Escopo/Uso

Este recurso pode representar o resultado de um teste laboratorial simples, como hematócrito, ou pode agrupar o conjunto de resultados produzidos por um estudo ou painel multi-teste, como um hemograma completo, um teste de função dinâmica, um estudo de amostra de urina. Neste último caso, o Observation traz a conclusão geral do estudo e/ou uma interpretação global do produtor do estudo, no elemento comentário; e faz referência aos resultados individuais de um estudo como uma observações de que “tem-membros” de uma hierarquia (são filhos de um grupo de resultados).

Este perfil restringe o recurso Observation para representar um teste de diagnóstico laboratorial in vitro ou painel/estudo. No caso de painel/estudo, os resultados do painel aparecem como sub-observações. Neste caso, esta Observation de nível superior atua como um agrupador de todas as observações pertencentes ao painel ou estudo. O Observation de nível superior pode conter uma conclusão no elemento de valor e/ou uma interpretação global por parte do produtor do estudo, no elemento de comentário.

A RNDS utiliza dois perfis baseados no perfil Observation para enviar resultados de exames Laboratoriais de COVID-19 e Monkeypox: BRDiagnosticoLaboratorioClinico e BRDiagnosticoCOVID19-TesteRapido. Ambos os perfis são baseados no perfil FHIR R4 Observation. O perfil BRDiagnosticoCOVID19-TesteRapido é uma restrição do perfil e BRDiagnosticoLaboratorioClinico, onde alguns elementos de dados foram suprimidos, como interpretation e specimen, uma vez que é um teste específico para diagnóstico rápido da COVID19.

Os resultados dos exames são informados de forma quantitativa e qualitativa. Para os resultados quantitativos, uma representação quantitativa numérica é utilizada. Já, para os resultados qualitativos, foi utilizada uma tabela proprietária da RNDS chamada BRResultadoQualitativo. Essa tabela especializa os resultados qualitativos por categorias (Detectável, Avidez, Presença, Positivo/Negativo e etc). Foi necessário mapear estes conceitos para o ValueSet do IPS utilizado para descrever o resultado no elemento interpretation: ObservationInterpretationCodes.

Em dois casos o mapa de conceitos entre a RNDS e o ValueSet recomendado pelo Sumário Internacional do Paciente não foi possível de ser estabelecido para descrever o elemento interpretation: Tipo de Resultado HISPT e Tipo de Resultado AVIDEZ. Nestes dois casos não será possível preencher o elemento interpretation.

Observar que a RNDS utiliza para os exames qualitatitvos o mesmo domínio para representar o valor (value) e a interpretação (interpretation).

Uso indevido

Este recurso não deve ser utilizado para representar recursos que não sejam relacionados aos resultados de exames.

Caso de uso

Os exames de COVID-19 e Monkeypox cujos resultado forem positivos, ou seja, que tiverem no elemento value.valueCodeableConcept os valores conforme a tabela abaixo serão exibidos, independente da data que foram realizados, tendo em vista a importância de conhecer se o paciente já apresentou COVID-19 ou Monkeypox. Os resultados de exames do útlimo ano, a partir da data de solicitação do sumário, que forem informados no Registro de Atendimento Clínico-RAC também serão incorporados neste recurso.

Exames RNDS considerados positivos de acordo com o valor do elemento value.valueCodeableConcept

Os demais exames serão exibidos até 12 meses antes da data em que foi solicitada a geração do sumário.

Identificadores

Não se aplica.

Extensões

Este perfil não possui extensões.

Limites e Relacionamentos

Este recurso faz referência aos seguintes recursos PractitionerBRIPS, PractitionerRolebrIPS, OrganizationBRIPS, CareTeam, PatientBRIPS e RelatedPerson.

Mapeamento de estrutura de BRDiagnosticoLaboratorioClinico para o perfil ObservationResultsLaboratoryBRIPS

Recurso: Observation

Atualmente a RNDS recebe várias versões do recurso BRDiagnosticoLaboratorioClinico e do BRDiagnosticoCOVID19-TesteRapido e foi necessário realizar o mapeamento de estrutura para todas as versões e seus respectivos elementos Observation, conforme apresentado a seguir.

A RNDS não utiliza o elemento language e nem apresenta as descrições dos códigos dos ValueSets utilizados, que são obrigatórios no IPS. Deste modo foi necessário acrescentar esses dois elementos ao modelo estrutural do lado do IPS.

Mapeamento de estrutura BRDiagnosticoLaboratorioClinico-1.0 para ObservationResultsLaboratoryBRIPS

Este mapeamento utiliza o perfil Observation (BRDiagnosticoLaboratorioClinico-1.0), que foi depreciado. Este perfil referencia o valueset BRCategoriaObservacao, no elemento categoria que não existe mais na RNDS.

Mapeamento de estrutura BRDiagnosticoLaboratorioClinico-2.0 para ObservationResultsLaboratoryBRIPS

No perfil BRDiagnosticoLaboratorioClinico-2.0 o elemento effectiveDateTime foi incluído.

Mapeamento de estrutura BRResultadoExameLaboratorial-3.2.1 para ObservationResultsLaboratoryBRIPS

Nessa versão há uma a inclusão da extensão patógeno para informar qual o patógeno encontrado no exame – conforme BRTerminologiaPatogeno. A informação contida na extensão Patógeno será informada no componente value.valueCodeableConcept utilizando a terminologia informada pelo MS.

Mapeamento de estrutura BRDiagnosticoCOVID19-TesteRapido-01.01 para ObservationResultsBRIPS

O perfil Observation BRDiagnosticoCOVID19-TesteRapido-01.01, uma restrição do recurso BRDiagnosticoLaboratorioClinico-2.0 onde foram suprimidos os elementos interpretation, method e specimen. Esse recurso utiliza o value set , e para o nome de exame, o ValueSet BRNomeExameTRCOVID19LOINC. Todos são mapeados para o mesmo ValueSet do IPS, o Results Laboratory Observation IPS (LOINC), pois esses exames são um subconjunto do mesmo.

• Tabela diferencial
• Tabela de elementos -chave
• Tabela de instantâneos
• Estatísticas/Referências
• Todos

Esta estrutura é derivada de ObservationResultsLaboratoryUvIps

Name	Flags	Card.	Type	Description & Constraints
Observation			ObservationResultsLaboratoryUvIps
id		0..1	id	ID do artefato
meta		0..1	Meta	Metadados sobre recurso
implicitRules		0..1	uri	Um conjunto de regras sob as quais este conteúdo foi criado
language		0..1	code	Idioma do conteúdo do recurso
text		0..1	Narrative	Texto com o resumo do recurso
contained		0..*	Resource	Recursos contidos
modifierExtension		0..*	Extension	Extensões que não podem ser ignoradas
identifier		0..*	Identifier	Identificador do Observation
basedOn		0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequestBRIPS | NutritionOrder | ServiceRequest)	Referência ao pedido ou ao plano de tratamento que gerou este recurso
partOf		0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatementBRIPS | ProcedureBRIPS | ImmunizationBRIPS | ImagingStudyBRIPS)	Referência ao evento do qual este recurso faz parte
status		1..1	code	Status atual da observação
category		1..*	CodeableConceptIPS	Categoria de alto nível da observação
code		1..1	CodeableConceptIPS	Código da observação
subject		1..1	Reference(PatientBRIPS | Group | Device | Location)	De quem ou do que trata a observação
id		0..1	string	ID exclusivo para referência entre elementos
extension		0..*	Extension	Conteúdo adicional definido por implementações
type		0..1	uri	Tipo de referência (por exemplo, Paciente)
identifier		0..1	Identifier	Referência lógica, quando a referência literal não é conhecida
display		0..1	string	Texto alternativo para este rescurso
focus		0..*	Reference(Resource)	Sobre o que é a observação, quando esta não é sobre o sujeito do registro
encounter		0..1	Reference(Encounter)	Atendimento durante o qual esta observação foi registrada
effective[x]		1..1	dateTime, Period	Tempo ou período de tempo clinicamente relevante para a observação
extension		0..*	Extension	Conteúdo adicional definido por implementações
id		0..1	string	Identificador único para referenciação cruzada
url		1..1	uri	Por quê o valor esperado não está presente
Slices for extension				Content/Rules for all slices
extension:data-absent-reason		0..1	DataAbsentReason(5.1.0)	unknown | asked | temp | notasked | masked | unsupported | astext | error
issued		0..1	instant	Data/hora em que esta versão foi disponibilizada
performer		1..*	Reference(PractitionerBRIPS | PractitionerRoleBRIPS | OrganizationBRIPS | CareTeam | PatientBRIPS | RelatedPerson)	Quem é o responsável pela observação
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Resultado da observação
dataAbsentReason		0..1	CodeableConcept	Por que o resultado do componente está ausente
interpretation		0..*	CodeableConceptIPS	Interpretação do resultado do componente
note		0..*	Annotation	Comentários sobre a observação
bodySite		0..1	CodeableConcept	Parte anatômica alvo da observação
method		0..1	CodeableConcept	Método de medição
specimen		0..1	Reference(SpecimenBRIPS)	Amostra utilizada para esta observação
device		0..1	Reference(Device | DeviceMetric)	Dispositivo de medida da observação
referenceRange		0..*	BackboneElement	Valores de referência
id		0..1	string	Identificador único para referenciação cruzada
extension		0..*	Extension	Extensões adicionais que não fazem parte do modelo de dados básico
modifierExtension		0..*	Extension	Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
low		0..1	SimpleQuantity	Limite inferior do intervalo
high		0..1	SimpleQuantity	Limite superior do intervalo
type		0..1	CodeableConcept	Qualificador do valor de referência
appliesTo		0..*	CodeableConcept	População do intervalo de referência
age		0..1	Range	Faixa etária aplicável
text		0..1	string	Intervalo de referência em formato textual
hasMember		0..*	Reference(ObservationResultsLaboratoryBRIPS | ObservationResultsBRIPS)	Recurso relacionado que pertence a observação
derivedFrom		0..*	Reference(DocumentReference | ImagingStudyBRIPS | Media | QuestionnaireResponse | ObservationResultsBRIPS | MolecularSequence)	Medições relacionadas a partir das quais a observação é feita
component		0..*	BackboneElement	Resultados do componente
id		0..1	string	ID exclusivo para referência entre elementos
extension		0..*	Extension	Conteúdo adicional definido por implementações
modifierExtension		0..*	Extension	Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas
code		1..1	CodeableConcept	Tipo do componente da observação
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Resultado do componente
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservationResultsLaboratoryUvIps	Laboratory result for a simple test or for a panel/study dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ips-2: if no "hasMember" element is present then Observation must have a" value"
id	Σ	0..1	id	ID do artefato
meta	Σ	0..1	Meta	Metadados sobre recurso ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	Um conjunto de regras sob as quais este conteúdo foi criado ele-1: All FHIR elements must have a @value or children
language		0..1	code	Idioma do conteúdo do recurso Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	Texto com o resumo do recurso ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Recursos contidos
modifierExtension	?!	0..*	Extension	Extensões que não podem ser ignoradas ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	Identificador do Observation ele-1: All FHIR elements must have a @value or children
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequestBRIPS | NutritionOrder | ServiceRequest)	Referência ao pedido ou ao plano de tratamento que gerou este recurso ele-1: All FHIR elements must have a @value or children
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatementBRIPS | ProcedureBRIPS | ImmunizationBRIPS | ImagingStudyBRIPS)	Referência ao evento do qual este recurso faz parte ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	Status atual da observação Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children Fixed Value: final
Slices for category		1..*	CodeableConceptIPS	Categoria de alto nível da observação Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children
category:laboratory	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
code	S	1..1	CodeableConceptIPS	Código da observação Binding: Results Laboratory Observation - IPS (preferred) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(PatientBRIPS | Group | Device | Location)	De quem ou do que trata a observação ele-1: All FHIR elements must have a @value or children
id		0..1	string	ID exclusivo para referência entre elementos
extension		0..*	Extension	Conteúdo adicional definido por implementações Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
type	Σ	0..1	uri	Tipo de referência (por exemplo, Paciente) Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children
identifier	Σ	0..1	Identifier	Referência lógica, quando a referência literal não é conhecida ele-1: All FHIR elements must have a @value or children
display	Σ	0..1	string	Texto alternativo para este rescurso ele-1: All FHIR elements must have a @value or children
focus	Σ	0..*	Reference(Resource)	Sobre o que é a observação, quando esta não é sobre o sujeito do registro ele-1: All FHIR elements must have a @value or children
encounter	Σ	0..1	Reference(Encounter)	Atendimento durante o qual esta observação foi registrada ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	1..1		Tempo ou período de tempo clinicamente relevante para a observação ele-1: All FHIR elements must have a @value or children
effective[x]All Types				Content/Rules for all Types
Slices for extension		0..*	Extension	Conteúdo adicional definido por implementações Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:All Slices				Content/Rules for all slices
id		0..1	string	Identificador único para referenciação cruzada
url		1..1	uri	Por quê o valor esperado não está presente
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Data/hora em que esta versão foi disponibilizada ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..*	Reference(PractitionerBRIPS | PractitionerRoleBRIPS | OrganizationBRIPS | CareTeam | PatientBRIPS | RelatedPerson)	Quem é o responsável pela observação ele-1: All FHIR elements must have a @value or children
Slices for value[x]	SΣC	0..1		Resultado da observação Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SΣC	0..1	string	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueRange	SC	0..1	RangeIPS	Set of values bounded by low and high ele-1: All FHIR elements must have a @value or children rng-2: If present, low SHALL have a lower value than high
value[x]:valueRatio	SC	0..1	RatioIPS	A ratio of two Quantity values - a numerator and a denominator ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
value[x]:valueTime	SΣC	0..1	time	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueDateTime	SΣC	0..1	dateTime	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valuePeriod	SΣC	0..1	Period	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueQuantity	SC	0..1	QuantityIPS	A measured amount using UCUM ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present
value[x]:valueCodeableConcept	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - IPS (preferred) Additional Bindings Purpose Results Blood Group - SNOMED CT IPS Free Set candidate Results Presence Absence - SNOMED CT IPS Free Set candidate Results Microorganism - SNOMED CT IPS Free Set candidate ele-1: All FHIR elements must have a @value or children
dataAbsentReason	C	0..1	CodeableConcept	Por que o resultado do componente está ausente Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children
interpretation		0..*	CodeableConceptIPS	Interpretação do resultado do componente Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	Comentários sobre a observação ele-1: All FHIR elements must have a @value or children
bodySite		0..1	CodeableConcept	Parte anatômica alvo da observação Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. ele-1: All FHIR elements must have a @value or children
method		0..1	CodeableConcept	Método de medição Binding: ObservationMethods (example): Methods for simple observations. ele-1: All FHIR elements must have a @value or children
specimen		0..1	Reference(SpecimenBRIPS)	Amostra utilizada para esta observação ele-1: All FHIR elements must have a @value or children
device		0..1	Reference(Device | DeviceMetric)	Dispositivo de medida da observação ele-1: All FHIR elements must have a @value or children
referenceRange	C	0..*	BackboneElement	Valores de referência ele-1: All FHIR elements must have a @value or children obs-3: Must have at least a low or a high or text
id		0..1	string	Identificador único para referenciação cruzada
extension		0..*	Extension	Extensões adicionais que não fazem parte do modelo de dados básico ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
low	C	0..1	SimpleQuantity	Limite inferior do intervalo ele-1: All FHIR elements must have a @value or children
high	C	0..1	SimpleQuantity	Limite superior do intervalo ele-1: All FHIR elements must have a @value or children
type		0..1	CodeableConcept	Qualificador do valor de referência Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. ele-1: All FHIR elements must have a @value or children
appliesTo		0..*	CodeableConcept	População do intervalo de referência Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. ele-1: All FHIR elements must have a @value or children
age		0..1	Range	Faixa etária aplicável ele-1: All FHIR elements must have a @value or children
text		0..1	string	Intervalo de referência em formato textual ele-1: All FHIR elements must have a @value or children
hasMember	Σ	0..*	Reference(ObservationResultsLaboratoryBRIPS | ObservationResultsBRIPS)	Recurso relacionado que pertence a observação ele-1: All FHIR elements must have a @value or children
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudyBRIPS | Media | QuestionnaireResponse | ObservationResultsBRIPS | MolecularSequence)	Medições relacionadas a partir das quais a observação é feita ele-1: All FHIR elements must have a @value or children
component	SΣ	0..*	BackboneElement	Resultados do componente ele-1: All FHIR elements must have a @value or children
id		0..1	string	ID exclusivo para referência entre elementos
extension		0..*	Extension	Conteúdo adicional definido por implementações ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	Σ	1..1	CodeableConcept	Tipo do componente da observação Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children
value[x]	Σ	0..1		Resultado do componente ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:laboratory	preferred	Pattern: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	preferred	ResultsLaboratoryObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.value[x]:valueCodeableConcept	preferred	ResultsCodedValuesLaboratoryUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ips-2	error	Observation	if no "hasMember" element is present then Observation must have a" value" : value.exists() or hasMember.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3	error	Observation.value[x]:valueQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	Observation.value[x]:valueRatio	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.value[x]:valueRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservationResultsLaboratoryUvIps	Laboratory result for a simple test or for a panel/study obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ips-2: if no "hasMember" element is present then Observation must have a" value"
id	Σ	0..1	id	ID do artefato
meta	Σ	0..1	Meta	Metadados sobre recurso
implicitRules	?!Σ	0..1	uri	Um conjunto de regras sob as quais este conteúdo foi criado
language		0..1	code	Idioma do conteúdo do recurso Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Texto com o resumo do recurso
contained		0..*	Resource	Recursos contidos
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensões que não podem ser ignoradas
identifier	Σ	0..*	Identifier	Identificador do Observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequestBRIPS | NutritionOrder | ServiceRequest)	Referência ao pedido ou ao plano de tratamento que gerou este recurso
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatementBRIPS | ProcedureBRIPS | ImmunizationBRIPS | ImagingStudyBRIPS)	Referência ao evento do qual este recurso faz parte
status	?!Σ	1..1	code	Status atual da observação Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
Slices for category		1..*	CodeableConceptIPS	Categoria de alto nível da observação Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text 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: laboratory
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	Código da observação Binding: Results Laboratory Observation - IPS (preferred)
subject	SΣ	1..1	Reference(PatientBRIPS | Group | Device | Location)	De quem ou do que trata a observação
id		0..1	string	ID exclusivo para referência entre elementos
extension		0..*	Extension	Conteúdo adicional definido por implementações Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Tipo de referência (por exemplo, Paciente) Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Referência lógica, quando a referência literal não é conhecida
display	Σ	0..1	string	Texto alternativo para este rescurso
focus	Σ	0..*	Reference(Resource)	Sobre o que é a observação, quando esta não é sobre o sujeito do registro
encounter	Σ	0..1	Reference(Encounter)	Atendimento durante o qual esta observação foi registrada
effective[x]	SΣ	1..1		Tempo ou período de tempo clinicamente relevante para a observação
effective[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Conteúdo adicional definido por implementações Slice: Unordered, Open by value:url
extension:All Slices				Content/Rules for all slices
id		0..1	string	Identificador único para referenciação cruzada
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	Por quê o valor esperado não está presente
value[x]		0..1		Value of extension
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Data/hora em que esta versão foi disponibilizada
performer	SΣ	1..*	Reference(PractitionerBRIPS | PractitionerRoleBRIPS | OrganizationBRIPS | CareTeam | PatientBRIPS | RelatedPerson)	Quem é o responsável pela observação
Slices for value[x]	SΣC	0..1		Resultado da observação Slice: Unordered, Closed 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
value[x]:valueRange	SC	0..1	RangeIPS	Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high
value[x]:valueRatio	SC	0..1	RatioIPS	A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
value[x]:valueTime	SΣC	0..1	time	Actual result
value[x]:valueDateTime	SΣC	0..1	dateTime	Actual result
value[x]:valuePeriod	SΣC	0..1	Period	Actual result
value[x]:valueQuantity	SC	0..1	QuantityIPS	A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present
value[x]:valueCodeableConcept	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - IPS (preferred) Additional Bindings Purpose Results Blood Group - SNOMED CT IPS Free Set candidate Results Presence Absence - SNOMED CT IPS Free Set candidate Results Microorganism - SNOMED CT IPS Free Set candidate
dataAbsentReason	C	0..1	CodeableConcept	Por que o resultado do componente está ausente Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConceptIPS	Interpretação do resultado do componente Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comentários sobre a observação
bodySite		0..1	CodeableConcept	Parte anatômica alvo da observação Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	Método de medição Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(SpecimenBRIPS)	Amostra utilizada para esta observação
device		0..1	Reference(Device | DeviceMetric)	Dispositivo de medida da observação
referenceRange	C	0..*	BackboneElement	Valores de referência obs-3: Must have at least a low or a high or text
id		0..1	string	Identificador único para referenciação cruzada
extension		0..*	Extension	Extensões adicionais que não fazem parte do modelo de dados básico
modifierExtension	?!Σ	0..*	Extension	Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
low	C	0..1	SimpleQuantity	Limite inferior do intervalo
high	C	0..1	SimpleQuantity	Limite superior do intervalo
type		0..1	CodeableConcept	Qualificador do valor de referência Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	População do intervalo de referência Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Faixa etária aplicável
text		0..1	string	Intervalo de referência em formato textual
hasMember	Σ	0..*	Reference(ObservationResultsLaboratoryBRIPS | ObservationResultsBRIPS)	Recurso relacionado que pertence a observação
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	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
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudyBRIPS | Media | QuestionnaireResponse | ObservationResultsBRIPS | MolecularSequence)	Medições relacionadas a partir das quais a observação é feita
component	SΣ	0..*	BackboneElement	Resultados do componente
id		0..1	string	ID exclusivo para referência entre elementos
extension		0..*	Extension	Conteúdo adicional definido por implementações
modifierExtension	?!Σ	0..*	Extension	Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas
code	Σ	1..1	CodeableConcept	Tipo do componente da observação Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Resultado do componente
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:laboratory	preferred	Pattern: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	preferred	ResultsLaboratoryObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.value[x]:valueCodeableConcept	preferred	ResultsCodedValuesLaboratoryUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.hasMember.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ips-2	error	Observation	if no "hasMember" element is present then Observation must have a" value" : value.exists() or hasMember.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3	error	Observation.value[x]:valueQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	Observation.value[x]:valueRatio	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.value[x]:valueRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)

Visão diferencial

Esta estrutura é derivada de ObservationResultsLaboratoryUvIps

Name	Flags	Card.	Type	Description & Constraints
Observation			ObservationResultsLaboratoryUvIps
id		0..1	id	ID do artefato
meta		0..1	Meta	Metadados sobre recurso
implicitRules		0..1	uri	Um conjunto de regras sob as quais este conteúdo foi criado
language		0..1	code	Idioma do conteúdo do recurso
text		0..1	Narrative	Texto com o resumo do recurso
contained		0..*	Resource	Recursos contidos
modifierExtension		0..*	Extension	Extensões que não podem ser ignoradas
identifier		0..*	Identifier	Identificador do Observation
basedOn		0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequestBRIPS | NutritionOrder | ServiceRequest)	Referência ao pedido ou ao plano de tratamento que gerou este recurso
partOf		0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatementBRIPS | ProcedureBRIPS | ImmunizationBRIPS | ImagingStudyBRIPS)	Referência ao evento do qual este recurso faz parte
status		1..1	code	Status atual da observação
category		1..*	CodeableConceptIPS	Categoria de alto nível da observação
code		1..1	CodeableConceptIPS	Código da observação
subject		1..1	Reference(PatientBRIPS | Group | Device | Location)	De quem ou do que trata a observação
id		0..1	string	ID exclusivo para referência entre elementos
extension		0..*	Extension	Conteúdo adicional definido por implementações
type		0..1	uri	Tipo de referência (por exemplo, Paciente)
identifier		0..1	Identifier	Referência lógica, quando a referência literal não é conhecida
display		0..1	string	Texto alternativo para este rescurso
focus		0..*	Reference(Resource)	Sobre o que é a observação, quando esta não é sobre o sujeito do registro
encounter		0..1	Reference(Encounter)	Atendimento durante o qual esta observação foi registrada
effective[x]		1..1	dateTime, Period	Tempo ou período de tempo clinicamente relevante para a observação
extension		0..*	Extension	Conteúdo adicional definido por implementações
id		0..1	string	Identificador único para referenciação cruzada
url		1..1	uri	Por quê o valor esperado não está presente
Slices for extension				Content/Rules for all slices
extension:data-absent-reason		0..1	DataAbsentReason(5.1.0)	unknown | asked | temp | notasked | masked | unsupported | astext | error
issued		0..1	instant	Data/hora em que esta versão foi disponibilizada
performer		1..*	Reference(PractitionerBRIPS | PractitionerRoleBRIPS | OrganizationBRIPS | CareTeam | PatientBRIPS | RelatedPerson)	Quem é o responsável pela observação
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Resultado da observação
dataAbsentReason		0..1	CodeableConcept	Por que o resultado do componente está ausente
interpretation		0..*	CodeableConceptIPS	Interpretação do resultado do componente
note		0..*	Annotation	Comentários sobre a observação
bodySite		0..1	CodeableConcept	Parte anatômica alvo da observação
method		0..1	CodeableConcept	Método de medição
specimen		0..1	Reference(SpecimenBRIPS)	Amostra utilizada para esta observação
device		0..1	Reference(Device | DeviceMetric)	Dispositivo de medida da observação
referenceRange		0..*	BackboneElement	Valores de referência
id		0..1	string	Identificador único para referenciação cruzada
extension		0..*	Extension	Extensões adicionais que não fazem parte do modelo de dados básico
modifierExtension		0..*	Extension	Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
low		0..1	SimpleQuantity	Limite inferior do intervalo
high		0..1	SimpleQuantity	Limite superior do intervalo
type		0..1	CodeableConcept	Qualificador do valor de referência
appliesTo		0..*	CodeableConcept	População do intervalo de referência
age		0..1	Range	Faixa etária aplicável
text		0..1	string	Intervalo de referência em formato textual
hasMember		0..*	Reference(ObservationResultsLaboratoryBRIPS | ObservationResultsBRIPS)	Recurso relacionado que pertence a observação
derivedFrom		0..*	Reference(DocumentReference | ImagingStudyBRIPS | Media | QuestionnaireResponse | ObservationResultsBRIPS | MolecularSequence)	Medições relacionadas a partir das quais a observação é feita
component		0..*	BackboneElement	Resultados do componente
id		0..1	string	ID exclusivo para referência entre elementos
extension		0..*	Extension	Conteúdo adicional definido por implementações
modifierExtension		0..*	Extension	Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas
code		1..1	CodeableConcept	Tipo do componente da observação
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Resultado do componente
Documentation for this format

Visualização de elementos -chave

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservationResultsLaboratoryUvIps	Laboratory result for a simple test or for a panel/study dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ips-2: if no "hasMember" element is present then Observation must have a" value"
id	Σ	0..1	id	ID do artefato
meta	Σ	0..1	Meta	Metadados sobre recurso ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	Um conjunto de regras sob as quais este conteúdo foi criado ele-1: All FHIR elements must have a @value or children
language		0..1	code	Idioma do conteúdo do recurso Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	Texto com o resumo do recurso ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Recursos contidos
modifierExtension	?!	0..*	Extension	Extensões que não podem ser ignoradas ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	Identificador do Observation ele-1: All FHIR elements must have a @value or children
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequestBRIPS | NutritionOrder | ServiceRequest)	Referência ao pedido ou ao plano de tratamento que gerou este recurso ele-1: All FHIR elements must have a @value or children
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatementBRIPS | ProcedureBRIPS | ImmunizationBRIPS | ImagingStudyBRIPS)	Referência ao evento do qual este recurso faz parte ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	Status atual da observação Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children Fixed Value: final
Slices for category		1..*	CodeableConceptIPS	Categoria de alto nível da observação Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children
category:laboratory	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
code	S	1..1	CodeableConceptIPS	Código da observação Binding: Results Laboratory Observation - IPS (preferred) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(PatientBRIPS | Group | Device | Location)	De quem ou do que trata a observação ele-1: All FHIR elements must have a @value or children
id		0..1	string	ID exclusivo para referência entre elementos
extension		0..*	Extension	Conteúdo adicional definido por implementações Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
type	Σ	0..1	uri	Tipo de referência (por exemplo, Paciente) Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children
identifier	Σ	0..1	Identifier	Referência lógica, quando a referência literal não é conhecida ele-1: All FHIR elements must have a @value or children
display	Σ	0..1	string	Texto alternativo para este rescurso ele-1: All FHIR elements must have a @value or children
focus	Σ	0..*	Reference(Resource)	Sobre o que é a observação, quando esta não é sobre o sujeito do registro ele-1: All FHIR elements must have a @value or children
encounter	Σ	0..1	Reference(Encounter)	Atendimento durante o qual esta observação foi registrada ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	1..1		Tempo ou período de tempo clinicamente relevante para a observação ele-1: All FHIR elements must have a @value or children
effective[x]All Types				Content/Rules for all Types
Slices for extension		0..*	Extension	Conteúdo adicional definido por implementações Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:All Slices				Content/Rules for all slices
id		0..1	string	Identificador único para referenciação cruzada
url		1..1	uri	Por quê o valor esperado não está presente
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Data/hora em que esta versão foi disponibilizada ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..*	Reference(PractitionerBRIPS | PractitionerRoleBRIPS | OrganizationBRIPS | CareTeam | PatientBRIPS | RelatedPerson)	Quem é o responsável pela observação ele-1: All FHIR elements must have a @value or children
Slices for value[x]	SΣC	0..1		Resultado da observação Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SΣC	0..1	string	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueRange	SC	0..1	RangeIPS	Set of values bounded by low and high ele-1: All FHIR elements must have a @value or children rng-2: If present, low SHALL have a lower value than high
value[x]:valueRatio	SC	0..1	RatioIPS	A ratio of two Quantity values - a numerator and a denominator ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
value[x]:valueTime	SΣC	0..1	time	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueDateTime	SΣC	0..1	dateTime	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valuePeriod	SΣC	0..1	Period	Actual result ele-1: All FHIR elements must have a @value or children
value[x]:valueQuantity	SC	0..1	QuantityIPS	A measured amount using UCUM ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present
value[x]:valueCodeableConcept	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - IPS (preferred) Additional Bindings Purpose Results Blood Group - SNOMED CT IPS Free Set candidate Results Presence Absence - SNOMED CT IPS Free Set candidate Results Microorganism - SNOMED CT IPS Free Set candidate ele-1: All FHIR elements must have a @value or children
dataAbsentReason	C	0..1	CodeableConcept	Por que o resultado do componente está ausente Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children
interpretation		0..*	CodeableConceptIPS	Interpretação do resultado do componente Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	Comentários sobre a observação ele-1: All FHIR elements must have a @value or children
bodySite		0..1	CodeableConcept	Parte anatômica alvo da observação Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. ele-1: All FHIR elements must have a @value or children
method		0..1	CodeableConcept	Método de medição Binding: ObservationMethods (example): Methods for simple observations. ele-1: All FHIR elements must have a @value or children
specimen		0..1	Reference(SpecimenBRIPS)	Amostra utilizada para esta observação ele-1: All FHIR elements must have a @value or children
device		0..1	Reference(Device | DeviceMetric)	Dispositivo de medida da observação ele-1: All FHIR elements must have a @value or children
referenceRange	C	0..*	BackboneElement	Valores de referência ele-1: All FHIR elements must have a @value or children obs-3: Must have at least a low or a high or text
id		0..1	string	Identificador único para referenciação cruzada
extension		0..*	Extension	Extensões adicionais que não fazem parte do modelo de dados básico ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
low	C	0..1	SimpleQuantity	Limite inferior do intervalo ele-1: All FHIR elements must have a @value or children
high	C	0..1	SimpleQuantity	Limite superior do intervalo ele-1: All FHIR elements must have a @value or children
type		0..1	CodeableConcept	Qualificador do valor de referência Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. ele-1: All FHIR elements must have a @value or children
appliesTo		0..*	CodeableConcept	População do intervalo de referência Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. ele-1: All FHIR elements must have a @value or children
age		0..1	Range	Faixa etária aplicável ele-1: All FHIR elements must have a @value or children
text		0..1	string	Intervalo de referência em formato textual ele-1: All FHIR elements must have a @value or children
hasMember	Σ	0..*	Reference(ObservationResultsLaboratoryBRIPS | ObservationResultsBRIPS)	Recurso relacionado que pertence a observação ele-1: All FHIR elements must have a @value or children
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudyBRIPS | Media | QuestionnaireResponse | ObservationResultsBRIPS | MolecularSequence)	Medições relacionadas a partir das quais a observação é feita ele-1: All FHIR elements must have a @value or children
component	SΣ	0..*	BackboneElement	Resultados do componente ele-1: All FHIR elements must have a @value or children
id		0..1	string	ID exclusivo para referência entre elementos
extension		0..*	Extension	Conteúdo adicional definido por implementações ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	Σ	1..1	CodeableConcept	Tipo do componente da observação Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children
value[x]	Σ	0..1		Resultado do componente ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:laboratory	preferred	Pattern: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	preferred	ResultsLaboratoryObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.value[x]:valueCodeableConcept	preferred	ResultsCodedValuesLaboratoryUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ips-2	error	Observation	if no "hasMember" element is present then Observation must have a" value" : value.exists() or hasMember.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3	error	Observation.value[x]:valueQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	Observation.value[x]:valueRatio	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.value[x]:valueRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)

Visualização instantânea

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservationResultsLaboratoryUvIps	Laboratory result for a simple test or for a panel/study obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ips-2: if no "hasMember" element is present then Observation must have a" value"
id	Σ	0..1	id	ID do artefato
meta	Σ	0..1	Meta	Metadados sobre recurso
implicitRules	?!Σ	0..1	uri	Um conjunto de regras sob as quais este conteúdo foi criado
language		0..1	code	Idioma do conteúdo do recurso Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Texto com o resumo do recurso
contained		0..*	Resource	Recursos contidos
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensões que não podem ser ignoradas
identifier	Σ	0..*	Identifier	Identificador do Observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequestBRIPS | NutritionOrder | ServiceRequest)	Referência ao pedido ou ao plano de tratamento que gerou este recurso
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatementBRIPS | ProcedureBRIPS | ImmunizationBRIPS | ImagingStudyBRIPS)	Referência ao evento do qual este recurso faz parte
status	?!Σ	1..1	code	Status atual da observação Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
Slices for category		1..*	CodeableConceptIPS	Categoria de alto nível da observação Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text 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: laboratory
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	Código da observação Binding: Results Laboratory Observation - IPS (preferred)
subject	SΣ	1..1	Reference(PatientBRIPS | Group | Device | Location)	De quem ou do que trata a observação
id		0..1	string	ID exclusivo para referência entre elementos
extension		0..*	Extension	Conteúdo adicional definido por implementações Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Tipo de referência (por exemplo, Paciente) Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Referência lógica, quando a referência literal não é conhecida
display	Σ	0..1	string	Texto alternativo para este rescurso
focus	Σ	0..*	Reference(Resource)	Sobre o que é a observação, quando esta não é sobre o sujeito do registro
encounter	Σ	0..1	Reference(Encounter)	Atendimento durante o qual esta observação foi registrada
effective[x]	SΣ	1..1		Tempo ou período de tempo clinicamente relevante para a observação
effective[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Conteúdo adicional definido por implementações Slice: Unordered, Open by value:url
extension:All Slices				Content/Rules for all slices
id		0..1	string	Identificador único para referenciação cruzada
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	Por quê o valor esperado não está presente
value[x]		0..1		Value of extension
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Data/hora em que esta versão foi disponibilizada
performer	SΣ	1..*	Reference(PractitionerBRIPS | PractitionerRoleBRIPS | OrganizationBRIPS | CareTeam | PatientBRIPS | RelatedPerson)	Quem é o responsável pela observação
Slices for value[x]	SΣC	0..1		Resultado da observação Slice: Unordered, Closed 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
value[x]:valueRange	SC	0..1	RangeIPS	Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high
value[x]:valueRatio	SC	0..1	RatioIPS	A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
value[x]:valueTime	SΣC	0..1	time	Actual result
value[x]:valueDateTime	SΣC	0..1	dateTime	Actual result
value[x]:valuePeriod	SΣC	0..1	Period	Actual result
value[x]:valueQuantity	SC	0..1	QuantityIPS	A measured amount using UCUM qty-3: If a code for the unit is present, the system SHALL also be present
value[x]:valueCodeableConcept	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Coded Values Laboratory - IPS (preferred) Additional Bindings Purpose Results Blood Group - SNOMED CT IPS Free Set candidate Results Presence Absence - SNOMED CT IPS Free Set candidate Results Microorganism - SNOMED CT IPS Free Set candidate
dataAbsentReason	C	0..1	CodeableConcept	Por que o resultado do componente está ausente Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConceptIPS	Interpretação do resultado do componente Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comentários sobre a observação
bodySite		0..1	CodeableConcept	Parte anatômica alvo da observação Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	Método de medição Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(SpecimenBRIPS)	Amostra utilizada para esta observação
device		0..1	Reference(Device | DeviceMetric)	Dispositivo de medida da observação
referenceRange	C	0..*	BackboneElement	Valores de referência obs-3: Must have at least a low or a high or text
id		0..1	string	Identificador único para referenciação cruzada
extension		0..*	Extension	Extensões adicionais que não fazem parte do modelo de dados básico
modifierExtension	?!Σ	0..*	Extension	Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
low	C	0..1	SimpleQuantity	Limite inferior do intervalo
high	C	0..1	SimpleQuantity	Limite superior do intervalo
type		0..1	CodeableConcept	Qualificador do valor de referência Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	População do intervalo de referência Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Faixa etária aplicável
text		0..1	string	Intervalo de referência em formato textual
hasMember	Σ	0..*	Reference(ObservationResultsLaboratoryBRIPS | ObservationResultsBRIPS)	Recurso relacionado que pertence a observação
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	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
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudyBRIPS | Media | QuestionnaireResponse | ObservationResultsBRIPS | MolecularSequence)	Medições relacionadas a partir das quais a observação é feita
component	SΣ	0..*	BackboneElement	Resultados do componente
id		0..1	string	ID exclusivo para referência entre elementos
extension		0..*	Extension	Conteúdo adicional definido por implementações
modifierExtension	?!Σ	0..*	Extension	Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas
code	Σ	1..1	CodeableConcept	Tipo do componente da observação Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Resultado do componente
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:laboratory	preferred	Pattern: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	preferred	ResultsLaboratoryObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.value[x]:valueCodeableConcept	preferred	ResultsCodedValuesLaboratoryUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-uv-ips
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.hasMember.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ips-2	error	Observation	if no "hasMember" element is present then Observation must have a" value" : value.exists() or hasMember.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3	error	Observation.value[x]:valueQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	Observation.value[x]:valueRatio	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.value[x]:valueRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)

Esta estrutura é derivada de ObservationResultsLaboratoryUvIps

Summary

Structures

This structure refers to these other structures:

• MedicationRequestBRIPS (https://ips.saude.gov.br/fhir/StructureDefinition/MedicationRequestBRIPS)
• MedicationStatementBRIPS (https://ips.saude.gov.br/fhir/StructureDefinition/MedicationStatementBRIPS)
• ProcedureBRIPS (https://ips.saude.gov.br/fhir/StructureDefinition/ProcedureBRIPS)
• ImmunizationBRIPS (https://ips.saude.gov.br/fhir/StructureDefinition/ImmunizationBRIPS)
• ImagingStudyBRIPS (https://ips.saude.gov.br/fhir/StructureDefinition/ImagingStudyBRIPS)
• PatientBRIPS (https://ips.saude.gov.br/fhir/StructureDefinition/PatientBRIPS)
• PractitionerBRIPS (https://ips.saude.gov.br/fhir/StructureDefinition/PractitionerBRIPS)
• PractitionerRoleBRIPS (https://ips.saude.gov.br/fhir/StructureDefinition/PractitionerRoleBRIPS)
• OrganizationBRIPS (https://ips.saude.gov.br/fhir/StructureDefinition/OrganizationBRIPS)
• SpecimenBRIPS (https://ips.saude.gov.br/fhir/StructureDefinition/SpecimenBRIPS)
• ObservationResultsLaboratoryBRIPS (https://ips.saude.gov.br/fhir/StructureDefinition/ObservationResultsLaboratoryBRIPS)
• ObservationResultsBRIPS (https://ips.saude.gov.br/fhir/StructureDefinition/ObservationResultsBRIPS)