RareLink Implementation Guide - Local Development build (v2.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: RareLink IPS Measurement Radiology

A RareLink-specific profile for radiology measurements based on the IPS Observation profile.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

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..*	ObservationResultsRadiologyUvIps	Measurements and simple assertions Constraints: obs-6, obs-7, hasMemberOrComponent
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: Results Status Codes - IPS (required)
Slices for category		1..1	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:All Slices				Content/Rules for all slices
coding	S	1..1	CodingIPS	A reference to a code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: imaging
display	SΣ	0..1	string	Representation defined by the system
Slices for extension				Content/Rules for all slices
extension:translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
text	SΣ	0..1	string	Plain text representation of the concept
category:radiology	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (preferred)
subject	SΣ	1..1	Reference(RareLink IPS Patient)	Who and/or what the observation is about
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
effective[x]	SΣC	1..1		Clinically relevant time/time-period for observation Constraints: ips-1
effective[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	code	effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)	Who is responsible for the observation
Slices for extension				Content/Rules for all slices
extension:dataAbsentReason		0..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: unknown
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]:valueString	SΣC	0..1	string	Actual result
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code	SΣ	0..1	code	Symbol in syntax defined by the system
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code	SΣ	0..1	code	Symbol in syntax defined by the system
Slices for component	SΣ	0..*	BackboneElement	Component results Slice: Unordered, Closed by type:value
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:observationText	Σ	0..*	BackboneElement	Observation Text
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Textual Observation - IPS (extensible)
value[x]	Σ	1..1	string	Actual component result
component:observationCode	Σ	0..*	BackboneElement	Observation Code
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (extensible)
value[x]		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text
component:numericQuantityMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume quantity measurements
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	C	1..1	QuantityIPS	A measured amount using UCUM Constraints: qty-3
component:numericRangeMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume range measurements
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	C	1..1	RangeIPS	Set of values bounded by low and high Constraints: rng-2
component:numericRatioMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume ratio measurements
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	C	1..1	RatioIPS	A ratio of two Quantity values - a numerator and a denominator Constraints: rat-1
component:numericSampledDataMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume sampled data measurements
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	Σ	1..1	SampledData	Actual component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	Results Status Codes - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.category	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:radiology	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.code	Base	preferred	Results Radiology Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.performer.​extension:dataAbsentReason.​value[x]	Base	required	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📦4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component:observationText.​code	Base	extensible	Results Radiology Textual Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:observationCode.​code	Base	extensible	Results Radiology Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericQuantityMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericRangeMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericRatioMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericSampledDataMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0

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()
hasMemberOrComponent	error	Observation	component and hasMember are mutually exclusive	hasMember.empty() or component.empty()
ips-1	error	Observation.effective[x]	Datetime must be at least to day.	$this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
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()
qty-3	error	Observation.component:numericQuantityMeasurement.value[x]	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	Observation.component:numericRatioMeasurement.value[x]	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2	error	Observation.component:numericRangeMeasurement.value[x]	If present, low SHALL have a lower value than high	low.empty() or high.empty() or (low <= high)

This structure is derived from ObservationResultsRadiologyUvIps

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	ObservationResultsRadiologyUvIps	Measurements and simple assertions
category		1..1	CodeableConceptIPS	Classification of type of observation
coding		1..1	CodingIPS	A reference to a code defined by a terminology system
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code		0..1	code	Symbol in syntax defined by the system Required Pattern: imaging
subject		1..1	Reference(RareLink IPS Patient)	Who and/or what the observation is about
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
performer
Slices for extension				Content/Rules for all slices
extension:dataAbsentReason		0..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]		1..1	code	Value of extension Required Pattern: unknown
interpretation
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code	S	0..1	code	Symbol in syntax defined by the system
method
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code	S	0..1	code	Symbol in syntax defined by the system
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationResultsRadiologyUvIps	Measurements and simple assertions Constraints: obs-6, obs-7, hasMemberOrComponent
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(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(Imaging Study (IPS))	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required)
Slices for category		1..1	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	S	1..1	CodingIPS	A reference to a code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: imaging
display	SΣ	0..1	string	Representation defined by the system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
value		0..1	string	Primitive value for string Max Length:1048576
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
category:radiology	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (preferred)
subject	SΣ	1..1	Reference(RareLink IPS Patient)	Who and/or what the observation is about
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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]	SΣC	1..1		Clinically relevant time/time-period for observation Constraints: ips-1
effective[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:data-absent-reason	S	0..1	code	effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)	Who is responsible for the observation
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:dataAbsentReason		0..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: unknown
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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]:valueString	SΣC	0..1	string	Actual result
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device - performer, observer)	(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	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(Observation Results: radiology (IPS))	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
Slices for component	SΣ	0..*	BackboneElement	Component results Slice: Unordered, Closed by type:value
component:All Slices				Content/Rules for all slices
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	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	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.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observationText	Σ	0..*	BackboneElement	Observation 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
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Textual Observation - IPS (extensible)
value[x]	Σ	1..1	string	Actual component result
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observationCode	Σ	0..*	BackboneElement	Observation Code
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		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (extensible)
value[x]		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:numericQuantityMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume quantity measurements
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		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	C	1..1	QuantityIPS	A measured amount using UCUM Constraints: qty-3
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:numericRangeMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume range measurements
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		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	C	1..1	RangeIPS	Set of values bounded by low and high Constraints: rng-2
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:numericRatioMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume ratio measurements
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		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	C	1..1	RatioIPS	A ratio of two Quantity values - a numerator and a denominator Constraints: rat-1
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:numericSampledDataMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume sampled data measurements
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		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	Σ	1..1	SampledData	Actual component result
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
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	Results Status Codes - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.category	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:radiology	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.code	Base	preferred	Results Radiology Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.subject.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Observation.performer.​extension:dataAbsentReason.​value[x]	Base	required	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.performer.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
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	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:observationText.​code	Base	extensible	Results Radiology Textual Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:observationText.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:observationText.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:observationCode.​code	Base	extensible	Results Radiology Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:observationCode.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:observationCode.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:numericQuantityMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericQuantityMeasurement.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:numericQuantityMeasurement.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:numericRangeMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericRangeMeasurement.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:numericRangeMeasurement.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:numericRatioMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericRatioMeasurement.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:numericRatioMeasurement.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:numericSampledDataMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericSampledDataMeasurement.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:numericSampledDataMeasurement.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
hasMemberOrComponent	error	Observation	component and hasMember are mutually exclusive	hasMember.empty() or component.empty()
ips-1	error	Observation.effective[x]	Datetime must be at least to day.	$this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
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()
qty-3	error	Observation.component:numericQuantityMeasurement.value[x]	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	Observation.component:numericRatioMeasurement.value[x]	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2	error	Observation.component:numericRangeMeasurement.value[x]	If present, low SHALL have a lower value than high	low.empty() or high.empty() or (low <= high)

This structure is derived from ObservationResultsRadiologyUvIps

Summary

Mandatory: 1 element
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• RareLink IPS Patient (https://rarelink.bih-charite.de/fhir/StructureDefinition/rarelink-ips-patient)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/data-absent-reason

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationResultsRadiologyUvIps	Measurements and simple assertions Constraints: obs-6, obs-7, hasMemberOrComponent
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: Results Status Codes - IPS (required)
Slices for category		1..1	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:All Slices				Content/Rules for all slices
coding	S	1..1	CodingIPS	A reference to a code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: imaging
display	SΣ	0..1	string	Representation defined by the system
Slices for extension				Content/Rules for all slices
extension:translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
text	SΣ	0..1	string	Plain text representation of the concept
category:radiology	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (preferred)
subject	SΣ	1..1	Reference(RareLink IPS Patient)	Who and/or what the observation is about
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
effective[x]	SΣC	1..1		Clinically relevant time/time-period for observation Constraints: ips-1
effective[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	code	effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)	Who is responsible for the observation
Slices for extension				Content/Rules for all slices
extension:dataAbsentReason		0..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: unknown
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]:valueString	SΣC	0..1	string	Actual result
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code	SΣ	0..1	code	Symbol in syntax defined by the system
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code	SΣ	0..1	code	Symbol in syntax defined by the system
Slices for component	SΣ	0..*	BackboneElement	Component results Slice: Unordered, Closed by type:value
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:observationText	Σ	0..*	BackboneElement	Observation Text
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Textual Observation - IPS (extensible)
value[x]	Σ	1..1	string	Actual component result
component:observationCode	Σ	0..*	BackboneElement	Observation Code
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (extensible)
value[x]		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text
component:numericQuantityMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume quantity measurements
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	C	1..1	QuantityIPS	A measured amount using UCUM Constraints: qty-3
component:numericRangeMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume range measurements
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	C	1..1	RangeIPS	Set of values bounded by low and high Constraints: rng-2
component:numericRatioMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume ratio measurements
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	C	1..1	RatioIPS	A ratio of two Quantity values - a numerator and a denominator Constraints: rat-1
component:numericSampledDataMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume sampled data measurements
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	Σ	1..1	SampledData	Actual component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	Results Status Codes - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.category	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:radiology	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.code	Base	preferred	Results Radiology Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.performer.​extension:dataAbsentReason.​value[x]	Base	required	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📦4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component:observationText.​code	Base	extensible	Results Radiology Textual Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:observationCode.​code	Base	extensible	Results Radiology Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericQuantityMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericRangeMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericRatioMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericSampledDataMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0

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()
hasMemberOrComponent	error	Observation	component and hasMember are mutually exclusive	hasMember.empty() or component.empty()
ips-1	error	Observation.effective[x]	Datetime must be at least to day.	$this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
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()
qty-3	error	Observation.component:numericQuantityMeasurement.value[x]	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	Observation.component:numericRatioMeasurement.value[x]	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2	error	Observation.component:numericRangeMeasurement.value[x]	If present, low SHALL have a lower value than high	low.empty() or high.empty() or (low <= high)

Differential View

This structure is derived from ObservationResultsRadiologyUvIps

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	ObservationResultsRadiologyUvIps	Measurements and simple assertions
category		1..1	CodeableConceptIPS	Classification of type of observation
coding		1..1	CodingIPS	A reference to a code defined by a terminology system
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code		0..1	code	Symbol in syntax defined by the system Required Pattern: imaging
subject		1..1	Reference(RareLink IPS Patient)	Who and/or what the observation is about
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
performer
Slices for extension				Content/Rules for all slices
extension:dataAbsentReason		0..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]		1..1	code	Value of extension Required Pattern: unknown
interpretation
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code	S	0..1	code	Symbol in syntax defined by the system
method
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code	S	0..1	code	Symbol in syntax defined by the system
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationResultsRadiologyUvIps	Measurements and simple assertions Constraints: obs-6, obs-7, hasMemberOrComponent
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(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(Imaging Study (IPS))	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: Results Status Codes - IPS (required)
Slices for category		1..1	CodeableConceptIPS	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	S	1..1	CodingIPS	A reference to a code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: imaging
display	SΣ	0..1	string	Representation defined by the system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
value		0..1	string	Primitive value for string Max Length:1048576
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
category:radiology	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (preferred)
subject	SΣ	1..1	Reference(RareLink IPS Patient)	Who and/or what the observation is about
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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]	SΣC	1..1		Clinically relevant time/time-period for observation Constraints: ips-1
effective[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:data-absent-reason	S	0..1	code	effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	1..*	Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam | Patient (IPS) | RelatedPerson)	Who is responsible for the observation
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:dataAbsentReason		0..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: unknown
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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]:valueString	SΣC	0..1	string	Actual result
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device - performer, observer)	(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	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(Observation Results: radiology (IPS))	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
Slices for component	SΣ	0..*	BackboneElement	Component results Slice: Unordered, Closed by type:value
component:All Slices				Content/Rules for all slices
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	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	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.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observationText	Σ	0..*	BackboneElement	Observation 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
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Textual Observation - IPS (extensible)
value[x]	Σ	1..1	string	Actual component result
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observationCode	Σ	0..*	BackboneElement	Observation Code
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		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (extensible)
value[x]		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:numericQuantityMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume quantity measurements
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		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	C	1..1	QuantityIPS	A measured amount using UCUM Constraints: qty-3
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:numericRangeMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume range measurements
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		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	C	1..1	RangeIPS	Set of values bounded by low and high Constraints: rng-2
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:numericRatioMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume ratio measurements
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		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	C	1..1	RatioIPS	A ratio of two Quantity values - a numerator and a denominator Constraints: rat-1
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:numericSampledDataMeasurement	Σ	0..*	BackboneElement	Observation Measurement, including linear, area and volume sampled data measurements
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		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Measurement Observation - IPS (extensible): Codes identifying numeric measurements
value[x]	Σ	1..1	SampledData	Actual component result
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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
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	Results Status Codes - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.category	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:radiology	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.code	Base	preferred	Results Radiology Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.subject.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Observation.performer.​extension:dataAbsentReason.​value[x]	Base	required	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.performer.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
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	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:observationText.​code	Base	extensible	Results Radiology Textual Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:observationText.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:observationText.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:observationCode.​code	Base	extensible	Results Radiology Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:observationCode.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:observationCode.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:numericQuantityMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericQuantityMeasurement.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:numericQuantityMeasurement.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:numericRangeMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericRangeMeasurement.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:numericRangeMeasurement.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:numericRatioMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericRatioMeasurement.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:numericRatioMeasurement.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:numericSampledDataMeasurement.​code	Base	extensible	Results Radiology Measurement Observation - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Observation.component:numericSampledDataMeasurement.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:numericSampledDataMeasurement.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
hasMemberOrComponent	error	Observation	component and hasMember are mutually exclusive	hasMember.empty() or component.empty()
ips-1	error	Observation.effective[x]	Datetime must be at least to day.	$this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
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()
qty-3	error	Observation.component:numericQuantityMeasurement.value[x]	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	Observation.component:numericRatioMeasurement.value[x]	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2	error	Observation.component:numericRangeMeasurement.value[x]	If present, low SHALL have a lower value than high	low.empty() or high.empty() or (low <= high)

This structure is derived from ObservationResultsRadiologyUvIps

Summary

Mandatory: 1 element
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• RareLink IPS Patient (https://rarelink.bih-charite.de/fhir/StructureDefinition/rarelink-ips-patient)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/data-absent-reason