RIVO-Noord Zorgviewer Implementation Guide
1.23.0 - CI build Netherlands flag

RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.23.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions

Resource Profile: LivingSituation

Official URL: http://fhir.hl7.nl/zorgviewer/StructureDefinition/LivingSituation Version: 1.23.0
Active as of 2026-02-06 Computable Name: LivingSituation

Woonsituatie

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 Woonsituatie

View Definition

UI Wireframe

Woonsituatie

>< Bron Woningtype Toelichting
+ Nictiz Eengezinswoning

Kolom Definities

Kolom label FHIR Path Expression FHIR Type Zib element Toelichting of regels
Bron meta.extension('http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source').valueUri string nvt Lookup adhv uri (AGB-Z of OID) <adressering-base>/Organization?identifier=<.meta.tag.code> en gebruik dan Organization.name
Woningtype valueCodeableConcept.text | valueCodeableConcept.coding.display string WoningType
Toelichting comment string Toelichting

Codesystemen

Request

  1. Opvragen (search) woonsituatie

    GET <ontsluiten-bronsysteem-base>/Observation/$lastn?code=http://snomed.info/sct|365508006?patient=<fhir_patient_id>

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.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Changes since version 1.22.0:

  • New Content

    • Formal Views of Profile Content

    Description of Profiles, Differentials, Snapshots and how the different presentations work.

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 0..* Zib LivingSituation LivingSituation
    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 ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    .... Slices for coding Σ 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system, value:code
    ..... coding:livingSituationCode Σ 1..1 Coding Code defined by a terminology system
    ...... 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
    Fixed Value: 365508006
    ... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Who and/or what this is about
    ... Slices for valueCodeableConcept Content/Rules for all slices
    .... valueCodeableConcept:valueCodeableConcept ΣC 0..1 CodeableConcept TypeOfHome
    Binding: WoningTypeCodelijst (extensible): Type of home the patient lives in.
    Example Example of TypeofHome: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.13.1","code":"FLATW","display":"Appartement of flatwoning"}]}
    ..... text SΣ 0..1 string Plain text representation of the concept
    ... comment S 0..1 string Comment

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.status Base required ObservationStatus 📦3.0.2 FHIR Std.
    Observation.code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.valueCodeableConcept:valueCodeableConcept Base extensible WoningTypeCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3

    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()
    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()

    This structure is derived from Zib LivingSituation

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation 0..* Zib LivingSituation LivingSituation
    ​... valueCodeableConcept
    ​.... text S 0..1 string Plain text representation of the concept
    ... comment S 0..1 string Comment

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 0..* Zib LivingSituation LivingSituation
    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 BindingsPurpose
    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 Business Identifier for observation
    ... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    ... category 0..* CodeableConcept Classification of type of observation
    Binding: Observation Category Codes (preferred): Codes for high level observation categories.
    ... code Σ 1..1 CodeableConcept Type of observation (code / type)
    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
    .... Slices for coding Σ 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system, value:code
    ..... coding:livingSituationCode Σ 1..1 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 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
    Fixed Value: 365508006
    ...... 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
    ... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Who and/or what this is about
    ... context 0..1 Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) Healthcare event during which this observation is made
    ... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    ... issued Σ 0..1 instant Date/Time this was made available
    ... performer Σ 0..* Reference(nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson) 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) 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 valueCodeableConcept Content/Rules for all slices
    .... valueCodeableConcept:valueCodeableConcept ΣC 0..1 CodeableConcept TypeOfHome
    Binding: WoningTypeCodelijst (extensible): Type of home the patient lives in.
    Example Example of TypeofHome: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.13.1","code":"FLATW","display":"Appartement of flatwoning"}]}
    ..... 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
    ... 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.
    ... comment S 0..1 string Comment
    ... bodySite 0..1 CodeableConcept Observed body part
    Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
    ... method 0..1 CodeableConcept How it was done
    Binding: Observation Methods (example): Methods for simple observations.
    ... specimen 0..1 Reference(Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
    ... referenceRange C 0..* BackboneElement Provides guide for interpretation
    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 Low Range, if relevant
    .... high C 0..1 SimpleQuantity High Range, if relevant
    .... 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 Resource related to this observation
    .... 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(Observation | QuestionnaireResponse | Sequence) Resource that is related to this one
    ... component Σ 0..* BackboneElement Component results
    .... 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 Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    .... value[x] Σ 0..1 Actual component result
    ..... 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 High, low, normal, etc.
    Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
    .... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

    doco 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.category Base preferred Observation Category Codes 📦3.0.2 FHIR Std.
    Observation.code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.valueCodeableConcept:valueCodeableConcept Base extensible WoningTypeCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    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.bodySite Base example SNOMED CT Body Structures 📦3.0.2 FHIR Std.
    Observation.method Base example Observation Methods 📦3.0.2 FHIR Std.
    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 example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
    Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.

    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.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()

    This structure is derived from Zib LivingSituation

    Summary

    Must-Support: 2 elements

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 0..* Zib LivingSituation LivingSituation
    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 ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    .... Slices for coding Σ 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system, value:code
    ..... coding:livingSituationCode Σ 1..1 Coding Code defined by a terminology system
    ...... 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
    Fixed Value: 365508006
    ... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Who and/or what this is about
    ... Slices for valueCodeableConcept Content/Rules for all slices
    .... valueCodeableConcept:valueCodeableConcept ΣC 0..1 CodeableConcept TypeOfHome
    Binding: WoningTypeCodelijst (extensible): Type of home the patient lives in.
    Example Example of TypeofHome: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.13.1","code":"FLATW","display":"Appartement of flatwoning"}]}
    ..... text SΣ 0..1 string Plain text representation of the concept
    ... comment S 0..1 string Comment

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.status Base required ObservationStatus 📦3.0.2 FHIR Std.
    Observation.code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.valueCodeableConcept:valueCodeableConcept Base extensible WoningTypeCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3

    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()
    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()

    Differential View

    This structure is derived from Zib LivingSituation

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation 0..* Zib LivingSituation LivingSituation
    ​... valueCodeableConcept
    ​.... text S 0..1 string Plain text representation of the concept
    ... comment S 0..1 string Comment

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 0..* Zib LivingSituation LivingSituation
    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 BindingsPurpose
    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 Business Identifier for observation
    ... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    ... category 0..* CodeableConcept Classification of type of observation
    Binding: Observation Category Codes (preferred): Codes for high level observation categories.
    ... code Σ 1..1 CodeableConcept Type of observation (code / type)
    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
    .... Slices for coding Σ 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system, value:code
    ..... coding:livingSituationCode Σ 1..1 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 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
    Fixed Value: 365508006
    ...... 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
    ... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Who and/or what this is about
    ... context 0..1 Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) Healthcare event during which this observation is made
    ... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    ... issued Σ 0..1 instant Date/Time this was made available
    ... performer Σ 0..* Reference(nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson) 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) 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 valueCodeableConcept Content/Rules for all slices
    .... valueCodeableConcept:valueCodeableConcept ΣC 0..1 CodeableConcept TypeOfHome
    Binding: WoningTypeCodelijst (extensible): Type of home the patient lives in.
    Example Example of TypeofHome: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.13.1","code":"FLATW","display":"Appartement of flatwoning"}]}
    ..... 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
    ... 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.
    ... comment S 0..1 string Comment
    ... bodySite 0..1 CodeableConcept Observed body part
    Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
    ... method 0..1 CodeableConcept How it was done
    Binding: Observation Methods (example): Methods for simple observations.
    ... specimen 0..1 Reference(Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
    ... referenceRange C 0..* BackboneElement Provides guide for interpretation
    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 Low Range, if relevant
    .... high C 0..1 SimpleQuantity High Range, if relevant
    .... 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 Resource related to this observation
    .... 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(Observation | QuestionnaireResponse | Sequence) Resource that is related to this one
    ... component Σ 0..* BackboneElement Component results
    .... 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 Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    .... value[x] Σ 0..1 Actual component result
    ..... 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 High, low, normal, etc.
    Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
    .... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

    doco 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.category Base preferred Observation Category Codes 📦3.0.2 FHIR Std.
    Observation.code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.valueCodeableConcept:valueCodeableConcept Base extensible WoningTypeCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    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.bodySite Base example SNOMED CT Body Structures 📦3.0.2 FHIR Std.
    Observation.method Base example Observation Methods 📦3.0.2 FHIR Std.
    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 example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
    Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.

    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.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()

    This structure is derived from Zib LivingSituation

    Summary

    Must-Support: 2 elements

     

    Other representations of profile: CSV, Excel, Schematron