Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic, Chipsoft, Topicus en Nexus. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Laboratorium uitslag

View Definition

ViewDefinition voor labuitslagen

UI Wireframe

Laboratoriumuitslagen

Kolom Definities

Zoeken naar codes

• LOINC lab-uitslagen - system=http://loinc.org
• NHG Tabel 45 Diagnostische Bepalingen Labcodes system=https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen

Request

1. Opvragen (search) laatst bekende labuitslag per type (inclusief materiaalsoort) voor een patient

   GET <ontsluiten-bronsysteem-base>/Observation/$lastn?patient=<fhir_patient_id>&category=http://snomed.info/sct|275711006&_include=Observation:specimen

2. Sanday: Opvragen (search) labuitslagen per type voor een patient

   GET <ontsluiten-bronsysteem-base>/Observation?patient=<fhir_patient_id>&category=http://hl7.org/fhir/observation-category|laboratory

   N.B. Alleen klinische chemie resultaten zijn op dit moment beschikbaar.

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

Changes since version 1.20.0:

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Zib LaboratoryTestResult Observation(2.1.12)	LaboratoryTestResult Constraints: obs-7, obs-6
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	TestUitslagStatus Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for extension				Content/Rules for all slices
extension:TestResultStatus		0..1	(Complex)	TestResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification Constraints: ext-1
extension		0..0
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ResultaatStatusCodelijst (extensible): TestResultStatusCodelist
Slices for category		1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:$this Binding: Observation Category Codes (preferred): Codes for high level observation categories.
category:LaboratoryTestResultCode		1..1	CodeableConcept	LaboratoryTestResultCode Binding: Observation Category Codes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 49581000146104
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:ResultType		0..1	CodeableConcept	ResultType Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst
code	Σ	1..1	CodeableConcept	TestCode or PanelOrBattery Binding: LOINC Codes (example): Codes identifying names of simple observations.
text	SΣ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Group | Device | nl-core-location(2.0.5) | nl-core-patient(2.2.5))	Patient
Slices for effective[x]	Σ	0..1	dateTime	TestDateTime Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	TestDateTime
Slices for value[x]	ΣC	0..1	Quantity	TestResult Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	SΣC	0..1	Quantity	TestResult
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
interpretation		0..1	CodeableConcept	High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Slices for coding	ΣC	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Constraints: zib-LaboratoryTestResult-Observation-1
coding:All Slices				Content/Rules for all slices
code	SΣ	0..1	code	Symbol in syntax defined by the system
coding:ObservationInterpretation	Σ	0..*	Coding	Code defined by a terminology system Binding: Observation Interpretation Codes (required): Observation Interpretation Codes
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/v2/0078
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:InterpretatieVlaggenCodelijst	Σ	0..*	Coding	ResultFlags Binding: InterpretatieVlaggenCodelijst (required): InterpretatieVlaggenCodelijst
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
specimen	S	0..1	Reference(Specimen)	Specimen
referenceRange	C	0..*	BackboneElement	Reference Constraints: obs-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
low	C	0..1	SimpleQuantity	ReferenceRangeLowerLimit
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
high	C	0..1	SimpleQuantity	ReferenceRangeUpperLimit
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📦3.0.2	FHIR Std.
Observation.status.extension:TestResultStatus.​value[x]:valueCodeableConcept	Base	extensible	ResultaatStatusCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.category	Base	preferred	Observation Category Codes	📦3.0.2	FHIR Std.
Observation.category:LaboratoryTestResultCode	Base	preferred	Observation Category Codes	📦3.0.2	FHIR Std.
Observation.category:ResultType	Base	required	ResultaatTypeCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.code	Base	example	LOINC Codes	📦3.0.2	FHIR Std.
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍3.0.2	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦3.0.2	FHIR Std.
Observation.interpretation.​coding:ObservationInterpretation	Base	required	Observation Interpretation Codes	📦3.0.2	FHIR Std.
Observation.interpretation.​coding:InterpretatieVlaggenCodelijst	Base	required	InterpretatieVlaggenCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	Observation	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	Observation.status.extension:TestResultStatus	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 code is the same as a component code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
zib-LaboratoryTestResult-Observation-1	error	Observation.interpretation.coding	If a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.	coding.where(system = 'http://snomed.info/sct' and (code = '281302008' or '281300000' or '11896004' or '30714006' or '131196009') ).exists() implies coding.where(system = 'http://hl7.org/fhir/v2/0078').exists()

This structure is derived from Zib LaboratoryTestResult Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	Zib LaboratoryTestResult Observation(2.1.12)	LaboratoryTestResult
status	S	1..1	code	TestUitslagStatus
code
text	S	0..1	string	Plain text representation of the concept
effectiveDateTime	S	0..1	dateTime	TestDateTime
valueQuantity	S	0..1	Quantity	TestResult
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
interpretation
coding
code	S	0..1	code	Symbol in syntax defined by the system
text	S	0..1	string	Plain text representation of the concept
specimen	S	0..1	Reference(Specimen)	Specimen
referenceRange
low
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
high
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Zib LaboratoryTestResult Observation(2.1.12)	LaboratoryTestResult Constraints: obs-7, obs-6
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: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)	Fulfills plan, proposal or order including requester information.
status	?!SΣ	1..1	code	TestUitslagStatus Binding: ObservationStatus (required): Codes providing the status of an observation.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:TestResultStatus		0..1	(Complex)	TestResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification Constraints: ext-1
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..0
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ResultaatStatusCodelijst (extensible): TestResultStatusCodelist
value		0..1	code	Primitive value for code
Slices for category		1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:$this Binding: Observation Category Codes (preferred): Codes for high level observation categories.
category:LaboratoryTestResultCode		1..1	CodeableConcept	LaboratoryTestResultCode Binding: Observation Category Codes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 49581000146104
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:ResultType		0..1	CodeableConcept	ResultType Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst
code	Σ	1..1	CodeableConcept	TestCode or PanelOrBattery Binding: LOINC Codes (example): Codes identifying names of simple observations.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Group | Device | nl-core-location(2.0.5) | nl-core-patient(2.2.5))	Patient
context		0..1	Reference(nl-core-episodeofcare(1.1.4) | HCIM Encounter(2.1.6) | gp-Encounter(1.0.2))	Encounter during which this observation is made
Slices for effective[x]	Σ	0..1	dateTime	TestDateTime Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	TestDateTime
issued	Σ	0..1	instant	Date/Time this was made available
performer	Σ	0..*	Reference(nl-core-organization(2.0.6) | nl-core-patient(2.2.5) | nl-core-practitioner(2.0.7) | nl-core-relatedperson(2.0.5))	Who is responsible for the observation
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole(2.0.7))	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Slices for value[x]	ΣC	0..1	Quantity	TestResult Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	SΣC	0..1	Quantity	TestResult
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..1	CodeableConcept	High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	ΣC	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Constraints: zib-LaboratoryTestResult-Observation-1
coding:All Slices				Content/Rules for all slices
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ObservationInterpretation	Σ	0..*	Coding	Code defined by a terminology system Binding: Observation Interpretation Codes (required): Observation Interpretation Codes
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/v2/0078
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:InterpretatieVlaggenCodelijst	Σ	0..*	Coding	ResultFlags Binding: InterpretatieVlaggenCodelijst (required): InterpretatieVlaggenCodelijst
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
comment		0..1	string	Comment or ResultInterpretation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	TestMethod Binding: TestmethodeCodelijst (extensible): SNOMED CT (2.16.840.1.113883.6.96): All values
specimen	S	0..1	Reference(Specimen)	Specimen
device		0..1	Reference(HCIM MedicalDevice Product(2.0.6))	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Reference Constraints: obs-3
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
low	C	0..1	SimpleQuantity	ReferenceRangeLowerLimit
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
high	C	0..1	SimpleQuantity	ReferenceRangeUpperLimit
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
type		0..1	CodeableConcept	Reference range qualifier Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: Observation Reference Range Applies To Codes (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
related	Σ	0..*	BackboneElement	RelatedResults
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type		0..1	code	has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.
target		1..1	Reference(QuestionnaireResponse | Sequence | HCIM LaboratoryTestResult Observation(2.1.12))	Resource that is related to this one
component	Σ	0..*	BackboneElement	LaboratoryTest
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	Σ	1..1	CodeableConcept	TestCode Binding: TestCodeCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values
value[x]	Σ	0..1		TestResult
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueAttachment			Attachment
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..1	CodeableConcept	ResultFlags Binding: InterpretatieVlaggenCodelijst (extensible): InterpretatieVlaggenCodelijst
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	extensible	Common Languages	📦3.0.2	FHIR Std.
Observation.status	Base	required	ObservationStatus	📦3.0.2	FHIR Std.
Observation.status.extension:TestResultStatus.​value[x]:valueCodeableConcept	Base	extensible	ResultaatStatusCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.category	Base	preferred	Observation Category Codes	📦3.0.2	FHIR Std.
Observation.category:LaboratoryTestResultCode	Base	preferred	Observation Category Codes	📦3.0.2	FHIR Std.
Observation.category:ResultType	Base	required	ResultaatTypeCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.code	Base	example	LOINC Codes	📦3.0.2	FHIR Std.
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍3.0.2	FHIR Std.
Observation.dataAbsentReason	Base	extensible	Observation Value Absent Reason	📦3.0.2	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦3.0.2	FHIR Std.
Observation.interpretation.​coding:ObservationInterpretation	Base	required	Observation Interpretation Codes	📦3.0.2	FHIR Std.
Observation.interpretation.​coding:InterpretatieVlaggenCodelijst	Base	required	InterpretatieVlaggenCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.bodySite	Base	example	SNOMED CT Body Structures	📦3.0.2	FHIR Std.
Observation.method	Base	extensible	TestmethodeCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.referenceRange.​type	Base	extensible	Observation Reference Range Meaning Codes	📦3.0.2	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📦3.0.2	FHIR Std.
Observation.related.​type	Base	required	ObservationRelationshipType	📦3.0.2	FHIR Std.
Observation.component.​code	Base	extensible	TestCodeCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.component.​dataAbsentReason	Base	extensible	Observation Value Absent Reason	📦3.0.2	FHIR Std.
Observation.component.​interpretation	Base	extensible	InterpretatieVlaggenCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	Observation	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	Observation.status.extension:TestResultStatus, Observation.performer.extension:practitionerRole	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 code is the same as a component code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
zib-LaboratoryTestResult-Observation-1	error	Observation.interpretation.coding	If a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.	coding.where(system = 'http://snomed.info/sct' and (code = '281302008' or '281300000' or '11896004' or '30714006' or '131196009') ).exists() implies coding.where(system = 'http://hl7.org/fhir/v2/0078').exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Zib LaboratoryTestResult Observation(2.1.12)	LaboratoryTestResult Constraints: obs-7, obs-6
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	TestUitslagStatus Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for extension				Content/Rules for all slices
extension:TestResultStatus		0..1	(Complex)	TestResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification Constraints: ext-1
extension		0..0
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ResultaatStatusCodelijst (extensible): TestResultStatusCodelist
Slices for category		1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:$this Binding: Observation Category Codes (preferred): Codes for high level observation categories.
category:LaboratoryTestResultCode		1..1	CodeableConcept	LaboratoryTestResultCode Binding: Observation Category Codes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 49581000146104
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:ResultType		0..1	CodeableConcept	ResultType Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst
code	Σ	1..1	CodeableConcept	TestCode or PanelOrBattery Binding: LOINC Codes (example): Codes identifying names of simple observations.
text	SΣ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Group | Device | nl-core-location(2.0.5) | nl-core-patient(2.2.5))	Patient
Slices for effective[x]	Σ	0..1	dateTime	TestDateTime Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	TestDateTime
Slices for value[x]	ΣC	0..1	Quantity	TestResult Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	SΣC	0..1	Quantity	TestResult
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
interpretation		0..1	CodeableConcept	High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Slices for coding	ΣC	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Constraints: zib-LaboratoryTestResult-Observation-1
coding:All Slices				Content/Rules for all slices
code	SΣ	0..1	code	Symbol in syntax defined by the system
coding:ObservationInterpretation	Σ	0..*	Coding	Code defined by a terminology system Binding: Observation Interpretation Codes (required): Observation Interpretation Codes
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/v2/0078
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:InterpretatieVlaggenCodelijst	Σ	0..*	Coding	ResultFlags Binding: InterpretatieVlaggenCodelijst (required): InterpretatieVlaggenCodelijst
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
specimen	S	0..1	Reference(Specimen)	Specimen
referenceRange	C	0..*	BackboneElement	Reference Constraints: obs-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
low	C	0..1	SimpleQuantity	ReferenceRangeLowerLimit
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
high	C	0..1	SimpleQuantity	ReferenceRangeUpperLimit
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📦3.0.2	FHIR Std.
Observation.status.extension:TestResultStatus.​value[x]:valueCodeableConcept	Base	extensible	ResultaatStatusCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.category	Base	preferred	Observation Category Codes	📦3.0.2	FHIR Std.
Observation.category:LaboratoryTestResultCode	Base	preferred	Observation Category Codes	📦3.0.2	FHIR Std.
Observation.category:ResultType	Base	required	ResultaatTypeCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.code	Base	example	LOINC Codes	📦3.0.2	FHIR Std.
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍3.0.2	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦3.0.2	FHIR Std.
Observation.interpretation.​coding:ObservationInterpretation	Base	required	Observation Interpretation Codes	📦3.0.2	FHIR Std.
Observation.interpretation.​coding:InterpretatieVlaggenCodelijst	Base	required	InterpretatieVlaggenCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	Observation	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	Observation.status.extension:TestResultStatus	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 code is the same as a component code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
zib-LaboratoryTestResult-Observation-1	error	Observation.interpretation.coding	If a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.	coding.where(system = 'http://snomed.info/sct' and (code = '281302008' or '281300000' or '11896004' or '30714006' or '131196009') ).exists() implies coding.where(system = 'http://hl7.org/fhir/v2/0078').exists()

Differential View

This structure is derived from Zib LaboratoryTestResult Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	Zib LaboratoryTestResult Observation(2.1.12)	LaboratoryTestResult
status	S	1..1	code	TestUitslagStatus
code
text	S	0..1	string	Plain text representation of the concept
effectiveDateTime	S	0..1	dateTime	TestDateTime
valueQuantity	S	0..1	Quantity	TestResult
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
interpretation
coding
code	S	0..1	code	Symbol in syntax defined by the system
text	S	0..1	string	Plain text representation of the concept
specimen	S	0..1	Reference(Specimen)	Specimen
referenceRange
low
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
high
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Zib LaboratoryTestResult Observation(2.1.12)	LaboratoryTestResult Constraints: obs-7, obs-6
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: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)	Fulfills plan, proposal or order including requester information.
status	?!SΣ	1..1	code	TestUitslagStatus Binding: ObservationStatus (required): Codes providing the status of an observation.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:TestResultStatus		0..1	(Complex)	TestResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification Constraints: ext-1
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..0
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ResultaatStatusCodelijst (extensible): TestResultStatusCodelist
value		0..1	code	Primitive value for code
Slices for category		1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:$this Binding: Observation Category Codes (preferred): Codes for high level observation categories.
category:LaboratoryTestResultCode		1..1	CodeableConcept	LaboratoryTestResultCode Binding: Observation Category Codes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 49581000146104
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:ResultType		0..1	CodeableConcept	ResultType Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst
code	Σ	1..1	CodeableConcept	TestCode or PanelOrBattery Binding: LOINC Codes (example): Codes identifying names of simple observations.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Group | Device | nl-core-location(2.0.5) | nl-core-patient(2.2.5))	Patient
context		0..1	Reference(nl-core-episodeofcare(1.1.4) | HCIM Encounter(2.1.6) | gp-Encounter(1.0.2))	Encounter during which this observation is made
Slices for effective[x]	Σ	0..1	dateTime	TestDateTime Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	TestDateTime
issued	Σ	0..1	instant	Date/Time this was made available
performer	Σ	0..*	Reference(nl-core-organization(2.0.6) | nl-core-patient(2.2.5) | nl-core-practitioner(2.0.7) | nl-core-relatedperson(2.0.5))	Who is responsible for the observation
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole(2.0.7))	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Slices for value[x]	ΣC	0..1	Quantity	TestResult Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	SΣC	0..1	Quantity	TestResult
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..1	CodeableConcept	High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	ΣC	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Constraints: zib-LaboratoryTestResult-Observation-1
coding:All Slices				Content/Rules for all slices
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ObservationInterpretation	Σ	0..*	Coding	Code defined by a terminology system Binding: Observation Interpretation Codes (required): Observation Interpretation Codes
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/v2/0078
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:InterpretatieVlaggenCodelijst	Σ	0..*	Coding	ResultFlags Binding: InterpretatieVlaggenCodelijst (required): InterpretatieVlaggenCodelijst
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
comment		0..1	string	Comment or ResultInterpretation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	TestMethod Binding: TestmethodeCodelijst (extensible): SNOMED CT (2.16.840.1.113883.6.96): All values
specimen	S	0..1	Reference(Specimen)	Specimen
device		0..1	Reference(HCIM MedicalDevice Product(2.0.6))	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Reference Constraints: obs-3
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
low	C	0..1	SimpleQuantity	ReferenceRangeLowerLimit
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
high	C	0..1	SimpleQuantity	ReferenceRangeUpperLimit
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
type		0..1	CodeableConcept	Reference range qualifier Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: Observation Reference Range Applies To Codes (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
related	Σ	0..*	BackboneElement	RelatedResults
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type		0..1	code	has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.
target		1..1	Reference(QuestionnaireResponse | Sequence | HCIM LaboratoryTestResult Observation(2.1.12))	Resource that is related to this one
component	Σ	0..*	BackboneElement	LaboratoryTest
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	Σ	1..1	CodeableConcept	TestCode Binding: TestCodeCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values
value[x]	Σ	0..1		TestResult
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueAttachment			Attachment
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..1	CodeableConcept	ResultFlags Binding: InterpretatieVlaggenCodelijst (extensible): InterpretatieVlaggenCodelijst
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	extensible	Common Languages	📦3.0.2	FHIR Std.
Observation.status	Base	required	ObservationStatus	📦3.0.2	FHIR Std.
Observation.status.extension:TestResultStatus.​value[x]:valueCodeableConcept	Base	extensible	ResultaatStatusCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.category	Base	preferred	Observation Category Codes	📦3.0.2	FHIR Std.
Observation.category:LaboratoryTestResultCode	Base	preferred	Observation Category Codes	📦3.0.2	FHIR Std.
Observation.category:ResultType	Base	required	ResultaatTypeCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.code	Base	example	LOINC Codes	📦3.0.2	FHIR Std.
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍3.0.2	FHIR Std.
Observation.dataAbsentReason	Base	extensible	Observation Value Absent Reason	📦3.0.2	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦3.0.2	FHIR Std.
Observation.interpretation.​coding:ObservationInterpretation	Base	required	Observation Interpretation Codes	📦3.0.2	FHIR Std.
Observation.interpretation.​coding:InterpretatieVlaggenCodelijst	Base	required	InterpretatieVlaggenCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.bodySite	Base	example	SNOMED CT Body Structures	📦3.0.2	FHIR Std.
Observation.method	Base	extensible	TestmethodeCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.referenceRange.​type	Base	extensible	Observation Reference Range Meaning Codes	📦3.0.2	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📦3.0.2	FHIR Std.
Observation.related.​type	Base	required	ObservationRelationshipType	📦3.0.2	FHIR Std.
Observation.component.​code	Base	extensible	TestCodeCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0
Observation.component.​dataAbsentReason	Base	extensible	Observation Value Absent Reason	📦3.0.2	FHIR Std.
Observation.component.​interpretation	Base	extensible	InterpretatieVlaggenCodelijst	📦2017-12-31T00:00:00	nictiz.fhir.nl.stu3.zib2017 v2.0

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	Observation	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	Observation.status.extension:TestResultStatus, Observation.performer.extension:practitionerRole	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 code is the same as a component code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
zib-LaboratoryTestResult-Observation-1	error	Observation.interpretation.coding	If a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.	coding.where(system = 'http://snomed.info/sct' and (code = '281302008' or '281300000' or '11896004' or '30714006' or '131196009') ).exists() implies coding.where(system = 'http://hl7.org/fhir/v2/0078').exists()

This structure is derived from Zib LaboratoryTestResult Observation

Summary

Must-Support: 13 elements

Structures

This structure refers to these other structures:

• Specimen (http://fhir.hl7.nl/zorgviewer/StructureDefinition/Specimen)