RIVO-Noord Zorgviewer Implementation Guide
1.21.0 - CI build

RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.21.0 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: LaboratoryTestResult - JSON Profile

Active as of 2025-10-28

JSON representation of the LaboratoryTestResult resource profile.

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    {
      "resourceType" : "StructureDefinition",
      "id" : "LaboratoryTestResult",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition LaboratoryTestResult</b></p><a name=\"LaboratoryTestResult\"> </a><a name=\"hcLaboratoryTestResult\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://simplifier.net/resolve?scope=nictiz.fhir.nl.stu3.zib2017@2.3.1&amp;canonical=http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation\">Zib LaboratoryTestResult Observation(2.1.12)</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">LaboratoryTestResult</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.status\">status</a><a name=\"Observation.status\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/STU3/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">TestUitslagStatus</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.code.coding\">coding</a><a name=\"Observation.code.coding\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.code.coding.display\">display</a><a name=\"Observation.code.coding.display\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/STU3/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Representation defined by the system</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.code.text\">text</a><a name=\"Observation.code.text\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/STU3/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Plain text representation of the concept</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.effectiveDateTime\">effectiveDateTime</a><a name=\"Observation.effectiveDateTime\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/STU3/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">TestDateTime</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.valueQuantity\">valueQuantity</a><a name=\"Observation.valueQuantity\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/STU3/datatypes.html#Quantity\">Quantity</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">TestResult</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.valueQuantity.value\">value</a><a name=\"Observation.valueQuantity.value\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/STU3/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Numerical value (with implicit precision)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.valueQuantity.unit\">unit</a><a name=\"Observation.valueQuantity.unit\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/STU3/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unit representation</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.interpretation\">interpretation</a><a name=\"Observation.interpretation\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.interpretation.coding\">coding</a><a name=\"Observation.interpretation.coding\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.interpretation.coding.code\">code</a><a name=\"Observation.interpretation.coding.code\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/STU3/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Symbol in syntax defined by the system</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.interpretation.text\">text</a><a name=\"Observation.interpretation.text\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/STU3/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Plain text representation of the concept</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.specimen\">specimen</a><a name=\"Observation.specimen\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"StructureDefinition-Specimen.html\">Specimen</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Specimen</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.referenceRange\">referenceRange</a><a name=\"Observation.referenceRange\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.referenceRange.low\">low</a><a name=\"Observation.referenceRange.low\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.referenceRange.low.value\">value</a><a name=\"Observation.referenceRange.low.value\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/STU3/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Numerical value (with implicit precision)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.referenceRange.low.unit\">unit</a><a name=\"Observation.referenceRange.low.unit\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/STU3/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unit representation</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.referenceRange.high\">high</a><a name=\"Observation.referenceRange.high\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.referenceRange.high.value\">value</a><a name=\"Observation.referenceRange.high.value\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/STU3/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Numerical value (with implicit precision)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryTestResult-definitions.html#Observation.referenceRange.high.unit\">unit</a><a name=\"Observation.referenceRange.high.unit\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/STU3/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unit representation</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
      },
      "url" : "http://fhir.hl7.nl/zorgviewer/StructureDefinition/LaboratoryTestResult",
      "version" : "1.21.0",
      "name" : "LaboratoryTestResult",
      "title" : "LaboratoryTestResult",
      "status" : "active",
      "date" : "2025-10-28T13:36:22+00:00",
      "publisher" : "RIVO-NN HL7NL",
      "contact" : [
        {
          "name" : "RIVO-NN",
          "telecom" : [
            {
              "system" : "url",
              "value" : "https://rivo-noord.nl"
            }
          ]
        },
        {
          "name" : "HL7NL",
          "telecom" : [
            {
              "system" : "url",
              "value" : "https://hl7.nl"
            }
          ]
        }
      ],
      "description" : "Laboratorium Test Uitslag",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "NL"
            }
          ]
        }
      ],
      "fhirVersion" : "3.0.2",
      "mapping" : [
        {
          "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
          "uri" : "https://zibs.nl/wiki/LaboratoryTestResult-v4.1(2017EN)",
          "name" : "HCIM LaboratoryTestResult-v4.1(2017EN)"
        },
        {
          "identity" : "hcim-basicelements-v1.0-2017EN",
          "uri" : "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
          "name" : "HCIM BasicElements-v1.0(2017EN)"
        },
        {
          "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
          "uri" : "https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v3.0(2016EN)",
          "name" : "HCIM LaboratoryTestResultForTransfer-v3.0(2016EN)"
        },
        {
          "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
          "uri" : "https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v1.2.2(2015EN)",
          "name" : "HCIM LaboratoryTestResultForTransfer-v1.2.2(2015EN)"
        }
      ],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Observation",
      "baseDefinition" : "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation",
      "derivation" : "constraint",
      "snapshot" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
            "valueString" : "2.1.12"
          }
        ],
        "element" : [
          {
            "id" : "Observation",
            "path" : "Observation",
            "short" : "LaboratoryTestResult",
            "definition" : "A laboratory result describes the result of a laboratory analysis.\r\nThese are specimen-oriented tests as performed in laboratories such as Clinical Chemistry, Serology, Microbiology, etc.\r\nIn addition to the results of tests with a singular result, this concept can also contain the results of more complex tests with multiple results or a ‘panel’.",
            "comment" : "This profile is used for two concepts of the HCIM LaboratoryTestResult at the same time: the root concept (NL-CM:13.1.1) and the LaboratoryTest concept (NL-CM:13.1.3). A LaboratoryTestResult can consist of just one LaboratoryTest or can be a panel of multiple LaboratoryTests. If there's just one LaboratoryTest, a single instance of this profile may be used to represent both concepts, but if there are multiple LaboratoryTests, there should be one parent instance representing the LaboratoryTestResult that uses `Observation.related` to link child instances representing individual LaboratoryTests.\r\n\r\nNote that the `Observation.related` field in is also used for a third case where there are multiple related LaboratoryTestResults (RelatedResult, NL-CM:13.1.33).\r\n\r\nThe list below summarizes the different situations:\r\n1. Single LaboratoryTestResult with single LaboratoryTest:\r\n* single instance of this profile\r\n* `.code` represents the HCIM concept TestCode (NL-CM:13.1.8)\r\n2. Single LaboratoryTestResult with multiple LaboratoryTests\r\n* parent instance with child instances in `.related.target`\r\n* `.code` of parent represents the HCIM concept PanelOrBattery (NL-CM:13.1.4)\r\n* `.code` of child represents the HCIM concept TestCode (NL-CM:13.1.8)\r\n* `.related.type` of parent set to \"has-member\"\r\n3. Multiple related LaboratoryTestResults\r\n* multiple instances representing the root concept\r\n* `.code` represents the HCIM concept TestCode (NL-CM:13.1.8)\r\n* `.related.target` references the related instances\r\n* `.related.type` set to whichever value is appropriate\r\n\r\nAlso note that there is the additional profile [zib-LaboratoryTestResult-DiagnosticReport](http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-DiagnosticReport), which is used for (textual) reports on individual (panels of) observations, like conclusions. The DiagnosticReport contains references to instances of this profile and can be used in all three the situations described above.",
            "alias" : [
              "Vital Signs",
              "Measurement",
              "Results",
              "Tests",
              "LaboratoriumUitslag"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Resource",
              "min" : 0,
              "max" : "*"
            },
            "constraint" : [
              {
                "key" : "dom-2",
                "severity" : "error",
                "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
                "expression" : "contained.contained.empty()",
                "xpath" : "not(parent::f:contained and f:contained)",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "key" : "dom-1",
                "severity" : "error",
                "human" : "If the resource is contained in another resource, it SHALL NOT contain any narrative",
                "expression" : "contained.text.empty()",
                "xpath" : "not(parent::f:contained and f:text)",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "key" : "dom-4",
                "severity" : "error",
                "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
                "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
                "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "key" : "dom-3",
                "severity" : "error",
                "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
                "expression" : "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
                "xpath" : "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "key" : "obs-7",
                "severity" : "error",
                "human" : "If code is the same as a component code then the value element associated with the code SHALL NOT be present",
                "expression" : "value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()",
                "xpath" : "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" : "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation"
              },
              {
                "key" : "obs-6",
                "severity" : "error",
                "human" : "dataAbsentReason SHALL only be present if Observation.value[x] is not present",
                "expression" : "dataAbsentReason.empty() or value.empty()",
                "xpath" : "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))",
                "source" : "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "Entity. Role, or Act"
              },
              {
                "identity" : "workflow",
                "map" : "Event"
              },
              {
                "identity" : "sct-concept",
                "map" : "< 363787002 |Observable entity|"
              },
              {
                "identity" : "v2",
                "map" : "OBX"
              },
              {
                "identity" : "rim",
                "map" : "Observation[classCode=OBS, moodCode=EVN]"
              },
              {
                "identity" : "w5",
                "map" : "clinical.diagnostics"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.1",
                "comment" : "LaboratoryTestResult"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.1",
                "comment" : "LaboratoryTestResult"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.1",
                "comment" : "LaboratoryTestResult"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.3",
                "comment" : "LaboratoryTest"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.3",
                "comment" : "LaboratoryTest"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.3",
                "comment" : "LaboratoryTest"
              }
            ]
          },
          {
            "id" : "Observation.id",
            "path" : "Observation.id",
            "short" : "Logical id of this artifact",
            "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
            "comment" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "id"
              }
            ],
            "isSummary" : true
          },
          {
            "id" : "Observation.meta",
            "path" : "Observation.meta",
            "short" : "Metadata about the resource",
            "definition" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.meta",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Meta"
              }
            ],
            "isSummary" : true
          },
          {
            "id" : "Observation.implicitRules",
            "path" : "Observation.implicitRules",
            "short" : "A set of rules under which this content was created",
            "definition" : "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" : "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. \n\nThis 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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.implicitRules",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "isModifier" : true,
            "isSummary" : true
          },
          {
            "id" : "Observation.language",
            "path" : "Observation.language",
            "short" : "Language of the resource content",
            "definition" : "The base language in which the resource is written.",
            "comment" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.language",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
                  "valueReference" : {
                    🔗 "reference" : "http://hl7.org/fhir/ValueSet/all-languages"
                  }
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "Language"
                }
              ],
              "strength" : "extensible",
              "description" : "A human language.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/languages"
              }
            }
          },
          {
            "id" : "Observation.text",
            "path" : "Observation.text",
            "short" : "Text summary of the resource, for human interpretation",
            "definition" : "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" : "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" : [
              "narrative",
              "html",
              "xhtml",
              "display"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "DomainResource.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Narrative"
              }
            ],
            "condition" : [
              "dom-1"
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "Act.text?"
              }
            ]
          },
          {
            "id" : "Observation.contained",
            "path" : "Observation.contained",
            "short" : "Contained, inline Resources",
            "definition" : "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" : "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" : [
              "inline resources",
              "anonymous resources",
              "contained resources"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "DomainResource.contained",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Resource"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Observation.extension",
            "path" : "Observation.extension",
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "DomainResource.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Observation.modifierExtension",
            "path" : "Observation.modifierExtension",
            "short" : "Extensions that cannot be ignored",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "DomainResource.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "isModifier" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Observation.identifier",
            "path" : "Observation.identifier",
            "short" : "Identifier",
            "definition" : "A unique identifier assigned to this observation.",
            "requirements" : "Allows observations to be distinguished and referenced.",
            "alias" : [
              "Identificatie"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.identifier",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Identifier"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.identifier"
              },
              {
                "identity" : "v2",
                "map" : "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."
              },
              {
                "identity" : "rim",
                "map" : "id"
              },
              {
                "identity" : "w5",
                "map" : "id"
              },
              {
                "identity" : "hcim-basicelements-v1.0-2017EN",
                "map" : "NL-CM:0.0.6",
                "comment" : "IdentificationNumber"
              }
            ]
          },
          {
            "id" : "Observation.basedOn",
            "path" : "Observation.basedOn",
            "short" : "Fulfills plan, proposal or order including requester information.",
            "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event.",
            "comment" : "Requester information should be captured and exchanged in the resource ProcedureRequest referenced by `basedOn`. Requester is the healthcare provider and/or organization where or by whom the LaboratoryTestResult was requested. There are a few required elements in ProcedureRequest:\r\n* `ProcedureRequest.status` (use fixed value _active_, unless you know what the actual value is)\r\n* `ProcedureRequest.intent` (use fixed value _order_, unless you know what the actual value is)\r\n* `ProcedureRequest.code` (use extension http://hl7.org/fhir/STU3/extension-iso21090-nullflavor.html with `valueCode` _UNK_, unless you know what the actual value is)\r\n* `ProcedureRequest.subject` (equal to `Observation.subject`)\r\n* `ProcedureRequest.requester.agent` (contains the requesting HealthProfessional)",
            "requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
            "alias" : [
              "Fulfills",
              "Aanvrager"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.basedOn",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : "http://hl7.org/fhir/StructureDefinition/CarePlan"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://hl7.org/fhir/StructureDefinition/DeviceRequest"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://hl7.org/fhir/StructureDefinition/NutritionOrder"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://hl7.org/fhir/StructureDefinition/ProcedureRequest"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://hl7.org/fhir/StructureDefinition/ReferralRequest"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.basedOn"
              },
              {
                "identity" : "v2",
                "map" : "ORC"
              },
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=FLFS].target"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.34",
                "comment" : "Contains Requester::HealthProfessional"
              }
            ]
          },
          {
            "id" : "Observation.status",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
                "valueString" : "default: final"
              }
            ],
            "path" : "Observation.status",
            "short" : "TestUitslagStatus",
            "definition" : "The status of the test result of this test. If the laboratory test is an panel/cluster, the overall status is given in the status of the panel/cluster.",
            "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
            "requirements" : "Need to track the status of individual results. Some results are finalized before the whole report is finalized.",
            "alias" : [
              "TestUitslagStatus"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.status",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "mustSupport" : true,
            "isModifier" : true,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationStatus"
                }
              ],
              "strength" : "required",
              "description" : "Codes providing the status of an observation.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/observation-status"
              }
            },
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.status"
              },
              {
                "identity" : "sct-concept",
                "map" : "< 445584004 |Report by finality status|"
              },
              {
                "identity" : "v2",
                "map" : "OBX-11"
              },
              {
                "identity" : "rim",
                "map" : "status  Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""
              },
              {
                "identity" : "w5",
                "map" : "status"
              }
            ]
          },
          {
            "id" : "Observation.status.id",
            "path" : "Observation.status.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references)",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.status.extension",
            "path" : "Observation.status.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ]
          },
          {
            "id" : "Observation.status.extension:TestResultStatus",
            "path" : "Observation.status.extension",
            "sliceName" : "TestResultStatus",
            "short" : "TestResultStatus",
            "definition" : "Provides the specific HCIM code for TestResultStatus or ResultStatus.\r\n\r\nThe status of the laboratory test result. If the laboratory test is an panel/cluster,  this status reflects the status of the whole panel/cluster. If the status item per subtest is used too, this status must be in accordance with these status values.",
            "comment" : "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" : [
              "extensions",
              "user content",
              "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.",
              "TestUitslagStatus"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension",
                "profile" : "http://nictiz.nl/fhir/StructureDefinition/code-specification"
              }
            ],
            "condition" : [
              "ele-1"
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() | (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                "source" : "http://nictiz.nl/fhir/StructureDefinition/code-specification"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              },
              {
                "identity" : "rim",
                "map" : "N/A"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.31",
                "comment" : "TestResultStatus"
              }
            ]
          },
          {
            "id" : "Observation.status.extension:TestResultStatus.id",
            "path" : "Observation.status.extension.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.status.extension:TestResultStatus.extension",
            "path" : "Observation.status.extension.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.status.extension:TestResultStatus.url",
            "path" : "Observation.status.extension.url",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "identifies the meaning of the extension",
            "definition" : "Source of the definition for the extension code - a logical name or a URL.",
            "comment" : "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" : 1,
            "max" : "1",
            "base" : {
              "path" : "Extension.url",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "fixedUri" : "http://nictiz.nl/fhir/StructureDefinition/code-specification",
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Observation.status.extension:TestResultStatus.value[x]:valueCodeableConcept",
            "path" : "Observation.status.extension.value[x]",
            "sliceName" : "valueCodeableConcept",
            "short" : "Value of extension",
            "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Extension.value[x]",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "description" : "TestResultStatusCodelist",
              "valueSetReference" : {
                🔗 "reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000"
              }
            },
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Observation.status.value",
            "path" : "Observation.status.value",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "Primitive value for code",
            "definition" : "Primitive value for code",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "string.value",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-regex",
                    "valueString" : "[^\\s]+([\\s]?[^\\s]+)*"
                  }
                ],
                "_code" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
                      "valueString" : "string"
                    },
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
                      "valueString" : "xsd:token"
                    },
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
                      "valueString" : "xsd:token"
                    }
                  ]
                }
              }
            ]
          },
          {
            "id" : "Observation.category",
            "path" : "Observation.category",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "$this"
                }
              ],
              "rules" : "open"
            },
            "short" : "Classification of  type of observation",
            "definition" : "A code that classifies the general type of observation being made.",
            "comment" : "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" : "Used for filtering what observations are retrieved and displayed.",
            "min" : 1,
            "max" : "*",
            "base" : {
              "path" : "Observation.category",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationCategory"
                }
              ],
              "strength" : "preferred",
              "description" : "Codes for high level observation categories.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/observation-category"
              }
            },
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
              },
              {
                "identity" : "w5",
                "map" : "class"
              }
            ]
          },
          {
            "id" : "Observation.category:LaboratoryTestResultCode",
            "path" : "Observation.category",
            "sliceName" : "LaboratoryTestResultCode",
            "short" : "LaboratoryTestResultCode",
            "definition" : "A code that classifies the general type of observation being made.",
            "comment" : "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" : "Used for filtering what observations are retrieved and displayed.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.category",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "patternCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "49581000146104"
                }
              ]
            },
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationCategory"
                }
              ],
              "strength" : "preferred",
              "description" : "Codes for high level observation categories.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/observation-category"
              }
            },
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
              },
              {
                "identity" : "w5",
                "map" : "class"
              }
            ]
          },
          {
            "id" : "Observation.category:LaboratoryTestResultCode.id",
            "path" : "Observation.category.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.category:LaboratoryTestResultCode.extension",
            "path" : "Observation.category.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.category:LaboratoryTestResultCode.coding",
            "path" : "Observation.category.coding",
            "short" : "Code defined by a terminology system",
            "definition" : "A reference to a code defined by a terminology system.",
            "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
            "requirements" : "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "CodeableConcept.coding",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.1-8, C*E.10-22"
              },
              {
                "identity" : "rim",
                "map" : "union(., ./translation)"
              },
              {
                "identity" : "orim",
                "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
              }
            ]
          },
          {
            "id" : "Observation.category:LaboratoryTestResultCode.coding.id",
            "path" : "Observation.category.coding.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.category:LaboratoryTestResultCode.coding.extension",
            "path" : "Observation.category.coding.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.category:LaboratoryTestResultCode.coding.system",
            "path" : "Observation.category.coding.system",
            "short" : "Identity of the terminology system",
            "definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
            "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
            "requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.system",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.3"
              },
              {
                "identity" : "rim",
                "map" : "./codeSystem"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
              }
            ]
          },
          {
            "id" : "Observation.category:LaboratoryTestResultCode.coding.version",
            "path" : "Observation.category.coding.version",
            "short" : "Version of the system - if relevant",
            "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
            "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.version",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.7"
              },
              {
                "identity" : "rim",
                "map" : "./codeSystemVersion"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
              }
            ]
          },
          {
            "id" : "Observation.category:LaboratoryTestResultCode.coding.code",
            "path" : "Observation.category.coding.code",
            "short" : "Symbol in syntax defined by the system",
            "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
            "requirements" : "Need to refer to a particular code in the system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.1"
              },
              {
                "identity" : "rim",
                "map" : "./code"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
              }
            ]
          },
          {
            "id" : "Observation.category:LaboratoryTestResultCode.coding.display",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "Observation.category.coding.display",
            "short" : "Representation defined by the system",
            "definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
            "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.display",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "defaultValueString" : "Laboratory test finding (finding)",
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.2 - but note this is not well followed"
              },
              {
                "identity" : "rim",
                "map" : "CV.displayName"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
              }
            ]
          },
          {
            "id" : "Observation.category:LaboratoryTestResultCode.coding.userSelected",
            "path" : "Observation.category.coding.userSelected",
            "short" : "If this coding was chosen directly by the user",
            "definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
            "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
            "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.userSelected",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "Sometimes implied by being first"
              },
              {
                "identity" : "rim",
                "map" : "CD.codingRationale"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"
              }
            ]
          },
          {
            "id" : "Observation.category:LaboratoryTestResultCode.text",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "Observation.category.text",
            "short" : "Plain text representation of the concept",
            "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
            "comment" : "Very often the text is the same as a displayName of one of the codings.",
            "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CodeableConcept.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.9. But note many systems use C*E.2 for this"
              },
              {
                "identity" : "rim",
                "map" : "./originalText[mediaType/code=\"text/plain\"]/data"
              },
              {
                "identity" : "orim",
                "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
              }
            ]
          },
          {
            "id" : "Observation.category:ResultType",
            "path" : "Observation.category",
            "sliceName" : "ResultType",
            "short" : "ResultType",
            "definition" : "The type of result defines the laboratory specialty under which the test is categorized.",
            "comment" : "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" : "Used for filtering what observations are retrieved and displayed.",
            "alias" : [
              "ResultaatType"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.category",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationCategory"
                }
              ],
              "strength" : "required",
              "description" : "ResultaatTypeCodelijst",
              "valueSetReference" : {
                🔗 "reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000"
              }
            },
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
              },
              {
                "identity" : "w5",
                "map" : "class"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.7",
                "comment" : "ResultType"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.7",
                "comment" : "ResultType"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.7",
                "comment" : "ResultType"
              }
            ]
          },
          {
            "id" : "Observation.code",
            "path" : "Observation.code",
            "short" : "TestCode or PanelOrBattery",
            "definition" : "The name and code of the executed test or for laboratory tests comprising multiple subtests and often requested together as a whole, this concept contains the name of the compound request (often indicated as a ‘panel’, ‘battery’ or ‘cluster’). Examples include: blood gases and EBV serology.",
            "comment" : "This can either be the HCIM concept PanelOrBattery (NL-CM:13.1.4) or TestCode (NL-CM:13.1.8) depending on the use case. See the documentation on the root of this profile for guidance on implementing the different uses cases.",
            "requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.",
            "alias" : [
              "Name",
              "TestCode",
              "Onderzoek"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.code",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationCode"
                }
              ],
              "strength" : "example",
              "description" : "Codes identifying names of simple observations.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/observation-codes"
              }
            },
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.code"
              },
              {
                "identity" : "sct-concept",
                "map" : "< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"
              },
              {
                "identity" : "v2",
                "map" : "OBX-3"
              },
              {
                "identity" : "rim",
                "map" : "code"
              },
              {
                "identity" : "sct-attr",
                "map" : "116680003 |Is a|"
              },
              {
                "identity" : "w5",
                "map" : "what"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.4",
                "comment" : "Test"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.4",
                "comment" : "Test"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.4",
                "comment" : "PanelOrBattery"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.8",
                "comment" : "TestName"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.8",
                "comment" : "TestName"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.8",
                "comment" : "TestCode"
              }
            ]
          },
          {
            "id" : "Observation.code.id",
            "path" : "Observation.code.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.code.extension",
            "path" : "Observation.code.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.code.coding",
            "path" : "Observation.code.coding",
            "short" : "Code defined by a terminology system",
            "definition" : "A reference to a code defined by a terminology system.",
            "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
            "requirements" : "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "CodeableConcept.coding",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.1-8, C*E.10-22"
              },
              {
                "identity" : "rim",
                "map" : "union(., ./translation)"
              },
              {
                "identity" : "orim",
                "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
              }
            ]
          },
          {
            "id" : "Observation.code.coding.id",
            "path" : "Observation.code.coding.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.code.coding.extension",
            "path" : "Observation.code.coding.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.code.coding.system",
            "path" : "Observation.code.coding.system",
            "short" : "Identity of the terminology system",
            "definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
            "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
            "requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.system",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.3"
              },
              {
                "identity" : "rim",
                "map" : "./codeSystem"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
              }
            ]
          },
          {
            "id" : "Observation.code.coding.version",
            "path" : "Observation.code.coding.version",
            "short" : "Version of the system - if relevant",
            "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
            "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.version",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.7"
              },
              {
                "identity" : "rim",
                "map" : "./codeSystemVersion"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
              }
            ]
          },
          {
            "id" : "Observation.code.coding.code",
            "path" : "Observation.code.coding.code",
            "short" : "Symbol in syntax defined by the system",
            "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
            "requirements" : "Need to refer to a particular code in the system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.1"
              },
              {
                "identity" : "rim",
                "map" : "./code"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
              }
            ]
          },
          {
            "id" : "Observation.code.coding.display",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "Observation.code.coding.display",
            "short" : "Representation defined by the system",
            "definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
            "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.display",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mustSupport" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.2 - but note this is not well followed"
              },
              {
                "identity" : "rim",
                "map" : "CV.displayName"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
              }
            ]
          },
          {
            "id" : "Observation.code.coding.userSelected",
            "path" : "Observation.code.coding.userSelected",
            "short" : "If this coding was chosen directly by the user",
            "definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
            "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
            "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.userSelected",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "Sometimes implied by being first"
              },
              {
                "identity" : "rim",
                "map" : "CD.codingRationale"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"
              }
            ]
          },
          {
            "id" : "Observation.code.text",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "Observation.code.text",
            "short" : "Plain text representation of the concept",
            "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
            "comment" : "Very often the text is the same as a displayName of one of the codings.",
            "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CodeableConcept.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mustSupport" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.9. But note many systems use C*E.2 for this"
              },
              {
                "identity" : "rim",
                "map" : "./originalText[mediaType/code=\"text/plain\"]/data"
              },
              {
                "identity" : "orim",
                "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
              }
            ]
          },
          {
            "id" : "Observation.subject",
            "path" : "Observation.subject",
            "short" : "Patient",
            "definition" : "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" : "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.\r\rIf 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" : "Observations have no value if you don't know who or what they're about.",
            "alias" : [
              "Patiënt"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.subject",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Group"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Device"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://fhir.nl/fhir/StructureDefinition/nl-core-location"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.subject"
              },
              {
                "identity" : "v2",
                "map" : "PID-3"
              },
              {
                "identity" : "rim",
                "map" : "participation[typeCode=SBJ]"
              },
              {
                "identity" : "w5",
                "map" : "who.focus"
              },
              {
                "identity" : "hcim-basicelements-v1.0-2017EN",
                "map" : "NL-CM:0.0.11",
                "comment" : "Subject"
              }
            ]
          },
          {
            "id" : "Observation.context",
            "path" : "Observation.context",
            "short" : "Encounter during which this observation is made",
            "definition" : "The encounter during which this journal entry was made.",
            "comment" : "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" : "For some observations it may be important to know the link between an observation and a particular encounter.",
            "alias" : [
              "Encounter"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.context",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : "http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://nictiz.nl/fhir/StructureDefinition/zib-Encounter"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://nictiz.nl/fhir/StructureDefinition/gp-Encounter"
              }
            ],
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.context"
              },
              {
                "identity" : "v2",
                "map" : "PV1"
              },
              {
                "identity" : "rim",
                "map" : "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
              },
              {
                "identity" : "w5",
                "map" : "context"
              }
            ]
          },
          {
            "id" : "Observation.effective[x]",
            "path" : "Observation.effective[x]",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "type",
                  "path" : "$this"
                }
              ],
              "ordered" : false,
              "rules" : "closed"
            },
            "short" : "TestDateTime",
            "definition" : "The date and if possible the time at which the test was carried out.",
            "comment" : "At least a date should be present unless this observation is a historical report.",
            "requirements" : "Knowing when an observation was deemed true is important to its relevance as well as determining trends.",
            "alias" : [
              "Occurrence",
              "TestDatumTijd"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.effective[x]",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "dateTime"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.occurrence[x]"
              },
              {
                "identity" : "v2",
                "map" : "OBX-14, and/or OBX-19 after v2.4  (depends on who observation made)"
              },
              {
                "identity" : "rim",
                "map" : "effectiveTime"
              },
              {
                "identity" : "w5",
                "map" : "when.done"
              },
              {
                "identity" : "hcim-basicelements-v1.0-2017EN",
                "map" : "NL-CM:0.0.14",
                "comment" : "DateTime"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.13",
                "comment" : "TestDateTime"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.13",
                "comment" : "TestDateTime"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.13",
                "comment" : "TestDateTime"
              }
            ]
          },
          {
            "id" : "Observation.effective[x]:effectiveDateTime",
            "path" : "Observation.effective[x]",
            "sliceName" : "effectiveDateTime",
            "short" : "TestDateTime",
            "definition" : "The date and if possible the time at which the test was carried out.",
            "comment" : "At least a date should be present unless this observation is a historical report.",
            "requirements" : "Knowing when an observation was deemed true is important to its relevance as well as determining trends.",
            "alias" : [
              "Occurrence",
              "TestDatumTijd"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.effective[x]",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "dateTime"
              }
            ],
            "mustSupport" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.occurrence[x]"
              },
              {
                "identity" : "v2",
                "map" : "OBX-14, and/or OBX-19 after v2.4  (depends on who observation made)"
              },
              {
                "identity" : "rim",
                "map" : "effectiveTime"
              },
              {
                "identity" : "w5",
                "map" : "when.done"
              },
              {
                "identity" : "hcim-basicelements-v1.0-2017EN",
                "map" : "NL-CM:0.0.14",
                "comment" : "DateTime"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.13",
                "comment" : "TestDateTime"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.13",
                "comment" : "TestDateTime"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.13",
                "comment" : "TestDateTime"
              }
            ]
          },
          {
            "id" : "Observation.issued",
            "path" : "Observation.issued",
            "short" : "Date/Time this was made available",
            "definition" : "The date and time this observation was made available to providers, typically after the results have been reviewed and verified.",
            "comment" : "Updated when the result is updated.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.issued",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "instant"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"
              },
              {
                "identity" : "rim",
                "map" : "participation[typeCode=AUT].time"
              },
              {
                "identity" : "w5",
                "map" : "when.recorded"
              }
            ]
          },
          {
            "id" : "Observation.performer",
            "path" : "Observation.performer",
            "short" : "Who is responsible for the observation",
            "definition" : "Who was responsible for asserting the observed value as \"true\".",
            "requirements" : "May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.performer",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.performer"
              },
              {
                "identity" : "v2",
                "map" : "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'"
              },
              {
                "identity" : "rim",
                "map" : "participation[typeCode=PRF]"
              },
              {
                "identity" : "w5",
                "map" : "who.actor"
              },
              {
                "identity" : "hcim-basicelements-v1.0-2017EN",
                "map" : "NL-CM:0.0.7",
                "comment" : "Author"
              }
            ]
          },
          {
            "id" : "Observation.performer.id",
            "path" : "Observation.performer.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.performer.extension",
            "path" : "Observation.performer.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.performer.extension:practitionerRole",
            "path" : "Observation.performer.extension",
            "sliceName" : "practitionerRole",
            "short" : "Optional Extensions Element",
            "definition" : "Optional Extension Element - found in all resources.",
            "comment" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension",
                "profile" : "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
              }
            ],
            "condition" : [
              "ele-1"
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() | (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                "source" : "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              },
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Observation.performer.reference",
            "path" : "Observation.performer.reference",
            "short" : "Literal reference, Relative, internal or absolute URL",
            "definition" : "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" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.reference",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "condition" : [
              "ref-1"
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Observation.performer.identifier",
            "path" : "Observation.performer.identifier",
            "short" : "Logical reference, when literal reference is not known",
            "definition" : "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" : "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. \n\nWhen 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\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.identifier",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Identifier"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".identifier"
              }
            ]
          },
          {
            "id" : "Observation.performer.display",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "Observation.performer.display",
            "short" : "Text alternative for the resource",
            "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.",
            "comment" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.display",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Observation.value[x]",
            "path" : "Observation.value[x]",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "type",
                  "path" : "$this"
                }
              ],
              "ordered" : false,
              "rules" : "closed"
            },
            "short" : "TestResult",
            "definition" : "The test result. Depending on the type of test, the result will consist of a value with a unit or a coded value (ordinal or nominal).",
            "comment" : "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).\r\r\rIf 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" : "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" : [
              "TestUitslag"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.value[x]",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Quantity"
              }
            ],
            "condition" : [
              "obs-7"
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.notDone, Event.notDoneReason  (maps to valeu[x] or dataAbsentReason)"
              },
              {
                "identity" : "sct-concept",
                "map" : "< 441742003 |Evaluation finding|"
              },
              {
                "identity" : "v2",
                "map" : "OBX.2, OBX.5, OBX.6"
              },
              {
                "identity" : "rim",
                "map" : "value"
              },
              {
                "identity" : "sct-attr",
                "map" : "363714003 |Interprets|"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.10",
                "comment" : "TestResult"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.10",
                "comment" : "TestResult"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.10",
                "comment" : "TestResult"
              }
            ]
          },
          {
            "id" : "Observation.value[x]:valueQuantity",
            "path" : "Observation.value[x]",
            "sliceName" : "valueQuantity",
            "short" : "TestResult",
            "definition" : "The test result. Depending on the type of test, the result will consist of a value with a unit or a coded value (ordinal or nominal).",
            "comment" : "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).\r\r\rIf 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" : "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" : [
              "TestUitslag"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.value[x]",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Quantity"
              }
            ],
            "condition" : [
              "obs-7"
            ],
            "mustSupport" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.notDone, Event.notDoneReason  (maps to valeu[x] or dataAbsentReason)"
              },
              {
                "identity" : "sct-concept",
                "map" : "< 441742003 |Evaluation finding|"
              },
              {
                "identity" : "v2",
                "map" : "OBX.2, OBX.5, OBX.6"
              },
              {
                "identity" : "rim",
                "map" : "value"
              },
              {
                "identity" : "sct-attr",
                "map" : "363714003 |Interprets|"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.10",
                "comment" : "TestResult"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.10",
                "comment" : "TestResult"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.10",
                "comment" : "TestResult"
              }
            ]
          },
          {
            "id" : "Observation.value[x]:valueQuantity.id",
            "path" : "Observation.value[x].id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.value[x]:valueQuantity.extension",
            "path" : "Observation.value[x].extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.value[x]:valueQuantity.value",
            "path" : "Observation.value[x].value",
            "short" : "Numerical value (with implicit precision)",
            "definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.",
            "comment" : "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).",
            "requirements" : "Precision is handled implicitly in almost all cases of measurement.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Quantity.value",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "decimal"
              }
            ],
            "mustSupport" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "SN.2  / CQ - N/A"
              },
              {
                "identity" : "rim",
                "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
              }
            ]
          },
          {
            "id" : "Observation.value[x]:valueQuantity.comparator",
            "path" : "Observation.value[x].comparator",
            "short" : "< | <= | >= | > - how to understand the value",
            "definition" : "How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.",
            "comment" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value.",
            "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Quantity.comparator",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value",
            "isModifier" : true,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "QuantityComparator"
                }
              ],
              "strength" : "required",
              "description" : "How the Quantity should be understood and represented.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2"
              }
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "SN.1  / CQ.1"
              },
              {
                "identity" : "rim",
                "map" : "IVL properties"
              }
            ]
          },
          {
            "id" : "Observation.value[x]:valueQuantity.unit",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "Observation.value[x].unit",
            "short" : "Unit representation",
            "definition" : "A human-readable form of the unit.",
            "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Quantity.unit",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mustSupport" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "(see OBX.6 etc.) / CQ.2"
              },
              {
                "identity" : "rim",
                "map" : "PQ.unit"
              }
            ]
          },
          {
            "id" : "Observation.value[x]:valueQuantity.system",
            "path" : "Observation.value[x].system",
            "short" : "System that defines coded unit form",
            "definition" : "The identification of the system that provides the coded form of the unit.",
            "requirements" : "Need to know the system that defines the coded form of the unit.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Quantity.system",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "condition" : [
              "qty-3"
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "(see OBX.6 etc.) / CQ.2"
              },
              {
                "identity" : "rim",
                "map" : "CO.codeSystem, PQ.translation.codeSystem"
              }
            ]
          },
          {
            "id" : "Observation.value[x]:valueQuantity.code",
            "path" : "Observation.value[x].code",
            "short" : "Coded form of the unit",
            "definition" : "A computer processable form of the unit in some unit representation system.",
            "comment" : "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system.",
            "requirements" : "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Quantity.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "(see OBX.6 etc.) / CQ.2"
              },
              {
                "identity" : "rim",
                "map" : "PQ.code, MO.currency, PQ.translation.code"
              }
            ]
          },
          {
            "id" : "Observation.dataAbsentReason",
            "path" : "Observation.dataAbsentReason",
            "short" : "Why the result is missing",
            "definition" : "Provides a reason why the expected value in the element Observation.value[x] is missing.",
            "comment" : "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" : "For many results it is necessary to handle exceptional values in measurements.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.dataAbsentReason",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "condition" : [
              "obs-6"
            ],
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationValueAbsentReason"
                }
              ],
              "strength" : "extensible",
              "description" : "Codes specifying why the result (Observation.value[x]) is missing.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/observation-valueabsentreason"
              }
            },
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.notDone, Event.notDoneReason  (maps to valeu[x] or dataAbsentReason)"
              },
              {
                "identity" : "v2",
                "map" : "N/A"
              },
              {
                "identity" : "rim",
                "map" : "value.nullFlavor"
              }
            ]
          },
          {
            "id" : "Observation.interpretation",
            "path" : "Observation.interpretation",
            "short" : "High, low, normal, etc.",
            "definition" : "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" : "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.",
            "alias" : [
              "Abnormal Flag"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.interpretation",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationInterpretation"
                }
              ],
              "strength" : "extensible",
              "description" : "Codes identifying interpretations of observations.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/observation-interpretation"
              }
            },
            "mapping" : [
              {
                "identity" : "sct-concept",
                "map" : "< 260245000 |Findings values|"
              },
              {
                "identity" : "v2",
                "map" : "OBX-8"
              },
              {
                "identity" : "rim",
                "map" : "interpretationCode"
              },
              {
                "identity" : "sct-attr",
                "map" : "363713009 |Has interpretation|"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.id",
            "path" : "Observation.interpretation.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.extension",
            "path" : "Observation.interpretation.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding",
            "path" : "Observation.interpretation.coding",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "system"
                }
              ],
              "rules" : "open"
            },
            "short" : "Code defined by a terminology system",
            "definition" : "A reference to a code defined by a terminology system.",
            "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
            "requirements" : "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
            "min" : 1,
            "max" : "*",
            "base" : {
              "path" : "CodeableConcept.coding",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "constraint" : [
              {
                "key" : "zib-LaboratoryTestResult-Observation-1",
                "severity" : "error",
                "human" : "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.",
                "expression" : "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()",
                "source" : "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.1-8, C*E.10-22"
              },
              {
                "identity" : "rim",
                "map" : "union(., ./translation)"
              },
              {
                "identity" : "orim",
                "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding.id",
            "path" : "Observation.interpretation.coding.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding.extension",
            "path" : "Observation.interpretation.coding.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding.system",
            "path" : "Observation.interpretation.coding.system",
            "short" : "Identity of the terminology system",
            "definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
            "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
            "requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.system",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.3"
              },
              {
                "identity" : "rim",
                "map" : "./codeSystem"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding.version",
            "path" : "Observation.interpretation.coding.version",
            "short" : "Version of the system - if relevant",
            "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
            "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.version",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.7"
              },
              {
                "identity" : "rim",
                "map" : "./codeSystemVersion"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding.code",
            "path" : "Observation.interpretation.coding.code",
            "short" : "Symbol in syntax defined by the system",
            "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
            "requirements" : "Need to refer to a particular code in the system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "mustSupport" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.1"
              },
              {
                "identity" : "rim",
                "map" : "./code"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding.display",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "Observation.interpretation.coding.display",
            "short" : "Representation defined by the system",
            "definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
            "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.display",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.2 - but note this is not well followed"
              },
              {
                "identity" : "rim",
                "map" : "CV.displayName"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding.userSelected",
            "path" : "Observation.interpretation.coding.userSelected",
            "short" : "If this coding was chosen directly by the user",
            "definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
            "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
            "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.userSelected",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "Sometimes implied by being first"
              },
              {
                "identity" : "rim",
                "map" : "CD.codingRationale"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:ObservationInterpretation",
            "path" : "Observation.interpretation.coding",
            "sliceName" : "ObservationInterpretation",
            "short" : "Code defined by a terminology system",
            "definition" : "A reference to a code defined by a terminology system.",
            "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
            "requirements" : "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "CodeableConcept.coding",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "isSummary" : true,
            "binding" : {
              "strength" : "required",
              "description" : "Observation Interpretation Codes",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/observation-interpretation"
              }
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.1-8, C*E.10-22"
              },
              {
                "identity" : "rim",
                "map" : "union(., ./translation)"
              },
              {
                "identity" : "orim",
                "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:ObservationInterpretation.id",
            "path" : "Observation.interpretation.coding.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:ObservationInterpretation.extension",
            "path" : "Observation.interpretation.coding.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:ObservationInterpretation.system",
            "path" : "Observation.interpretation.coding.system",
            "short" : "Identity of the terminology system",
            "definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
            "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
            "requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Coding.system",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "fixedUri" : "http://hl7.org/fhir/v2/0078",
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.3"
              },
              {
                "identity" : "rim",
                "map" : "./codeSystem"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:ObservationInterpretation.version",
            "path" : "Observation.interpretation.coding.version",
            "short" : "Version of the system - if relevant",
            "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
            "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.version",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.7"
              },
              {
                "identity" : "rim",
                "map" : "./codeSystemVersion"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:ObservationInterpretation.code",
            "path" : "Observation.interpretation.coding.code",
            "short" : "Symbol in syntax defined by the system",
            "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
            "requirements" : "Need to refer to a particular code in the system.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Coding.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.1"
              },
              {
                "identity" : "rim",
                "map" : "./code"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:ObservationInterpretation.display",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "Observation.interpretation.coding.display",
            "short" : "Representation defined by the system",
            "definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
            "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.display",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.2 - but note this is not well followed"
              },
              {
                "identity" : "rim",
                "map" : "CV.displayName"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:ObservationInterpretation.userSelected",
            "path" : "Observation.interpretation.coding.userSelected",
            "short" : "If this coding was chosen directly by the user",
            "definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
            "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
            "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.userSelected",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "Sometimes implied by being first"
              },
              {
                "identity" : "rim",
                "map" : "CD.codingRationale"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:InterpretatieVlaggenCodelijst",
            "path" : "Observation.interpretation.coding",
            "sliceName" : "InterpretatieVlaggenCodelijst",
            "short" : "ResultFlags",
            "definition" : "Attention codes indicating whether the result is above or below certain reference values or interpreting the result otherwise. (Resistent)",
            "comment" : "This slice binds the ValueSet from the HCIM, which overlaps the ValueSet from the core FHIR Observation. To satisfy the FHIR profiling rules, the code from the core FHIR ValueSet SHOULD be included as well if a code from this ValueSet is included. A ConceptMap (https://simplifier.net/resolve?canonical=http://nictiz.nl/fhir/ConceptMap/InterpretatieVlaggenCodelijst-to-observation-interpretation) is available that explains the relationship between the FHIR observation-interpretation value set and the HCIM ResultFlagsCodelist.",
            "requirements" : "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
            "alias" : [
              "InterpretatieVlaggen"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "CodeableConcept.coding",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "isSummary" : true,
            "binding" : {
              "strength" : "required",
              "description" : "InterpretatieVlaggenCodelijst",
              "valueSetReference" : {
                🔗 "reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000"
              }
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.1-8, C*E.10-22"
              },
              {
                "identity" : "rim",
                "map" : "union(., ./translation)"
              },
              {
                "identity" : "orim",
                "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.14",
                "comment" : "ResultFlags"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.14",
                "comment" : "ResultFlags"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.14",
                "comment" : "ResultFlags - see ConceptMap 'HCIM InterpretatieVlaggenCodelijst to Observation Interpretation Codes'"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:InterpretatieVlaggenCodelijst.id",
            "path" : "Observation.interpretation.coding.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:InterpretatieVlaggenCodelijst.extension",
            "path" : "Observation.interpretation.coding.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:InterpretatieVlaggenCodelijst.system",
            "path" : "Observation.interpretation.coding.system",
            "short" : "Identity of the terminology system",
            "definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
            "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
            "requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Coding.system",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "fixedUri" : "http://snomed.info/sct",
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.3"
              },
              {
                "identity" : "rim",
                "map" : "./codeSystem"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:InterpretatieVlaggenCodelijst.version",
            "path" : "Observation.interpretation.coding.version",
            "short" : "Version of the system - if relevant",
            "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
            "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.version",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.7"
              },
              {
                "identity" : "rim",
                "map" : "./codeSystemVersion"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:InterpretatieVlaggenCodelijst.code",
            "path" : "Observation.interpretation.coding.code",
            "short" : "Symbol in syntax defined by the system",
            "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
            "requirements" : "Need to refer to a particular code in the system.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Coding.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.1"
              },
              {
                "identity" : "rim",
                "map" : "./code"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:InterpretatieVlaggenCodelijst.display",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "Observation.interpretation.coding.display",
            "short" : "Representation defined by the system",
            "definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
            "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.display",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.2 - but note this is not well followed"
              },
              {
                "identity" : "rim",
                "map" : "CV.displayName"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.coding:InterpretatieVlaggenCodelijst.userSelected",
            "path" : "Observation.interpretation.coding.userSelected",
            "short" : "If this coding was chosen directly by the user",
            "definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
            "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
            "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Coding.userSelected",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "Sometimes implied by being first"
              },
              {
                "identity" : "rim",
                "map" : "CD.codingRationale"
              },
              {
                "identity" : "orim",
                "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"
              }
            ]
          },
          {
            "id" : "Observation.interpretation.text",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "Observation.interpretation.text",
            "short" : "Plain text representation of the concept",
            "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
            "comment" : "Very often the text is the same as a displayName of one of the codings.",
            "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CodeableConcept.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mustSupport" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "C*E.9. But note many systems use C*E.2 for this"
              },
              {
                "identity" : "rim",
                "map" : "./originalText[mediaType/code=\"text/plain\"]/data"
              },
              {
                "identity" : "orim",
                "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
              }
            ]
          },
          {
            "id" : "Observation.comment",
            "path" : "Observation.comment",
            "short" : "Comment or ResultInterpretation",
            "definition" : "Comments, such as a textual interpretation or advice accompanying the result, for example or a comment of the laboratory specialist regarding the interpretation of the results.",
            "requirements" : "Need to be able to provide free text additional information.",
            "alias" : [
              "Toelichting",
              "UitslagInterpretatie"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.comment",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.note"
              },
              {
                "identity" : "v2",
                "map" : "NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"
              },
              {
                "identity" : "rim",
                "map" : "subjectOf.observationEvent[code=\"annotation\"].value"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.5",
                "comment" : "Explanation"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.5",
                "comment" : "Explanation"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.5",
                "comment" : "Comment"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.32",
                "comment" : "ResultInterpretation"
              }
            ]
          },
          {
            "id" : "Observation.bodySite",
            "path" : "Observation.bodySite",
            "short" : "Observed body part",
            "definition" : "Indicates the site on the subject's body where the observation was made (i.e. the target site).",
            "comment" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.bodySite",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "BodySite"
                }
              ],
              "strength" : "example",
              "description" : "Codes describing anatomical locations. May include laterality.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/body-site"
              }
            },
            "mapping" : [
              {
                "identity" : "sct-concept",
                "map" : "< 123037004 |Body structure|"
              },
              {
                "identity" : "v2",
                "map" : "OBX-20"
              },
              {
                "identity" : "rim",
                "map" : "targetSiteCode"
              },
              {
                "identity" : "sct-attr",
                "map" : "718497002 |Inherent location|"
              }
            ]
          },
          {
            "id" : "Observation.method",
            "path" : "Observation.method",
            "short" : "TestMethod",
            "definition" : "The test method used to obtain the result.",
            "comment" : "Only used if not implicit in code for Observation.code.",
            "requirements" : "In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.",
            "alias" : [
              "Testmethode"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.method",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationMethod"
                }
              ],
              "strength" : "extensible",
              "description" : "SNOMED CT (2.16.840.1.113883.6.96): All values",
              "valueSetReference" : {
                🔗 "reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.4--20171231000000"
              }
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "OBX-17"
              },
              {
                "identity" : "rim",
                "map" : "methodCode"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.9",
                "comment" : "TestMethod"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.9",
                "comment" : "TestMethod"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.9",
                "comment" : "TestMethod"
              }
            ]
          },
          {
            "id" : "Observation.specimen",
            "path" : "Observation.specimen",
            "short" : "Specimen",
            "definition" : "The specimen that was used when this observation was made.",
            "comment" : "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).",
            "alias" : [
              "Monster"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.specimen",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : "http://fhir.hl7.nl/zorgviewer/StructureDefinition/Specimen"
              }
            ],
            "mustSupport" : true,
            "mapping" : [
              {
                "identity" : "sct-concept",
                "map" : "< 123038009 |Specimen|"
              },
              {
                "identity" : "v2",
                "map" : "SPM segment"
              },
              {
                "identity" : "rim",
                "map" : "participation[typeCode=SPC].specimen"
              },
              {
                "identity" : "sct-attr",
                "map" : "704319004 |Inherent in|"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.2",
                "comment" : "Specimen"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.2",
                "comment" : "Specimen"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.2",
                "comment" : "Specimen"
              }
            ]
          },
          {
            "id" : "Observation.device",
            "path" : "Observation.device",
            "short" : "(Measurement) Device",
            "definition" : "The device used to generate the observation data.",
            "comment" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.device",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct"
              }
            ],
            "mapping" : [
              {
                "identity" : "sct-concept",
                "map" : "< 49062001 |Device|"
              },
              {
                "identity" : "v2",
                "map" : "OBX-17 / PRT -10"
              },
              {
                "identity" : "rim",
                "map" : "participation[typeCode=DEV]"
              },
              {
                "identity" : "sct-attr",
                "map" : "424226004 |Using device|"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange",
            "path" : "Observation.referenceRange",
            "short" : "Reference",
            "definition" : "Guidance on how to interpret the value by comparison to a normal or recommended range.",
            "comment" : "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" : "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.",
            "alias" : [
              "Referentie"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.referenceRange",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "BackboneElement"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() | (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "obs-3",
                "severity" : "error",
                "human" : "Must have at least a low or a high or text",
                "expression" : "low.exists() or high.exists() or text.exists()",
                "xpath" : "(exists(f:low) or exists(f:high)or exists(f:text))",
                "source" : "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation"
              }
            ],
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "OBX.7"
              },
              {
                "identity" : "rim",
                "map" : "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.id",
            "path" : "Observation.referenceRange.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.extension",
            "path" : "Observation.referenceRange.extension",
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.modifierExtension",
            "path" : "Observation.referenceRange.modifierExtension",
            "short" : "Extensions that cannot be ignored",
            "definition" : "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" : "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" : [
              "extensions",
              "user content",
              "modifiers"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "BackboneElement.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "isModifier" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.low",
            "path" : "Observation.referenceRange.low",
            "short" : "ReferenceRangeLowerLimit",
            "definition" : "The lower reference limit for the patient of the value measured with the test.",
            "alias" : [
              "ReferentieOndergrens"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.referenceRange.low",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Quantity",
                "profile" : "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
              }
            ],
            "condition" : [
              "obs-3"
            ],
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "OBX-7"
              },
              {
                "identity" : "rim",
                "map" : "value:IVL_PQ.low"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.12",
                "comment" : "LowerReferenceLimit"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.12",
                "comment" : "LowerReferenceLimit"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.12",
                "comment" : "ReferenceRangeLowerLimit"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.low.id",
            "path" : "Observation.referenceRange.low.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.low.extension",
            "path" : "Observation.referenceRange.low.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.low.value",
            "path" : "Observation.referenceRange.low.value",
            "short" : "Numerical value (with implicit precision)",
            "definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.",
            "comment" : "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).",
            "requirements" : "Precision is handled implicitly in almost all cases of measurement.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Quantity.value",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "decimal"
              }
            ],
            "mustSupport" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "SN.2  / CQ - N/A"
              },
              {
                "identity" : "rim",
                "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.low.comparator",
            "path" : "Observation.referenceRange.low.comparator",
            "short" : "< | <= | >= | > - how to understand the value",
            "definition" : "Not allowed to be used in this context",
            "comment" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value.",
            "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "Quantity.comparator",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value",
            "isModifier" : true,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "QuantityComparator"
                }
              ],
              "strength" : "required",
              "description" : "How the Quantity should be understood and represented.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2"
              }
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "SN.1  / CQ.1"
              },
              {
                "identity" : "rim",
                "map" : "IVL properties"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.low.unit",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "Observation.referenceRange.low.unit",
            "short" : "Unit representation",
            "definition" : "A human-readable form of the unit.",
            "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Quantity.unit",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mustSupport" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "(see OBX.6 etc.) / CQ.2"
              },
              {
                "identity" : "rim",
                "map" : "PQ.unit"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.low.system",
            "path" : "Observation.referenceRange.low.system",
            "short" : "System that defines coded unit form",
            "definition" : "The identification of the system that provides the coded form of the unit.",
            "requirements" : "Need to know the system that defines the coded form of the unit.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Quantity.system",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "condition" : [
              "qty-3"
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "(see OBX.6 etc.) / CQ.2"
              },
              {
                "identity" : "rim",
                "map" : "CO.codeSystem, PQ.translation.codeSystem"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.low.code",
            "path" : "Observation.referenceRange.low.code",
            "short" : "Coded form of the unit",
            "definition" : "A computer processable form of the unit in some unit representation system.",
            "comment" : "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system.",
            "requirements" : "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Quantity.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "(see OBX.6 etc.) / CQ.2"
              },
              {
                "identity" : "rim",
                "map" : "PQ.code, MO.currency, PQ.translation.code"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.high",
            "path" : "Observation.referenceRange.high",
            "short" : "ReferenceRangeUpperLimit",
            "definition" : "The upper reference limit for the patient of the value measured in the test.",
            "alias" : [
              "ReferentieBovengrens"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.referenceRange.high",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Quantity",
                "profile" : "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
              }
            ],
            "condition" : [
              "obs-3"
            ],
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "OBX-7"
              },
              {
                "identity" : "rim",
                "map" : "value:IVL_PQ.high"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.11",
                "comment" : "UpperReferenceLimit"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.11",
                "comment" : "UpperReferenceLimit"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.11",
                "comment" : "ReferenceRangeUpperLimit"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.high.id",
            "path" : "Observation.referenceRange.high.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.high.extension",
            "path" : "Observation.referenceRange.high.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.high.value",
            "path" : "Observation.referenceRange.high.value",
            "short" : "Numerical value (with implicit precision)",
            "definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.",
            "comment" : "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).",
            "requirements" : "Precision is handled implicitly in almost all cases of measurement.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Quantity.value",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "decimal"
              }
            ],
            "mustSupport" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "SN.2  / CQ - N/A"
              },
              {
                "identity" : "rim",
                "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.high.comparator",
            "path" : "Observation.referenceRange.high.comparator",
            "short" : "< | <= | >= | > - how to understand the value",
            "definition" : "Not allowed to be used in this context",
            "comment" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value.",
            "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "Quantity.comparator",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value",
            "isModifier" : true,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "QuantityComparator"
                }
              ],
              "strength" : "required",
              "description" : "How the Quantity should be understood and represented.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2"
              }
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "SN.1  / CQ.1"
              },
              {
                "identity" : "rim",
                "map" : "IVL properties"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.high.unit",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "Observation.referenceRange.high.unit",
            "short" : "Unit representation",
            "definition" : "A human-readable form of the unit.",
            "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Quantity.unit",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mustSupport" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "(see OBX.6 etc.) / CQ.2"
              },
              {
                "identity" : "rim",
                "map" : "PQ.unit"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.high.system",
            "path" : "Observation.referenceRange.high.system",
            "short" : "System that defines coded unit form",
            "definition" : "The identification of the system that provides the coded form of the unit.",
            "requirements" : "Need to know the system that defines the coded form of the unit.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Quantity.system",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "condition" : [
              "qty-3"
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "(see OBX.6 etc.) / CQ.2"
              },
              {
                "identity" : "rim",
                "map" : "CO.codeSystem, PQ.translation.codeSystem"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.high.code",
            "path" : "Observation.referenceRange.high.code",
            "short" : "Coded form of the unit",
            "definition" : "A computer processable form of the unit in some unit representation system.",
            "comment" : "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system.",
            "requirements" : "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Quantity.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "(see OBX.6 etc.) / CQ.2"
              },
              {
                "identity" : "rim",
                "map" : "PQ.code, MO.currency, PQ.translation.code"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.type",
            "path" : "Observation.referenceRange.type",
            "short" : "Reference range qualifier",
            "definition" : "Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.",
            "comment" : "This SHOULD be populated if there is more than one range.  If this element is not present then the normal range is assumed.",
            "requirements" : "Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc,  - for proper interpretation.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.referenceRange.type",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationRangeMeaning"
                }
              ],
              "strength" : "extensible",
              "description" : "Code for the meaning of a reference range.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/referencerange-meaning"
              }
            },
            "mapping" : [
              {
                "identity" : "sct-concept",
                "map" : "< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
              },
              {
                "identity" : "v2",
                "map" : "OBX-10"
              },
              {
                "identity" : "rim",
                "map" : "interpretationCode"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.appliesTo",
            "path" : "Observation.referenceRange.appliesTo",
            "short" : "Reference range population",
            "definition" : "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" : "This SHOULD be populated if there is more than one range.  If this element is not present then the normal population is assumed.",
            "requirements" : "Need to be able to identify the target population for proper interpretation.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.referenceRange.appliesTo",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationRangeType"
                }
              ],
              "strength" : "example",
              "description" : "Codes identifying the population the reference range applies to.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/referencerange-appliesto"
              }
            },
            "mapping" : [
              {
                "identity" : "sct-concept",
                "map" : "< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
              },
              {
                "identity" : "v2",
                "map" : "OBX-10"
              },
              {
                "identity" : "rim",
                "map" : "interpretationCode"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.age",
            "path" : "Observation.referenceRange.age",
            "short" : "Applicable age range, if relevant",
            "definition" : "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" : "Some analytes vary greatly over age.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.referenceRange.age",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Range"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.text",
            "path" : "Observation.referenceRange.text",
            "short" : "Text based reference range in an observation",
            "definition" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.referenceRange.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "OBX-7"
              },
              {
                "identity" : "rim",
                "map" : "value:ST"
              }
            ]
          },
          {
            "id" : "Observation.related",
            "path" : "Observation.related",
            "short" : "RelatedResults",
            "definition" : "Reference to related LaboratoryTestResult instances, or to the LaboratoryTest concept if this is a grouping Observation.",
            "comment" : "The `Observation.related` field is used for two different HCIM use cases:\r\n1. The LaboratoryTestResult can reference other, related LaboratoryTestResults (RelatedResult, NL-CM:13.1.33).\r\n2. The LaboratoryTestResult can consist of multiple LaboratoryTest concepts (NL-CM:13.1.3)\r\n\r\nSee the documentation on the root if this profile for guidance on implementing these use cases.",
            "requirements" : "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" : [
              "GerelateerdeUitslag",
              "LaboratoriumTest"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.related",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "BackboneElement"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() | (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "Relationships established by OBX-4 usage"
              },
              {
                "identity" : "rim",
                "map" : "outBoundRelationship"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.33",
                "comment" : "RelatedResults"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.3",
                "comment" : "LaboratoryTest"
              }
            ]
          },
          {
            "id" : "Observation.related.id",
            "path" : "Observation.related.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.related.extension",
            "path" : "Observation.related.extension",
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.related.modifierExtension",
            "path" : "Observation.related.modifierExtension",
            "short" : "Extensions that cannot be ignored",
            "definition" : "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" : "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" : [
              "extensions",
              "user content",
              "modifiers"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "BackboneElement.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "isModifier" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Observation.related.type",
            "path" : "Observation.related.type",
            "short" : "has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by",
            "definition" : "A code specifying the kind of relationship that exists with the target resource.",
            "comment" : "The \"derived-from\" type is the only logical choice when referencing the QuestionnaireAnswer resource.",
            "requirements" : "A relationship type SHOULD be provided.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.related.type",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationRelationshipType"
                }
              ],
              "strength" : "required",
              "description" : "Codes specifying how two observations are related.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/observation-relationshiptypes"
              }
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "N/A"
              },
              {
                "identity" : "rim",
                "map" : ".typeCode"
              }
            ]
          },
          {
            "id" : "Observation.related.target",
            "path" : "Observation.related.target",
            "short" : "Resource that is related to this one",
            "definition" : "A reference to the observation or [QuestionnaireResponse](http://hl7.org/fhir/STU3/questionnaireresponse.html#) resource that is related to this observation.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.related.target",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Sequence"
              },
              {
                "code" : "Reference",
                "targetProfile" : "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".targetObservation"
              }
            ]
          },
          {
            "id" : "Observation.component",
            "path" : "Observation.component",
            "short" : "LaboratoryTest",
            "definition" : "Container of the LaboratoryTest concept. This container contains all data elements of the LaboratoryTest concept.",
            "comment" : "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" : "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.",
            "alias" : [
              "LaboratoriumTest"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.component",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "BackboneElement"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() | (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "containment by OBX-4?"
              },
              {
                "identity" : "rim",
                "map" : "outBoundRelationship[typeCode=COMP]"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.3",
                "comment" : "LaboratoryTest"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.3",
                "comment" : "LaboratoryTest"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.3",
                "comment" : "LaboratoryTest"
              }
            ]
          },
          {
            "id" : "Observation.component.id",
            "path" : "Observation.component.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "xml:id (or equivalent in JSON)",
            "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.component.extension",
            "path" : "Observation.component.extension",
            "short" : "Additional Content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.component.modifierExtension",
            "path" : "Observation.component.modifierExtension",
            "short" : "Extensions that cannot be ignored",
            "definition" : "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" : "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" : [
              "extensions",
              "user content",
              "modifiers"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "BackboneElement.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "isModifier" : true,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Observation.component.code",
            "path" : "Observation.component.code",
            "short" : "TestCode",
            "definition" : "The TestCode is the name of the executed test.",
            "requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.",
            "alias" : [
              "TestCode"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.component.code",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationCode"
                }
              ],
              "strength" : "extensible",
              "description" : "LOINC (2.16.840.1.113883.6.1): All values",
              "valueSetReference" : {
                🔗 "reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.3--20171231000000"
              }
            },
            "mapping" : [
              {
                "identity" : "sct-concept",
                "map" : "< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"
              },
              {
                "identity" : "v2",
                "map" : "OBX-3"
              },
              {
                "identity" : "rim",
                "map" : "code"
              },
              {
                "identity" : "w5",
                "map" : "what"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.8",
                "comment" : "TestName"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.8",
                "comment" : "TestName"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.8",
                "comment" : "TestCode"
              }
            ]
          },
          {
            "id" : "Observation.component.value[x]",
            "path" : "Observation.component.value[x]",
            "short" : "TestResult",
            "definition" : "The test result. Depending on the type of test, the result will consist of a value with a unit or a coded value (ordinal or nominal).",
            "comment" : "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" : "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" : [
              "TestUitslag"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.component.value[x]",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Quantity"
              },
              {
                "code" : "CodeableConcept"
              },
              {
                "code" : "string"
              },
              {
                "code" : "Range"
              },
              {
                "code" : "Ratio"
              },
              {
                "code" : "SampledData"
              },
              {
                "code" : "Attachment"
              },
              {
                "code" : "time"
              },
              {
                "code" : "dateTime"
              },
              {
                "code" : "Period"
              }
            ],
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "sct-concept",
                "map" : "363714003 |Interprets| < 441742003 |Evaluation finding|"
              },
              {
                "identity" : "v2",
                "map" : "OBX.2, OBX.5, OBX.6"
              },
              {
                "identity" : "rim",
                "map" : "value"
              },
              {
                "identity" : "sct-attr",
                "map" : "363714003 |Interprets|"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.10",
                "comment" : "TestResult"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.10",
                "comment" : "TestResult"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.10",
                "comment" : "TestResult"
              }
            ]
          },
          {
            "id" : "Observation.component.dataAbsentReason",
            "path" : "Observation.component.dataAbsentReason",
            "short" : "Why the component result is missing",
            "definition" : "Provides a reason why the expected value in the element Observation.value[x] is missing.",
            "comment" : "\"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" : "For many results it is necessary to handle exceptional values in measurements.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.component.dataAbsentReason",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "condition" : [
              "obs-6"
            ],
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationValueAbsentReason"
                }
              ],
              "strength" : "extensible",
              "description" : "Codes specifying why the result (Observation.value[x]) is missing.",
              "valueSetReference" : {
                🔗 "reference" : "http://hl7.org/fhir/ValueSet/observation-valueabsentreason"
              }
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "N/A"
              },
              {
                "identity" : "rim",
                "map" : "value.nullFlavor"
              }
            ]
          },
          {
            "id" : "Observation.component.interpretation",
            "path" : "Observation.component.interpretation",
            "short" : "ResultFlags",
            "definition" : "Attention codes indicating whether the result is above or below certain reference values or interpreting the result otherwise. (Resistent)",
            "comment" : "A ConceptMap (https://simplifier.net/resolve?canonical=http://nictiz.nl/fhir/ConceptMap/InterpretatieVlaggenCodelijst-to-observation-interpretation) is available that maps ResultFlagsCodelist to the observation-interpretation value set.",
            "requirements" : "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.",
            "alias" : [
              "Abnormal Flag",
              "InterpretatieVlaggen"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.component.interpretation",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "ObservationInterpretation"
                }
              ],
              "strength" : "extensible",
              "description" : "InterpretatieVlaggenCodelijst",
              "valueSetReference" : {
                🔗 "reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000"
              }
            },
            "mapping" : [
              {
                "identity" : "sct-concept",
                "map" : "< 260245000 |Findings values|"
              },
              {
                "identity" : "v2",
                "map" : "OBX-8"
              },
              {
                "identity" : "rim",
                "map" : "interpretationCode"
              },
              {
                "identity" : "sct-attr",
                "map" : "363713009 |Has interpretation|"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
                "map" : "NL-CM:13.1.14",
                "comment" : "ResultFlags"
              },
              {
                "identity" : "hcim-laboratorytestresultfortransfer-v3.0-2016EN",
                "map" : "NL-CM:13.1.14",
                "comment" : "ResultFlags"
              },
              {
                "identity" : "hcim-laboratorytestresult-v4.1-2017EN",
                "map" : "NL-CM:13.1.14",
                "comment" : "ResultFlags"
              }
            ]
          },
          {
            "id" : "Observation.component.referenceRange",
            "path" : "Observation.component.referenceRange",
            "short" : "Provides guide for interpretation of component result",
            "definition" : "Guidance on how to interpret the value by comparison to a normal or recommended range.",
            "comment" : "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" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.component.referenceRange",
              "min" : 0,
              "max" : "*"
            },
            "contentReference" : "http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange",
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "OBX.7"
              },
              {
                "identity" : "rim",
                "map" : "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"
              }
            ]
          }
        ]
      },
      "differential" : {
        "element" : [
          {
            "id" : "Observation",
            "path" : "Observation"
          },
          {
            "id" : "Observation.status",
            "path" : "Observation.status",
            "mustSupport" : true
          },
          {
            "id" : "Observation.code.coding.display",
            "path" : "Observation.code.coding.display",
            "mustSupport" : true
          },
          {
            "id" : "Observation.code.text",
            "path" : "Observation.code.text",
            "mustSupport" : true
          },
          {
            "id" : "Observation.effectiveDateTime",
            "path" : "Observation.effectiveDateTime",
            "mustSupport" : true
          },
          {
            "id" : "Observation.valueQuantity",
            "path" : "Observation.valueQuantity",
            "mustSupport" : true
          },
          {
            "id" : "Observation.valueQuantity.value",
            "path" : "Observation.valueQuantity.value",
            "mustSupport" : true
          },
          {
            "id" : "Observation.valueQuantity.unit",
            "path" : "Observation.valueQuantity.unit",
            "mustSupport" : true
          },
          {
            "id" : "Observation.interpretation.coding.code",
            "path" : "Observation.interpretation.coding.code",
            "mustSupport" : true
          },
          {
            "id" : "Observation.interpretation.text",
            "path" : "Observation.interpretation.text",
            "mustSupport" : true
          },
          {
            "id" : "Observation.specimen",
            "path" : "Observation.specimen",
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : "http://fhir.hl7.nl/zorgviewer/StructureDefinition/Specimen"
              }
            ],
            "mustSupport" : true
          },
          {
            "id" : "Observation.referenceRange.low.value",
            "path" : "Observation.referenceRange.low.value",
            "mustSupport" : true
          },
          {
            "id" : "Observation.referenceRange.low.unit",
            "path" : "Observation.referenceRange.low.unit",
            "mustSupport" : true
          },
          {
            "id" : "Observation.referenceRange.high.value",
            "path" : "Observation.referenceRange.high.value",
            "mustSupport" : true
          },
          {
            "id" : "Observation.referenceRange.high.unit",
            "path" : "Observation.referenceRange.high.unit",
            "mustSupport" : true
          }
        ]
      }
    }