laboratory Pathology)	Related resource that belongs to the Observation group ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborstruktur https://termgit.elga.gv.at/ValueSet/elga-laborstruktur
Observation.code	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborparameter https://termgit.elga.gv.at/ValueSet/elga-laborparameter
Observation.value[x]:valueCodeableConcept	extensible	ResultsCodedValuesLaboratoryPathologyUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.interpretation	extensible	AtApsObservationInterpretation https://fhir.hl7.at/elga-austrianpatientsummary-r4/ValueSet/at-aps-observationinterpretation from this IG

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()
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()

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	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
subject		0..1	Reference(AT APS Patient | Group | Device | Location)	Who and/or what the observation is about
performer		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]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (extensible) Additional Bindings Purpose https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis candidate
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: AT APS ObservationInterpretation (extensible)
specimen		0..1	Reference(AT APS Specimen)	Specimen used for this observation
hasMember		0..*	Reference(AT APS Observation Results Laboratory Pathology)	Related resource that belongs to the Observation group
component
code		1..1	CodeableConceptIPS	Type of component observation (code / type) Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible) Additional Bindings Purpose https://termgit.elga.gv.at/ValueSet/elga-antibiogramm Extensible
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$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: AT APS ObservationInterpretation (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.category	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborstruktur https://termgit.elga.gv.at/ValueSet/elga-laborstruktur
Observation.code	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborparameter https://termgit.elga.gv.at/ValueSet/elga-laborparameter
Observation.value[x]:valueCodeableConcept	extensible	ResultsCodedValuesLaboratoryPathologyUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.interpretation	extensible	AtApsObservationInterpretation https://fhir.hl7.at/elga-austrianpatientsummary-r4/ValueSet/at-aps-observationinterpretation from this IG
Observation.component.code	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborparameter https://termgit.elga.gv.at/ValueSet/elga-laborparameter
Observation.component.value[x]:valueCodeableConcept	extensible	ResultsCodedValuesLaboratoryPathologyUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.component.interpretation	extensible	AtApsObservationInterpretation https://fhir.hl7.at/elga-austrianpatientsummary-r4/ValueSet/at-aps-observationinterpretation from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	AT APS Observation Results Laboratory Pathology This profile also imposes the profile Observation Results: laboratory/pathology (IPS) obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
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
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(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!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 | 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]	ΣC	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]:valueCodeableConcept	ΣC	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: 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(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
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	Low Range, if relevant
high	C	0..1	SimpleQuantity	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(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	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: AT APS ObservationInterpretation (extensible)
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborstruktur https://termgit.elga.gv.at/ValueSet/elga-laborstruktur
Observation.code	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborparameter https://termgit.elga.gv.at/ValueSet/elga-laborparameter
Observation.value[x]:valueCodeableConcept	extensible	ResultsCodedValuesLaboratoryPathologyUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	AtApsObservationInterpretation https://fhir.hl7.at/elga-austrianpatientsummary-r4/ValueSet/at-aps-observationinterpretation from this IG
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborparameter https://termgit.elga.gv.at/ValueSet/elga-laborparameter
Observation.component.value[x]:valueCodeableConcept	extensible	ResultsCodedValuesLaboratoryPathologyUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	AtApsObservationInterpretation https://fhir.hl7.at/elga-austrianpatientsummary-r4/ValueSet/at-aps-observationinterpretation from this IG

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()
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()

Summary

Structures

This structure refers to these other structures:

• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• AT APS Patient (https://fhir.hl7.at/elga-austrianpatientsummary-r4/StructureDefinition/at-aps-patient)
• AT APS Practitioner (https://fhir.hl7.at/elga-austrianpatientsummary-r4/StructureDefinition/at-aps-practitioner)
• AT APS PractitionerRole (https://fhir.hl7.at/elga-austrianpatientsummary-r4/StructureDefinition/at-aps-practitionerrole)
• AT APS Organization (https://fhir.hl7.at/elga-austrianpatientsummary-r4/StructureDefinition/at-aps-organization)
• AT APS Specimen (https://fhir.hl7.at/elga-austrianpatientsummary-r4/StructureDefinition/at-aps-specimen)
• AT APS Observation Results Laboratory Pathology (https://fhir.hl7.at/elga-austrianpatientsummary-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]

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	AT APS Observation Results Laboratory Pathology This profile also imposes the profile Observation Results: laboratory/pathology (IPS) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
category		0..*	CodeableConcept	Classification of type of observation Binding: https://termgit.elga.gv.at/ValueSet/elga-laborstruktur (extensible) ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children
subject	Σ	0..1	Reference(AT APS Patient | Group | Device | Location)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
performer	Σ	0..*	Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Organization | CareTeam | AT APS Patient | RelatedPerson)	Who is responsible for the observation ele-1: All FHIR elements must have a @value or children
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
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	ΣC	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 ele-1: All FHIR elements must have a @value or children
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: AT APS ObservationInterpretation (extensible) ele-1: All FHIR elements must have a @value or children
specimen		0..1	Reference(AT APS Specimen)	Specimen used for this observation ele-1: All FHIR elements must have a @value or children
hasMember	Σ	0..*	Reference(AT APS Observation Results Laboratory Pathology)	Related resource that belongs to the Observation group ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborstruktur https://termgit.elga.gv.at/ValueSet/elga-laborstruktur
Observation.code	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborparameter https://termgit.elga.gv.at/ValueSet/elga-laborparameter
Observation.value[x]:valueCodeableConcept	extensible	ResultsCodedValuesLaboratoryPathologyUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.interpretation	extensible	AtApsObservationInterpretation https://fhir.hl7.at/elga-austrianpatientsummary-r4/ValueSet/at-aps-observationinterpretation from this IG

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()
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()

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	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
subject		0..1	Reference(AT APS Patient | Group | Device | Location)	Who and/or what the observation is about
performer		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]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual result Binding: Results Coded Values Laboratory/Pathology - IPS (extensible) Additional Bindings Purpose https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis candidate
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: AT APS ObservationInterpretation (extensible)
specimen		0..1	Reference(AT APS Specimen)	Specimen used for this observation
hasMember		0..*	Reference(AT APS Observation Results Laboratory Pathology)	Related resource that belongs to the Observation group
component
code		1..1	CodeableConceptIPS	Type of component observation (code / type) Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible) Additional Bindings Purpose https://termgit.elga.gv.at/ValueSet/elga-antibiogramm Extensible
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$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: AT APS ObservationInterpretation (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.category	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborstruktur https://termgit.elga.gv.at/ValueSet/elga-laborstruktur
Observation.code	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborparameter https://termgit.elga.gv.at/ValueSet/elga-laborparameter
Observation.value[x]:valueCodeableConcept	extensible	ResultsCodedValuesLaboratoryPathologyUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.interpretation	extensible	AtApsObservationInterpretation https://fhir.hl7.at/elga-austrianpatientsummary-r4/ValueSet/at-aps-observationinterpretation from this IG
Observation.component.code	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborparameter https://termgit.elga.gv.at/ValueSet/elga-laborparameter
Observation.component.value[x]:valueCodeableConcept	extensible	ResultsCodedValuesLaboratoryPathologyUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.component.interpretation	extensible	AtApsObservationInterpretation https://fhir.hl7.at/elga-austrianpatientsummary-r4/ValueSet/at-aps-observationinterpretation from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	AT APS Observation Results Laboratory Pathology This profile also imposes the profile Observation Results: laboratory/pathology (IPS) obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
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
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(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!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 | 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]	ΣC	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]:valueCodeableConcept	ΣC	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: 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(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
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	Low Range, if relevant
high	C	0..1	SimpleQuantity	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(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	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: AT APS ObservationInterpretation (extensible)
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborstruktur https://termgit.elga.gv.at/ValueSet/elga-laborstruktur
Observation.code	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborparameter https://termgit.elga.gv.at/ValueSet/elga-laborparameter
Observation.value[x]:valueCodeableConcept	extensible	ResultsCodedValuesLaboratoryPathologyUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	AtApsObservationInterpretation https://fhir.hl7.at/elga-austrianpatientsummary-r4/ValueSet/at-aps-observationinterpretation from this IG
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	extensible	https://termgit.elga.gv.at/ValueSet/elga-laborparameter https://termgit.elga.gv.at/ValueSet/elga-laborparameter
Observation.component.value[x]:valueCodeableConcept	extensible	ResultsCodedValuesLaboratoryPathologyUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	AtApsObservationInterpretation https://fhir.hl7.at/elga-austrianpatientsummary-r4/ValueSet/at-aps-observationinterpretation from this IG

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()
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()

Summary

Structures

This structure refers to these other structures:

• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• AT APS Patient (https://fhir.hl7.at/elga-austrianpatientsummary-r4/StructureDefinition/at-aps-patient)
• AT APS Practitioner (https://fhir.hl7.at/elga-austrianpatientsummary-r4/StructureDefinition/at-aps-practitioner)
• AT APS PractitionerRole (https://fhir.hl7.at/elga-austrianpatientsummary-r4/StructureDefinition/at-aps-practitionerrole)
• AT APS Organization (https://fhir.hl7.at/elga-austrianpatientsummary-r4/StructureDefinition/at-aps-organization)
• AT APS Specimen (https://fhir.hl7.at/elga-austrianpatientsummary-r4/StructureDefinition/at-aps-specimen)
• AT APS Observation Results Laboratory Pathology (https://fhir.hl7.at/elga-austrianpatientsummary-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]