ACP-OrganDonationChoiceRegistration
type: StructureDefinition
node role: treeRoot
id:
  v: ACP-OrganDonationChoiceRegistration
text:
  status:
    v: extensions
  div: Generated Narrative: StructureDefinition ACP-OrganDonationChoiceRegistration Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Observation 0..* Zib GeneralMeasurement(2.0.4) GeneralMeasurement #xD; code 1..1 CodeableConcept Investigation or MeasurementName Required Pattern: At least the following #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://snomed.info/sct #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: 570801000146104 #xD; subject 1..1 Reference(Patient(1.0.0-alpha1)) Who and/or what this is about #xD; context 0..1 Reference(Encounter(1.0.0-alpha1)) Healthcare event during which this observation is made #xD; effective[x] 0..1 dateTime, Period ResultDateTime #xD; value[x] 0..1 CodeableConcept ResultValue Binding: ACPYesNoUnknownVS (1.0.0-alpha1) (required) #xD; dataAbsentReason 0..1 CodeableConcept Why the result is missing #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-OrganDonationChoiceRegistration
version:
  v: 1.0.0-alpha1
name:
  v: ACPOrganDonationChoiceRegistration
title:
  v: Organ donation choice registration in donor register
status:
  v: draft
experimental:
  v: false
date:
  v: 2025-10-27T14:16:14+00:00
publisher:
  v: IKNL
contact:
  telecom:
    system:
      v: url
    value:
      v: https://www.iknl.nl
description:
  v: Answer, captured in an observation, to the question: 'Is the choice on organ donation recorded in the donor register?' Based on Observation resource.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
    code:
      v: 001
copyright:
  v: Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.
fhir version:
  v: 3.0.2
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  uri:
    v: https://decor.nictiz.nl/ad/#/pall-izppz-/scenarios/scenarios/2.16.840.1.113883.2.4.3.11.60.117.4.14/2025-08-05T00:00:00
  name:
    v: PZP zib2017 dataset
mapping:
  identity:
    v: hcim-generalmeasurement-v3.0-2017EN
  uri:
    v: https://zibs.nl/wiki/GeneralMeasurement-v3.0(2017EN)
  name:
    v: HCIM GeneralMeasurement-v3.0(2017EN)
mapping:
  identity:
    v: hcim-basicelements-v1.0-2017EN
  uri:
    v: https://zibs.nl/wiki/BasicElements-v1.0(2017EN)
  name:
    v: HCIM BasicElements-v1.0(2017EN)
mapping:
  identity:
    v: hcim-outcomeofcare-v3.1-2017EN
  uri:
    v: https://zibs.nl/wiki/OutcomeOfCare-v3.1(2017EN)
  name:
    v: HCIM OutcomeOfCare-v3.1(2017EN)
kind:
  v: resource
abstract:
  v: false
type:
  v: Observation
base definition:
  v: http://nictiz.nl/fhir/StructureDefinition/zib-GeneralMeasurement|2.0.4
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    value: string
      v: 2.0.4
  element:
    id:
      v: Observation
    path:
      v: Observation
    short:
      v: GeneralMeasurement
    definition:
      v: Measurements and simple assertions made about a patient, device or other subject.
    comment:
      v: This profile is used both for the GeneralMeasurement concept and the MeasurementResult concept of HCIM GeneralMeasurement. A GeneralMeasurement can contain mutiple related MeasurementResults. This is implemented using a parent Observation with related child Observations. See the code and related elements.
    alias:
      v: Vital Signs
    alias:
      v: Measurement
    alias:
      v: Results
    alias:
      v: Tests
    alias:
      v: MeetUitslag
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Resource
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-1
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain any narrative
      expression:
        v: contained.text.empty()
      xpath:
        v: not(parent::f:contained and f:text)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
      expression:
        v: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
      xpath:
        v: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: obs-7
      severity:
        v: error
      human:
        v: If code is the same as a component code then the value element associated with the code SHALL NOT be present
      expression:
        v: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
      xpath:
        v: not(exists(f:*[starts-with(local-name(.), 'value')])) or not(count(for $coding in f:code/f:coding return parent::*/f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value and f:system/@value=$coding/f:system/@value])=0)
      source:
        v: http://nictiz.nl/fhir/StructureDefinition/zib-GeneralMeasurement|2.0.4
    constraint:
      key:
        v: obs-6
      severity:
        v: error
      human:
        v: dataAbsentReason SHALL only be present if Observation.value[x] is not present
      expression:
        v: dataAbsentReason.empty() or value.empty()
      xpath:
        v: not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))
      source:
        v: http://nictiz.nl/fhir/StructureDefinition/zib-GeneralMeasurement|2.0.4
    mapping:
      identity:
        v: pall-izppz-zib2017v2025-03-11
      map:
        v: 737
      comment:
        v: Keuze orgaandonatie vastgelegd in donorregister? (AlgemeneMeting)

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: Event

identity:
  v: sct-concept
map:
  v: < 363787002 |Observable entity|

identity:
  v: v2
map:
  v: OBX

identity:
  v: rim
map:
  v: Observation[classCode=OBS, moodCode=EVN]

identity:
  v: w5
map:
  v: clinical.diagnostics

identity:
  v: hcim-generalmeasurement-v3.0-2017EN
map:
  v: NL-CM:13.3.1
comment:
  v: GeneralMeasurement

identity:
  v: hcim-outcomeofcare-v3.1-2017EN
map:
  v: NL-CM:13.4.2
comment:
  v: MeasurementValue

id:
  v: Observation.id
path:
  v: Observation.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
is summary:
  v: true

id:
  v: Observation.meta
path:
  v: Observation.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
is summary:
  v: true

id:
  v: Observation.implicitRules
path:
  v: Observation.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
is modifier:
  v: true
is summary:
  v: true

id:
  v: Observation.language
path:
  v: Observation.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
    value: Reference
      link: 3.0
      link: .2
      reference:
        v: http://hl7.org/fhir/ValueSet/all-languages|3.0.2
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: Language
  strength:
    v: extensible
  description:
    v: A human language.
  value set: Reference
    link: 3.0
    link: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/languages|3.0.2

id:
  v: Observation.text
path:
  v: Observation.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
condition:
  v: dom-1
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: Observation.contained
path:
  v: Observation.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Observation.extension
path:
  v: Observation.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Observation.modifierExtension
path:
  v: Observation.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
is modifier:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Observation.identifier
path:
  v: Observation.identifier
short:
  v: Business Identifier for observation
definition:
  v: A unique identifier assigned to this observation.
requirements:
  v: Allows observations to be distinguished and referenced.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: v2
  map:
    v: OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
mapping:
  identity:
    v: rim
  map:
    v: id
mapping:
  identity:
    v: w5
  map:
    v: id
mapping:
  identity:
    v: hcim-basicelements-v1.0-2017EN
  map:
    v: NL-CM:0.0.6
  comment:
    v: IdentificationNumber

id:
  v: Observation.basedOn
path:
  v: Observation.basedOn
short:
  v: Fulfills plan, proposal or order
definition:
  v: A plan, proposal or order that is fulfilled in whole or in part by this event.
requirements:
  v: Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.
alias:
  v: Fulfills
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.basedOn
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CarePlan
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DeviceRequest
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/NutritionOrder
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ProcedureRequest
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ReferralRequest
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.basedOn
mapping:
  identity:
    v: v2
  map:
    v: ORC
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=FLFS].target

id:
  v: Observation.status
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
  value: string
    v: default: final
path:
  v: Observation.status
short:
  v: registered | preliminary | final | amended +
definition:
  v: The status of the result value.
comment:
  v: A ConceptMap (http://nictiz.nl/fhir/ConceptMap/ResultStatusCodelist-to-ObservationStatus) is available that maps ResultStatusCodelist to the ObservationStatus value set.
requirements:
  v: Need to track the status of individual results. Some results are finalized before the whole report is finalized.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Observation.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
is modifier:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: ObservationStatus
  strength:
    v: required
  description:
    v: Codes providing the status of an observation.
  value set: Reference
    link: 3.0
    link: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/observation-status|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: sct-concept
  map:
    v: < 445584004 |Report by finality status|
mapping:
  identity:
    v: v2
  map:
    v: OBX-11
mapping:
  identity:
    v: rim
  map:
    v: status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
mapping:
  identity:
    v: w5
  map:
    v: status

id:
  v: Observation.status.id
path:
  v: Observation.status.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references)
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string

id:
  v: Observation.status.extension
path:
  v: Observation.status.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension

id:
  v: Observation.status.extension:ResultStatusCodelist
path:
  v: Observation.status.extension
slice name:
  v: ResultStatusCodelist
short:
  v: Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
definition:
  v: Defines a more specific coded value for a code or string. Especially useful for FHIR's required ValueSets. These extensions are primarily used on codes bound to a required value set, where you would like to use a more specific code than the codes in the bounded value set.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: Bevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet.
alias:
  v: ResultaatStatus
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
  profile:
    v: http://nictiz.nl/fhir/StructureDefinition/code-specification|1.0.4
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://nictiz.nl/fhir/StructureDefinition/code-specification|1.0.4
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Observation.status.extension:ResultStatusCodelist.id
path:
  v: Observation.status.extension.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Observation.status.extension:ResultStatusCodelist.extension
path:
  v: Observation.status.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Observation.status.extension:ResultStatusCodelist.url
path:
  v: Observation.status.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: uri
fixed: uri
  v: http://nictiz.nl/fhir/StructureDefinition/code-specification
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Observation.status.extension:ResultStatusCodelist.value[x]:valueCodeableConcept
path:
  v: Observation.status.extension.value[x]
slice name:
  v: valueCodeableConcept
short:
  v: ResultaatStatusCodelijst
definition:
  v: The status of the GeneralMeasurement or MeasurementResult.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: extensible
  description:
    v: ResultaatStatusCodelijst
  value set: Reference
    link: 2.16
    link: .840
    link: .1
    link: .113883
    link: .2
    link: .4
    link: .3
    link: .11
    link: .60
    link: .40
    link: .13
    link: -20171231000000
    link: 2017
    link: -12
    link: -31
    link: 00
    reference:
      v: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1--20171231000000|2017-12-31T00:00:00
mapping:
  identity:
    v: rim
  map:
    v: N/A
mapping:
  identity:
    v: hcim-generalmeasurement-v3.0-2017EN
  map:
    v: NL-CM:13.3.3
  comment:
    v: ResultStatus

id:
  v: Observation.status.value
path:
  v: Observation.status.value
representation:
  v: xmlAttr
short:
  v: Primitive value for code
definition:
  v: Primitive value for code
min:
  v: 0
max:
  v: 1
base:
  path:
    v: string.value
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-regex
    value: string
      v: [^\s]+([\s]?[^\s]+)*
  code:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type
      value: string
        v: string
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type
      value: string
        v: xsd:token
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type
      value: string
        v: xsd:token

id:
  v: Observation.category
path:
  v: Observation.category
short:
  v: Classification of type of observation
definition:
  v: A code that classifies the general type of observation being made.
comment:
  v: In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.
requirements:
  v: Used for filtering what observations are retrieved and displayed.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: ObservationCategory
  strength:
    v: preferred
  description:
    v: Codes for high level observation categories.
  value set: Reference
    link: 3.0
    link: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/observation-category|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
mapping:
  identity:
    v: w5
  map:
    v: class

id:
  v: Observation.code
path:
  v: Observation.code
short:
  v: Investigation or MeasurementName
definition:
  v: A GeneralMeasurement can contain mutiple related MeasurementResults. This is implemented using a parent Observation with related child Observations. The Observation.code element is used to describe the GeneralMeasurement Investigation concept for parent Observations and the MeasurementResult MeasurementName concept for child Observations.
comment:
  v: Only one of the two value sets (MeasurementNameCodelist) is bound to this element. TestCodelist is not used. This is not a problem because both value sets contain the same codes, namely all SNOMED CT codes.
requirements:
  v: Knowing what kind of observation is being made is essential to understanding the observation.
alias:
  v: Name
alias:
  v: Onderzoek
alias:
  v: MetingNaam
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Observation.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
pattern: CodeableConcept
  coding: http://snomed.info/id/570801000146104
    system:
      v: http://snomed.info/sct
    code:
      v: 570801000146104
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: ObservationCode
  strength:
    v: extensible
  description:
    v: OnderzoekCodelijst or MetingNaamCodelijst
  value set: Reference
    link: 2.16
    link: .840
    link: .1
    link: .113883
    link: .2
    link: .4
    link: .3
    link: .11
    link: .60
    link: .40
    link: .13
    link: -20171231000000
    link: 2017
    link: -12
    link: -31
    link: 00
    reference:
      v: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2--20171231000000|2017-12-31T00:00:00
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 742
  comment:
    v: MetingNaam voor Keuze orgaandonatie vastgelegd in donorregister?
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: sct-concept
  map:
    v: < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
mapping:
  identity:
    v: v2
  map:
    v: OBX-3
mapping:
  identity:
    v: rim
  map:
    v: code
mapping:
  identity:
    v: sct-attr
  map:
    v: 116680003 |Is a|
mapping:
  identity:
    v: w5
  map:
    v: what
mapping:
  identity:
    v: hcim-generalmeasurement-v3.0-2017EN
  map:
    v: NL-CM:13.3.2
  comment:
    v: Investigation
mapping:
  identity:
    v: hcim-generalmeasurement-v3.0-2017EN
  map:
    v: NL-CM:13.3.6
  comment:
    v: MeasurementName

id:
  v: Observation.subject
path:
  v: Observation.subject
short:
  v: Who and/or what this is about
definition:
  v: The patient, or group of patients, location, or device whose characteristics (direct or indirect) are described by the observation and into whose record the observation is placed. Comments: Indirect characteristics may be those of a specimen, fetus, donor, other observer (for example a relative or EMT), or any observation made about the subject.
comment:
  v: One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated. If the target of the observation is different than the subject, the general extension [observation-focal-subject](http://hl7.org/fhir/STU3/extension-observation-focal-subject.html). may be used. However, the distinction between the patient's own value for an observation versus that of the fetus, or the donor or blood product unit, etc., are often specified in the observation code.
requirements:
  v: Observations have no value if you don't know who or what they're about.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Observation.subject
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-Patient|1.0.0-alpha1
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: v2
  map:
    v: PID-3
mapping:
  identity:
    v: rim
  map:
    v: participation[typeCode=SBJ]
mapping:
  identity:
    v: w5
  map:
    v: who.focus
mapping:
  identity:
    v: hcim-basicelements-v1.0-2017EN
  map:
    v: NL-CM:0.0.11
  comment:
    v: Subject

id:
  v: Observation.context
path:
  v: Observation.context
short:
  v: Healthcare event during which this observation is made
definition:
  v: The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.
comment:
  v: This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests).
requirements:
  v: For some observations it may be important to know the link between an observation and a particular encounter.
alias:
  v: Encounter
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.context
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-Encounter|1.0.0-alpha1
mapping:
  identity:
    v: workflow
  map:
    v: Event.context
mapping:
  identity:
    v: v2
  map:
    v: PV1
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
mapping:
  identity:
    v: w5
  map:
    v: context

id:
  v: Observation.effective[x]
path:
  v: Observation.effective[x]
short:
  v: ResultDateTime
definition:
  v: Date and if possible the time at which the entire or specific result measurement was carried out.
comment:
  v: At least a date should be present unless this observation is a historical report.
requirements:
  v: Knowing when an observation was deemed true is important to its relevance as well as determining trends.
alias:
  v: Occurrence
alias:
  v: UitslagDatumTijd
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.effective[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
type:
  code:
    v: Period
is summary:
  v: true
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 745
  comment:
    v: UitslagDatumTijd
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: v2
  map:
    v: OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
mapping:
  identity:
    v: rim
  map:
    v: effectiveTime
mapping:
  identity:
    v: w5
  map:
    v: when.done
mapping:
  identity:
    v: hcim-basicelements-v1.0-2017EN
  map:
    v: NL-CM:0.0.14
  comment:
    v: DateTime
mapping:
  identity:
    v: hcim-generalmeasurement-v3.0-2017EN
  map:
    v: NL-CM:13.3.9
  comment:
    v: ResultDateTime

id:
  v: Observation.issued
path:
  v: Observation.issued
short:
  v: Date/Time this was made available
definition:
  v: The date and time this observation was made available to providers, typically after the results have been reviewed and verified.
comment:
  v: Updated when the result is updated.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.issued
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: instant
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
mapping:
  identity:
    v: rim
  map:
    v: participation[typeCode=AUT].time
mapping:
  identity:
    v: w5
  map:
    v: when.recorded

id:
  v: Observation.performer
path:
  v: Observation.performer
short:
  v: Who is responsible for the observation
definition:
  v: Who was responsible for asserting the observed value as "true".
requirements:
  v: May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.performer
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-organization|2.0.6
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-patient|2.2.5
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner|2.0.7
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson|2.0.5
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer
mapping:
  identity:
    v: v2
  map:
    v: OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'
mapping:
  identity:
    v: rim
  map:
    v: participation[typeCode=PRF]
mapping:
  identity:
    v: w5
  map:
    v: who.actor
mapping:
  identity:
    v: hcim-basicelements-v1.0-2017EN
  map:
    v: NL-CM:0.0.7
  comment:
    v: Author

id:
  v: Observation.performer.id
path:
  v: Observation.performer.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Observation.performer.extension
path:
  v: Observation.performer.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Observation.performer.extension:practitionerRole
path:
  v: Observation.performer.extension
slice name:
  v: practitionerRole
short:
  v: Optional Extensions Element
definition:
  v: Optional Extension Element - found in all resources.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
  profile:
    v: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference|1.0.2
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference|1.0.2
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Observation.performer.reference
path:
  v: Observation.performer.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Observation.performer.identifier
path:
  v: Observation.performer.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Observation.performer.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  value: boolean
    v: true
path:
  v: Observation.performer.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Observation.value[x]
path:
  v: Observation.value[x]
short:
  v: ResultValue
definition:
  v: Organ donation choice recorded in donor register.
comment:
  v: Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is "'value' + the type name" with a capital on the first letter of the type). If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For further discussion and examples see the [notes section](http://hl7.org/fhir/STU3/observation.html#notes) below.
requirements:
  v: An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations.
alias:
  v: UitslagWaarde
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
condition:
  v: obs-7
is summary:
  v: true
binding:
  strength:
    v: required
  value set: Reference
    link: 1.0
    link: .0
    reference:
      v: https://api.iknl.nl/docs/pzp/stu3/ValueSet/ACP-YesNoUnknownVS|1.0.0-alpha1
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 743
  comment:
    v: Keuze orgaandonatie in donorregister (UitslagWaarde)
mapping:
  identity:
    v: workflow
  map:
    v: Event.notDone, Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
mapping:
  identity:
    v: sct-concept
  map:
    v: < 441742003 |Evaluation finding|
mapping:
  identity:
    v: v2
  map:
    v: OBX.2, OBX.5, OBX.6
mapping:
  identity:
    v: rim
  map:
    v: value
mapping:
  identity:
    v: sct-attr
  map:
    v: 363714003 |Interprets|
mapping:
  identity:
    v: hcim-generalmeasurement-v3.0-2017EN
  map:
    v: NL-CM:13.3.7
  comment:
    v: ResultValue

id:
  v: Observation.dataAbsentReason
path:
  v: Observation.dataAbsentReason
short:
  v: Why the result is missing
definition:
  v: Provides a reason why the expected value in the element Observation.value[x] is missing.
comment:
  v: Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "specimen unsatisfactory". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.
requirements:
  v: For many results it is necessary to handle exceptional values in measurements.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.dataAbsentReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
condition:
  v: obs-6
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: ObservationValueAbsentReason
  strength:
    v: extensible
  description:
    v: Codes specifying why the result (Observation.value[x]) is missing.
  value set: Reference
    link: 3.0
    link: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 743
  comment:
    v: Keuze orgaandonatie in donorregister (UitslagWaarde)
mapping:
  identity:
    v: workflow
  map:
    v: Event.notDone, Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: value.nullFlavor

id:
  v: Observation.interpretation
path:
  v: Observation.interpretation
short:
  v: High, low, normal, etc.
definition:
  v: The assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag.
requirements:
  v: For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.
alias:
  v: Abnormal Flag
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.interpretation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: ObservationInterpretation
  strength:
    v: extensible
  description:
    v: Codes identifying interpretations of observations.
  value set: Reference
    link: 3.0
    link: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2
mapping:
  identity:
    v: sct-concept
  map:
    v: < 260245000 |Findings values|
mapping:
  identity:
    v: v2
  map:
    v: OBX-8
mapping:
  identity:
    v: rim
  map:
    v: interpretationCode
mapping:
  identity:
    v: sct-attr
  map:
    v: 363713009 |Has interpretation|

id:
  v: Observation.comment
path:
  v: Observation.comment
short:
  v: Comment
definition:
  v: Comments such as an interpretation or advice accompanying the result.
requirements:
  v: Need to be able to provide free text additional information.
alias:
  v: Toelichting
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.comment
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
mapping:
  identity:
    v: workflow
  map:
    v: Event.note
mapping:
  identity:
    v: v2
  map:
    v: NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
mapping:
  identity:
    v: rim
  map:
    v: subjectOf.observationEvent[code="annotation"].value
mapping:
  identity:
    v: hcim-generalmeasurement-v3.0-2017EN
  map:
    v: NL-CM:13.3.4
  comment:
    v: Comment

id:
  v: Observation.bodySite
path:
  v: Observation.bodySite
short:
  v: Observed body part
definition:
  v: Indicates the site on the subject's body where the observation was made (i.e. the target site).
comment:
  v: Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ body-site-instance](http://hl7.org/fhir/STU3/extension-body-site-instance.html).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.bodySite
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: BodySite
  strength:
    v: example
  description:
    v: Codes describing anatomical locations. May include laterality.
  value set: Reference
    link: 3.0
    link: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/body-site|3.0.2
mapping:
  identity:
    v: sct-concept
  map:
    v: < 123037004 |Body structure|
mapping:
  identity:
    v: v2
  map:
    v: OBX-20
mapping:
  identity:
    v: rim
  map:
    v: targetSiteCode
mapping:
  identity:
    v: sct-attr
  map:
    v: 718497002 |Inherent location|

id:
  v: Observation.method
path:
  v: Observation.method
short:
  v: MeasuringMethod
definition:
  v: The test method used to obtain the result.
comment:
  v: Only used if not implicit in code for Observation.code.
requirements:
  v: In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.
alias:
  v: Meetmethode
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.method
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: ObservationMethod
  strength:
    v: extensible
  description:
    v: SNOMED CT - all concepts
  value set: Reference
    link: 2.16
    link: .840
    link: .1
    link: .113883
    link: .2
    link: .4
    link: .3
    link: .11
    link: .60
    link: .40
    link: .13
    link: -20171231000000
    link: 2017
    link: -12
    link: -31
    link: 00
    reference:
      v: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.4--20171231000000|2017-12-31T00:00:00
mapping:
  identity:
    v: v2
  map:
    v: OBX-17
mapping:
  identity:
    v: rim
  map:
    v: methodCode
mapping:
  identity:
    v: hcim-generalmeasurement-v3.0-2017EN
  map:
    v: NL-CM:13.3.8
  comment:
    v: MeasuringMethod

id:
  v: Observation.specimen
path:
  v: Observation.specimen
short:
  v: Specimen used for this observation
definition:
  v: The specimen that was used when this observation was made.
comment:
  v: Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.specimen
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Specimen
mapping:
  identity:
    v: sct-concept
  map:
    v: < 123038009 |Specimen|
mapping:
  identity:
    v: v2
  map:
    v: SPM segment
mapping:
  identity:
    v: rim
  map:
    v: participation[typeCode=SPC].specimen
mapping:
  identity:
    v: sct-attr
  map:
    v: 704319004 |Inherent in|

id:
  v: Observation.device
path:
  v: Observation.device
short:
  v: (Measurement) Device
definition:
  v: The device used to generate the observation data.
comment:
  v: An extension should be used if further typing of the device is needed. Devices used to support obtaining an observation can be represented using either an extension or through the Observation.related element.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.device
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DeviceMetric
mapping:
  identity:
    v: sct-concept
  map:
    v: < 49062001 |Device|
mapping:
  identity:
    v: v2
  map:
    v: OBX-17 / PRT -10
mapping:
  identity:
    v: rim
  map:
    v: participation[typeCode=DEV]
mapping:
  identity:
    v: sct-attr
  map:
    v: 424226004 |Using device|

id:
  v: Observation.referenceRange
path:
  v: Observation.referenceRange
short:
  v: Provides guide for interpretation
definition:
  v: Guidance on how to interpret the value by comparison to a normal or recommended range.
comment:
  v: Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.
requirements:
  v: Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.referenceRange
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: obs-3
  severity:
    v: error
  human:
    v: Must have at least a low or a high or text
  expression:
    v: low.exists() or high.exists() or text.exists()
  xpath:
    v: (exists(f:low) or exists(f:high)or exists(f:text))
  source:
    v: http://nictiz.nl/fhir/StructureDefinition/zib-GeneralMeasurement|2.0.4
mapping:
  identity:
    v: v2
  map:
    v: OBX.7
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

id:
  v: Observation.referenceRange.id
path:
  v: Observation.referenceRange.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Observation.referenceRange.extension
path:
  v: Observation.referenceRange.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Observation.referenceRange.modifierExtension
path:
  v: Observation.referenceRange.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Observation.referenceRange.low
path:
  v: Observation.referenceRange.low
short:
  v: Low Range, if relevant
definition:
  v: The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.referenceRange.low
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Quantity
  profile:
    v: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
condition:
  v: obs-3
mapping:
  identity:
    v: v2
  map:
    v: OBX-7
mapping:
  identity:
    v: rim
  map:
    v: value:IVL_PQ.low

id:
  v: Observation.referenceRange.high
path:
  v: Observation.referenceRange.high
short:
  v: High Range, if relevant
definition:
  v: The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.referenceRange.high
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Quantity
  profile:
    v: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
condition:
  v: obs-3
mapping:
  identity:
    v: v2
  map:
    v: OBX-7
mapping:
  identity:
    v: rim
  map:
    v: value:IVL_PQ.high

id:
  v: Observation.referenceRange.type
path:
  v: Observation.referenceRange.type
short:
  v: Reference range qualifier
definition:
  v: Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.
comment:
  v: This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.
requirements:
  v: Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc, - for proper interpretation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.referenceRange.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: ObservationRangeMeaning
  strength:
    v: extensible
  description:
    v: Code for the meaning of a reference range.
  value set: Reference
    link: 3.0
    link: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/referencerange-meaning|3.0.2
mapping:
  identity:
    v: sct-concept
  map:
    v: < 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
mapping:
  identity:
    v: v2
  map:
    v: OBX-10
mapping:
  identity:
    v: rim
  map:
    v: interpretationCode

id:
  v: Observation.referenceRange.appliesTo
path:
  v: Observation.referenceRange.appliesTo
short:
  v: Reference range population
definition:
  v: Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race.
comment:
  v: This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.
requirements:
  v: Need to be able to identify the target population for proper interpretation.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.referenceRange.appliesTo
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: ObservationRangeType
  strength:
    v: example
  description:
    v: Codes identifying the population the reference range applies to.
  value set: Reference
    link: 3.0
    link: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/referencerange-appliesto|3.0.2
mapping:
  identity:
    v: sct-concept
  map:
    v: < 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
mapping:
  identity:
    v: v2
  map:
    v: OBX-10
mapping:
  identity:
    v: rim
  map:
    v: interpretationCode

id:
  v: Observation.referenceRange.age
path:
  v: Observation.referenceRange.age
short:
  v: Applicable age range, if relevant
definition:
  v: The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.
requirements:
  v: Some analytes vary greatly over age.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.referenceRange.age
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Range
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value

id:
  v: Observation.referenceRange.text
path:
  v: Observation.referenceRange.text
short:
  v: Text based reference range in an observation
definition:
  v: Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of "Negative" or a list or table of 'normals'.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.referenceRange.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
mapping:
  identity:
    v: v2
  map:
    v: OBX-7
mapping:
  identity:
    v: rim
  map:
    v: value:ST

id:
  v: Observation.related
path:
  v: Observation.related
short:
  v: MeasurementResult
definition:
  v: Reference to related MeasurementResults belonging to the GeneralMeasurement.
comment:
  v: The HCIM GeneralMeasurement (parent) links to every MeasurementResult (child) through the `related.target` reference. The referenced Observation contains all the concepts of the HCIM MeasurementResult container, e.g. results with the name, result value, method, etc. This GeneralMeasurement profile is used for both Observations.
requirements:
  v: Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and a set of related observations or sometimes a QuestionnaireResponse from which the measure is derived.
alias:
  v: MeetUitslag
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.related
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: Relationships established by OBX-4 usage
mapping:
  identity:
    v: rim
  map:
    v: outBoundRelationship
mapping:
  identity:
    v: hcim-generalmeasurement-v3.0-2017EN
  map:
    v: NL-CM:13.3.5
  comment:
    v: MeasurementResult

id:
  v: Observation.related.id
path:
  v: Observation.related.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Observation.related.extension
path:
  v: Observation.related.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Observation.related.modifierExtension
path:
  v: Observation.related.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Observation.related.type
path:
  v: Observation.related.type
short:
  v: has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
definition:
  v: A code specifying the kind of relationship that exists with the target resource.
comment:
  v: The related type will mostly likely be: 'has-member'.
requirements:
  v: A relationship type SHOULD be provided.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.related.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: ObservationRelationshipType
  strength:
    v: required
  description:
    v: Codes specifying how two observations are related.
  value set: Reference
    link: 3.0
    link: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/observation-relationshiptypes|3.0.2
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: .typeCode

id:
  v: Observation.related.target
path:
  v: Observation.related.target
short:
  v: Resource that is related to this one
definition:
  v: A reference to the observation or [QuestionnaireResponse](http://hl7.org/fhir/STU3/questionnaireresponse.html#) resource that is related to this observation.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Observation.related.target
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://nictiz.nl/fhir/StructureDefinition/zib-GeneralMeasurement|2.0.4
mapping:
  identity:
    v: rim
  map:
    v: .targetObservation

id:
  v: Observation.component
path:
  v: Observation.component
short:
  v: Component results
definition:
  v: Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.
comment:
  v: For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/STU3/observation.html#notes) below.
requirements:
  v: Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.component
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: containment by OBX-4?
mapping:
  identity:
    v: rim
  map:
    v: outBoundRelationship[typeCode=COMP]

id:
  v: Observation.component.id
path:
  v: Observation.component.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Observation.component.extension
path:
  v: Observation.component.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Observation.component.modifierExtension
path:
  v: Observation.component.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Observation.component.code
path:
  v: Observation.component.code
short:
  v: Type of component observation (code / type)
definition:
  v: Describes what was observed. Sometimes this is called the observation "code".
requirements:
  v: Knowing what kind of observation is being made is essential to understanding the observation.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Observation.component.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: ObservationCode
  strength:
    v: example
  description:
    v: Codes identifying names of simple observations.
  value set: Reference
    link: 3.0
    link: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/observation-codes|3.0.2
mapping:
  identity:
    v: sct-concept
  map:
    v: < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
mapping:
  identity:
    v: v2
  map:
    v: OBX-3
mapping:
  identity:
    v: rim
  map:
    v: code
mapping:
  identity:
    v: w5
  map:
    v: what

id:
  v: Observation.component.value[x]
path:
  v: Observation.component.value[x]
short:
  v: Actual component result
definition:
  v: The information determined as a result of making the observation, if the information has a simple value.
comment:
  v: Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from <http://hl7.org/fhir/ValueSet/v2-0136> (these "yes/no" concepts can be mapped to the display name "true/false" or other mutually exclusive terms that may be needed"). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (the name format is "'value' + the type name" with a capital on the first letter of the type).
requirements:
  v: An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.component.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Quantity
type:
  code:
    v: CodeableConcept
type:
  code:
    v: string
type:
  code:
    v: Range
type:
  code:
    v: Ratio
type:
  code:
    v: SampledData
type:
  code:
    v: Attachment
type:
  code:
    v: time
type:
  code:
    v: dateTime
type:
  code:
    v: Period
is summary:
  v: true
mapping:
  identity:
    v: sct-concept
  map:
    v: 363714003 |Interprets| < 441742003 |Evaluation finding|
mapping:
  identity:
    v: v2
  map:
    v: OBX.2, OBX.5, OBX.6
mapping:
  identity:
    v: rim
  map:
    v: value
mapping:
  identity:
    v: sct-attr
  map:
    v: 363714003 |Interprets|

id:
  v: Observation.component.dataAbsentReason
path:
  v: Observation.component.dataAbsentReason
short:
  v: Why the component result is missing
definition:
  v: Provides a reason why the expected value in the element Observation.value[x] is missing.
comment:
  v: "Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "test not done". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.
requirements:
  v: For many results it is necessary to handle exceptional values in measurements.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.component.dataAbsentReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
condition:
  v: obs-6
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: ObservationValueAbsentReason
  strength:
    v: extensible
  description:
    v: Codes specifying why the result (Observation.value[x]) is missing.
  value set: Reference
    link: 3.0
    link: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: value.nullFlavor

id:
  v: Observation.component.interpretation
path:
  v: Observation.component.interpretation
short:
  v: High, low, normal, etc.
definition:
  v: The assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag.
comment:
  v: The component interpretation applies only to the individual component value. For an overall interpretation all components together use thes Observation.interpretation element.
requirements:
  v: For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.
alias:
  v: Abnormal Flag
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.component.interpretation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: ObservationInterpretation
  strength:
    v: extensible
  description:
    v: Codes identifying interpretations of observations.
  value set: Reference
    link: 3.0
    link: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2
mapping:
  identity:
    v: sct-concept
  map:
    v: < 260245000 |Findings values|
mapping:
  identity:
    v: v2
  map:
    v: OBX-8
mapping:
  identity:
    v: rim
  map:
    v: interpretationCode
mapping:
  identity:
    v: sct-attr
  map:
    v: 363713009 |Has interpretation|

id:
  v: Observation.component.referenceRange
path:
  v: Observation.component.referenceRange
short:
  v: Provides guide for interpretation of component result
definition:
  v: Guidance on how to interpret the value by comparison to a normal or recommended range.
comment:
  v: Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.
requirements:
  v: Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.component.referenceRange
  min:
    v: 0
  max:
    v: *
content reference:
  v: http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange
mapping:
  identity:
    v: v2
  map:
    v: OBX.7
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

element:
  id:
    v: Observation
  path:
    v: Observation
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 737
    comment:
      v: Keuze orgaandonatie vastgelegd in donorregister? (AlgemeneMeting)
element:
  id:
    v: Observation.code
  path:
    v: Observation.code
  pattern: CodeableConcept
    coding: http://snomed.info/id/570801000146104
      system:
        v: http://snomed.info/sct
      code:
        v: 570801000146104
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 742
    comment:
      v: MetingNaam voor Keuze orgaandonatie vastgelegd in donorregister?
element:
  id:
    v: Observation.subject
  path:
    v: Observation.subject
  type:
    code:
      v: Reference
    target profile:
      v: https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-Patient|1.0.0-alpha1
element:
  id:
    v: Observation.context
  path:
    v: Observation.context
  type:
    code:
      v: Reference
    target profile:
      v: https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-Encounter|1.0.0-alpha1
element:
  id:
    v: Observation.effective[x]
  path:
    v: Observation.effective[x]
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 745
    comment:
      v: UitslagDatumTijd
element:
  id:
    v: Observation.value[x]
  path:
    v: Observation.value[x]
  definition:
    v: Organ donation choice recorded in donor register.
  type:
    code:
      v: CodeableConcept
  binding:
    strength:
      v: required
    value set: Reference
      link: 1.0
      link: .0
      reference:
        v: https://api.iknl.nl/docs/pzp/stu3/ValueSet/ACP-YesNoUnknownVS|1.0.0-alpha1
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 743
    comment:
      v: Keuze orgaandonatie in donorregister (UitslagWaarde)
element:
  id:
    v: Observation.dataAbsentReason
  path:
    v: Observation.dataAbsentReason
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 743
    comment:
      v: Keuze orgaandonatie in donorregister (UitslagWaarde)