Diagnostic Data Services

DDS-Report-Observation-1

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

NameCard.TypeDescription & Constraints
..ObservationObservationMeasurements and simple assertions

...id0..1IdLogical id of this artifact

...meta0..1MetaMetadata about the resource

...implicitRules0..1UriA set of rules under which this content was created

...language0..1CodeLanguage of the resource content
Binding A human language. (http://tools.ietf.org/html/bcp47)
Binding Strength Required

...text0..1NarrativeText summary of the resource, for human interpretation

...contained0..*ResourceContained, inline Resources

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

....id0..1Idxml:id (or equivalent in JSON)

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

....id0..1Idxml:id (or equivalent in JSON)

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

.....id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

....id0..1Idxml:id (or equivalent in JSON)

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

.....id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

...subject0..1Reference (CareConnect-Patient-1 | Group | Device | Location)Who and/or what this is about

...encounter0..1Reference (Encounter)Healthcare event during which this observation is made

....id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

...performer0..*Reference (CareConnect-Practitioner-1 | CareConnect-Organization-1 | RelatedPerson)Who is responsible for the observation

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

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

....id0..1Idxml:id (or equivalent in JSON)

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

.....id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

....id0..1Idxml:id (or equivalent in JSON)

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

.....id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

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

....id0..1Idxml:id (or equivalent in JSON)

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

.....id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

....id0..1Idxml:id (or equivalent in JSON)

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

.....id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

...specimen0..1Reference (Specimen)Specimen used for this observation

....id0..1Idxml:id (or equivalent in JSON)

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

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

...device0..1Reference (Device | DeviceMetric)(Measurement) Device

...referenceRange0..*BackboneElementProvides guide for interpretation

....id0..1Idxml:id (or equivalent in JSON)

....low (SimpleQuantity)0..1SimpleQuantityLow Range, if relevant

.....id0..1Idxml:id (or equivalent in JSON)

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

.....unit1..1StringUnit representation

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

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

....high (SimpleQuantity)0..1SimpleQuantityHigh Range, if relevant

.....id0..1Idxml:id (or equivalent in JSON)

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

.....unit1..1StringUnit representation

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

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

.....id0..1Idxml:id (or equivalent in JSON)

.....low (SimpleQuantity)0..1SimpleQuantityLow limit

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

.....high (SimpleQuantity)0..1SimpleQuantityHigh limit

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

....id0..1Idxml:id (or equivalent in JSON)

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

....target1..1Reference (dds-report-observation-1)Resource that is related to this one

...componentComponent results
Slice: Ordering: Unordered, Discriminator: code, Rules: Open

...component (Haemoglobin)1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 718-7

......display1..1StringRepresentation defined by the system
Fixed Value Haemoglobin [Mass/​volume] in Blood

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

.....text0..1StringPlain text representation of the concept
Example Value Haemoglobin

....valueQuantity0..1QuantityActual component result

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

...component (Total White Cell Count)1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 26464-8

......display1..1StringRepresentation defined by the system
Fixed Value Leukocytes [#/vol] in Blood

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

.....text0..1StringPlain text representation of the concept
Example Value WCC

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

...component (Platelet count)1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 26515-7

......display1..1StringRepresentation defined by the system
Fixed Value Platelets [#/vol] in Blood

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

.....text0..1StringPlain text representation of the concept
Example Value Platelets

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

...component (Mean corpuscular volume (MCV))1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

......display1..1StringRepresentation defined by the system
Example Value Mean corpuscular volume (MCV) of red blood cells.

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

.....text0..1StringPlain text representation of the concept
Example Value MCV

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

...component (Haematocrit (PCV))1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 71833-8

......display1..1StringRepresentation defined by the system
Fixed Value Haematocrit [Pure vol fraction] of Blood

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

.....text0..1StringPlain text representation of the concept
Example Value Haematocrit

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

...component (Red blood cell count (RBC))1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 26453-1

......display1..1StringRepresentation defined by the system
Fixed Value RBCs [#/vol] in Blood

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

.....text0..1StringPlain text representation of the concept
Example Value RBCs

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

...component (Mean corpuscular haemoglobin (MCH))1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 28539-5

......display1..1StringRepresentation defined by the system
Fixed Value RBC mean corpuscular hemoglobin [Entitic mass]

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

.....text0..1StringPlain text representation of the concept
Example Value Mean cell Hb volume

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

...component (Mean corpuscular haemoglobin concentration (MCHC))1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 28540-3

......display1..1StringRepresentation defined by the system
Fixed Value RBC mean corpuscular hemoglobin concentration [Mass/vol]

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

.....text0..1StringPlain text representation of the concept
Example Value Mean cell Hb conc

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

...component (Red Blood Cell Distribution Width)1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 30385-9

......display1..1StringRepresentation defined by the system
Fixed Value RBC distribution width [Ratio]

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

.....text0..1StringPlain text representation of the concept
Example Value RBC distribution width

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

...component (Neutrophils)1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 26499-4

......display1..1StringRepresentation defined by the system
Fixed Value Neutrophils [#/vol] in Blood

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

.....text0..1StringPlain text representation of the concept
Example Value Neutrophils

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

...component (Lymphocytes)1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 26474-7

......display1..1StringRepresentation defined by the system
Fixed Value Lymphocytes [#/vol] in Blood

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

.....text0..1StringPlain text representation of the concept
Example Value Lymphocytes

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

...component (Monocytes)1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 26484-6

......display1..1StringRepresentation defined by the system
Fixed Value Monocytes [#/vol] in Blood

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

.....text0..1StringPlain text representation of the concept
Example Value Monocytes

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

...component (Eosinophils)1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 26449-9

......display1..1StringRepresentation defined by the system
Fixed Value Eosinophils [#/vol] in Blood

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

.....text0..1StringPlain text representation of the concept
Example Value Eosinophils

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

...component (Basophils)1..1BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 26444-0

......display1..1StringRepresentation defined by the system
Fixed Value Basophils [#/volume] in Blood

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

.....text0..1StringPlain text representation of the concept
Example Value Basophils

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

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

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

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

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

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

Path Name Binding Strength ValueSet
.Observation.language language Required http://tools.ietf.org/html/bcp47
.Observation.identifier.use use Required http://hl7.org/fhir/ValueSet/identifier-use
.Observation.identifier.type type Extensible http://hl7.org/fhir/ValueSet/identifier-type
.Observation.status status Required http://hl7.org/fhir/ValueSet/observation-status
.Observation.category category Example http://hl7.org/fhir/ValueSet/observation-category
.Observation.code code Example http://snomed.info/sct
.Observation.dataAbsentReason dataAbsentReason Extensible http://hl7.org/fhir/ValueSet/observation-valueabsentreason
.Observation.interpretation interpretation Extensible http://hl7.org/fhir/ValueSet/observation-interpretation
.Observation.bodySite bodySite Example http://hl7.org/fhir/ValueSet/body-site
.Observation.method method Example http://snomed.info/sct
.Observation.referenceRange.meaning meaning Example http://hl7.org/fhir/ValueSet/referencerange-meaning
.Observation.related.type type Required http://hl7.org/fhir/ValueSet/observation-relationshiptypes
.Observation.component.code code Example http://hl7.org/fhir/ValueSet/observation-codes

DDS-Report-Observation-1

Examples Description XML File
DDS-Report-Observation-1-BT Blood Transfusion Blood typing result example
DDS-Report-Observation-1-FBC Haematology Full blood count test result example
DDS-Report-Observation-1-Histopathology Cytology cervical screening test result example
DDS-Report-Observation-1-Microbiology Microbiology Hepatitis B test result example