Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
Slices for identifier		0..*	Identifier	Business Identifier for observation Slice: Ordered, Open by value:system
identifier:PHI_CODE		0..1	Identifier	PHI_CODE 식별자
system		1..1	uri	PHI_CODE 식별체계 식별자 Fixed Value: https://connectdtx.net/phicode
value		1..1	string	PHI_CODE(플랫폼에서 전달한 값)
basedOn		0..1	Reference(ConnectDTx ServiceRequest)	결과에 해당하는 DTx 처방
status		1..1	code	검사 상태 : registered | preliminary | final | amended +
category		1..1	CodeableConcept	검사 유형 Binding: ObservationCategoryCodes (required)
code		1..1	CodeableConcept	검사 코드 Binding: KR Core Lab Result Observation Codes (preferred)
subject		0..1	Reference(ConnectDTx Patient)	Who and/or what the observation is about
effective[x]		0..1	dateTime, Period, Timing, instant	측정 일시/기간
performer		0..*	Reference(ConnectDTx Patient | ConnectDTx PractitionerRole)	Who is responsible for the observation
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	결과 값
dataAbsentReason		0..1	CodeableConcept	결과부재 사유
interpretation		0..*	CodeableConcept	결과 값에 대한 정성적 해석
device		0..1	Reference(ConnectDTx Device)	(Measurement) Device
referenceRange		0..*	BackboneElement	결과 참고치 범위
component		0..*	BackboneElement	세부검사
code		1..1	CodeableConcept	세부검사 코드
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	세부검사 결과 값
dataAbsentReason		0..1	CodeableConcept	세부검사의 결과부재사유
interpretation		0..*	CodeableConcept	세부검사 결과 값에 대한 정성적 해석
referenceRange		0..*		세부검사의 결과 참고치 범위
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.category	required	ObservationCategoryCodes
Observation.code	preferred	KR_Core_Lab_Result_Observation_Codes

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Ordered, Open by value:system
identifier:PHI_CODE	Σ	0..1	Identifier	PHI_CODE 식별자
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	PHI_CODE 식별체계 식별자 Fixed Value: https://connectdtx.net/phicode
value	Σ	1..1	string	PHI_CODE(플랫폼에서 전달한 값) Example General: 123456
basedOn	Σ	0..1	Reference(ConnectDTx ServiceRequest)	결과에 해당하는 DTx 처방
status	?!Σ	1..1	code	검사 상태 : registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		1..1	CodeableConcept	검사 유형 Binding: ObservationCategoryCodes (required)
code	Σ	1..1	CodeableConcept	검사 코드 Binding: KR Core Lab Result Observation Codes (preferred)
subject	Σ	0..1	Reference(ConnectDTx Patient)	Who and/or what the observation is about
effective[x]	Σ	0..1		측정 일시/기간
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
performer	Σ	0..*	Reference(ConnectDTx Patient | ConnectDTx PractitionerRole)	Who is responsible for the observation
value[x]	ΣC	0..1		결과 값
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	결과부재 사유 Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	결과 값에 대한 정성적 해석 Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
device		0..1	Reference(ConnectDTx Device)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	결과 참고치 범위
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
component	Σ	0..*	BackboneElement	세부검사
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	세부검사 코드 Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		세부검사 결과 값
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	세부검사의 결과부재사유 Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	세부검사 결과 값에 대한 정성적 해석 Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	세부검사의 결과 참고치 범위
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.identifier:PHI_CODE.use	required	IdentifierUse
Observation.status	required	ObservationStatus
Observation.category	required	ObservationCategoryCodes
Observation.code	preferred	KR_Core_Lab_Result_Observation_Codes
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	extensible	ObservationInterpretationCodes
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReason	extensible	DataAbsentReason
Observation.component.interpretation	extensible	ObservationInterpretationCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Ordered, Open by value:system
identifier:PHI_CODE	Σ	0..1	Identifier	PHI_CODE 식별자
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	PHI_CODE 식별체계 식별자 Fixed Value: https://connectdtx.net/phicode
value	Σ	1..1	string	PHI_CODE(플랫폼에서 전달한 값) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	Σ	0..1	Reference(ConnectDTx ServiceRequest)	결과에 해당하는 DTx 처방
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	검사 상태 : registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		1..1	CodeableConcept	검사 유형 Binding: ObservationCategoryCodes (required)
code	Σ	1..1	CodeableConcept	검사 코드 Binding: KR Core Lab Result Observation Codes (preferred)
subject	Σ	0..1	Reference(ConnectDTx Patient)	Who and/or what the observation is about
focus	ΣTU	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	Σ	0..1		측정 일시/기간
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(ConnectDTx Patient | ConnectDTx PractitionerRole)	Who is responsible for the observation
value[x]	ΣC	0..1		결과 값
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	결과부재 사유 Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	결과 값에 대한 정성적 해석 Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(ConnectDTx Device)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	결과 참고치 범위
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	세부검사
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	세부검사 코드 Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		세부검사 결과 값
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	세부검사의 결과부재사유 Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	세부검사 결과 값에 대한 정성적 해석 Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	세부검사의 결과 참고치 범위
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Observation.identifier:PHI_CODE.use	required	IdentifierUse
Observation.identifier:PHI_CODE.type	extensible	Identifier Type Codes
Observation.status	required	ObservationStatus
Observation.category	required	ObservationCategoryCodes
Observation.code	preferred	KR_Core_Lab_Result_Observation_Codes
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	extensible	ObservationInterpretationCodes
Observation.bodySite	example	SNOMEDCTBodyStructures
Observation.method	example	ObservationMethods
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReason	extensible	DataAbsentReason
Observation.component.interpretation	extensible	ObservationInterpretationCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()

Summary

Mandatory: 1 element (2 nested mandatory elements)
Fixed Value: 1 element

Structures

This structure refers to these other structures:

• ConnectDTx ServiceRequest (http://connectdtx.kr/fhir/StructureDefinition/connectdtx-servicerequest)
• ConnectDTx Patient (http://connectdtx.kr/fhir/StructureDefinition/connectdtx-patient)
• ConnectDTx PractitionerRole (http://connectdtx.kr/fhir/StructureDefinition/connectdtx-practitionerrole)
• ConnectDTx Device (http://connectdtx.kr/fhir/StructureDefinition/connectdtx-device)

Slices

This structure defines the following Slices:

• The element Observation.identifier is sliced based on the value of value:system (ordered)

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
Slices for identifier		0..*	Identifier	Business Identifier for observation Slice: Ordered, Open by value:system
identifier:PHI_CODE		0..1	Identifier	PHI_CODE 식별자
system		1..1	uri	PHI_CODE 식별체계 식별자 Fixed Value: https://connectdtx.net/phicode
value		1..1	string	PHI_CODE(플랫폼에서 전달한 값)
basedOn		0..1	Reference(ConnectDTx ServiceRequest)	결과에 해당하는 DTx 처방
status		1..1	code	검사 상태 : registered | preliminary | final | amended +
category		1..1	CodeableConcept	검사 유형 Binding: ObservationCategoryCodes (required)
code		1..1	CodeableConcept	검사 코드 Binding: KR Core Lab Result Observation Codes (preferred)
subject		0..1	Reference(ConnectDTx Patient)	Who and/or what the observation is about
effective[x]		0..1	dateTime, Period, Timing, instant	측정 일시/기간
performer		0..*	Reference(ConnectDTx Patient | ConnectDTx PractitionerRole)	Who is responsible for the observation
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	결과 값
dataAbsentReason		0..1	CodeableConcept	결과부재 사유
interpretation		0..*	CodeableConcept	결과 값에 대한 정성적 해석
device		0..1	Reference(ConnectDTx Device)	(Measurement) Device
referenceRange		0..*	BackboneElement	결과 참고치 범위
component		0..*	BackboneElement	세부검사
code		1..1	CodeableConcept	세부검사 코드
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	세부검사 결과 값
dataAbsentReason		0..1	CodeableConcept	세부검사의 결과부재사유
interpretation		0..*	CodeableConcept	세부검사 결과 값에 대한 정성적 해석
referenceRange		0..*		세부검사의 결과 참고치 범위
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.category	required	ObservationCategoryCodes
Observation.code	preferred	KR_Core_Lab_Result_Observation_Codes

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Ordered, Open by value:system
identifier:PHI_CODE	Σ	0..1	Identifier	PHI_CODE 식별자
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	PHI_CODE 식별체계 식별자 Fixed Value: https://connectdtx.net/phicode
value	Σ	1..1	string	PHI_CODE(플랫폼에서 전달한 값) Example General: 123456
basedOn	Σ	0..1	Reference(ConnectDTx ServiceRequest)	결과에 해당하는 DTx 처방
status	?!Σ	1..1	code	검사 상태 : registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		1..1	CodeableConcept	검사 유형 Binding: ObservationCategoryCodes (required)
code	Σ	1..1	CodeableConcept	검사 코드 Binding: KR Core Lab Result Observation Codes (preferred)
subject	Σ	0..1	Reference(ConnectDTx Patient)	Who and/or what the observation is about
effective[x]	Σ	0..1		측정 일시/기간
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
performer	Σ	0..*	Reference(ConnectDTx Patient | ConnectDTx PractitionerRole)	Who is responsible for the observation
value[x]	ΣC	0..1		결과 값
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	결과부재 사유 Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	결과 값에 대한 정성적 해석 Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
device		0..1	Reference(ConnectDTx Device)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	결과 참고치 범위
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
component	Σ	0..*	BackboneElement	세부검사
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	세부검사 코드 Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		세부검사 결과 값
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	세부검사의 결과부재사유 Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	세부검사 결과 값에 대한 정성적 해석 Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	세부검사의 결과 참고치 범위
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.identifier:PHI_CODE.use	required	IdentifierUse
Observation.status	required	ObservationStatus
Observation.category	required	ObservationCategoryCodes
Observation.code	preferred	KR_Core_Lab_Result_Observation_Codes
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	extensible	ObservationInterpretationCodes
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReason	extensible	DataAbsentReason
Observation.component.interpretation	extensible	ObservationInterpretationCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Ordered, Open by value:system
identifier:PHI_CODE	Σ	0..1	Identifier	PHI_CODE 식별자
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	PHI_CODE 식별체계 식별자 Fixed Value: https://connectdtx.net/phicode
value	Σ	1..1	string	PHI_CODE(플랫폼에서 전달한 값) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	Σ	0..1	Reference(ConnectDTx ServiceRequest)	결과에 해당하는 DTx 처방
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	검사 상태 : registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		1..1	CodeableConcept	검사 유형 Binding: ObservationCategoryCodes (required)
code	Σ	1..1	CodeableConcept	검사 코드 Binding: KR Core Lab Result Observation Codes (preferred)
subject	Σ	0..1	Reference(ConnectDTx Patient)	Who and/or what the observation is about
focus	ΣTU	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	Σ	0..1		측정 일시/기간
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(ConnectDTx Patient | ConnectDTx PractitionerRole)	Who is responsible for the observation
value[x]	ΣC	0..1		결과 값
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	결과부재 사유 Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	결과 값에 대한 정성적 해석 Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(ConnectDTx Device)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	결과 참고치 범위
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	세부검사
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	세부검사 코드 Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		세부검사 결과 값
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	세부검사의 결과부재사유 Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	세부검사 결과 값에 대한 정성적 해석 Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	세부검사의 결과 참고치 범위
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Observation.identifier:PHI_CODE.use	required	IdentifierUse
Observation.identifier:PHI_CODE.type	extensible	Identifier Type Codes
Observation.status	required	ObservationStatus
Observation.category	required	ObservationCategoryCodes
Observation.code	preferred	KR_Core_Lab_Result_Observation_Codes
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	extensible	ObservationInterpretationCodes
Observation.bodySite	example	SNOMEDCTBodyStructures
Observation.method	example	ObservationMethods
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReason	extensible	DataAbsentReason
Observation.component.interpretation	extensible	ObservationInterpretationCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()

Summary

Mandatory: 1 element (2 nested mandatory elements)
Fixed Value: 1 element

Structures

This structure refers to these other structures:

• ConnectDTx ServiceRequest (http://connectdtx.kr/fhir/StructureDefinition/connectdtx-servicerequest)
• ConnectDTx Patient (http://connectdtx.kr/fhir/StructureDefinition/connectdtx-patient)
• ConnectDTx PractitionerRole (http://connectdtx.kr/fhir/StructureDefinition/connectdtx-practitionerrole)
• ConnectDTx Device (http://connectdtx.kr/fhir/StructureDefinition/connectdtx-device)

Slices

This structure defines the following Slices:

• The element Observation.identifier is sliced based on the value of value:system (ordered)