RIVO-Noord Zorgviewer Implementation Guide
1.23.0 - 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 1.23.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions

## Resource Profile: LivingSituation

Official URL: http://fhir.hl7.nl/zorgviewer/StructureDefinition/LivingSituation | Version: 1.23.0
Active as of 2026-03-30 | Computable Name: LivingSituation

Woonsituatie

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

### Zorginformatiebouwsteen

ZIB Woonsituatie

### View Definition

- ViewDefinition voor Woonsituatie

### UI Wireframe

Woonsituatie

>< | Bron | Datum | Woningtype | Toelichting
--- | --- | --- | --- | ---
+ | Chipsoft | 30-9-2022 | Eengezinswoning |
+ | Epic |  | eengezinswoning |
+ | Nictiz |  | Eengezinswoning |

### Kolomdefinities

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

### Codesystemen

### Request

1. Opvragen (search) woonsituatie

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

### Bronsysteem herkennen

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

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

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

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

Usages:

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

You can also check for usages in the FHIR IG Statistics

Changes since version 1.22.0:

- New Content

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Zib LivingSituation | LivingSituation Constraints: obs-7, obs-6
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:livingSituationCode | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 365508006
subject | Σ | 1..1 | Reference(Group | Device | nl-core-location | nl-core-patient) | Who and/or what this is about
Slices for valueCodeableConcept |  |  |  | Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | TypeOfHome Binding: WoningTypeCodelijst (extensible): Type of home the patient lives in. Example Example of TypeofHome: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.13.1","code":"FLATW","display":"Appartement of flatwoning"}]}
text | S Σ | 0..1 | string | Plain text representation of the concept
comment | S | 0..1 | string | Comment
Documentation for this format

#### Terminology Bindings

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

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-1 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain any narrative | `contained.text.empty()`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource | `contained.where(('#'+id in %resource.descendants().reference).not()).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If code is the same as a component code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()`

This structure is derived from Zib LivingSituation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | Zib LivingSituation | LivingSituation
​ valueCodeableConcept |  |  |  |
​ text | S | 0..1 | string | Plain text representation of the concept
comment | S | 0..1 | string | Comment
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Zib LivingSituation | LivingSituation Constraints: obs-7, obs-6
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: Common Languages (extensible): A human language.
Additional Bindings | Purpose
All Languages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional Content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) | Fulfills plan, proposal or order
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: Observation Category Codes (preferred): Codes for high level observation categories.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:livingSituationCode | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 365508006
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(Group | Device | nl-core-location | nl-core-patient) | Who and/or what this is about
context |  | 0..1 | Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) | Healthcare event during which this observation is made
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
issued | Σ | 0..1 | instant | Date/Time this was made available
performer | Σ | 0..* | Reference(nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson) | Who is responsible for the observation
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole |  | 0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
Slices for valueCodeableConcept |  |  |  | Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | TypeOfHome Binding: WoningTypeCodelijst (extensible): Type of home the patient lives in. Example Example of TypeofHome: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.13.1","code":"FLATW","display":"Appartement of flatwoning"}]}
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | S Σ | 0..1 | string | Plain text representation of the concept
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
comment | S | 0..1 | string | Comment
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Binding: Observation Methods (example): Methods for simple observations.
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
low | C | 0..1 | SimpleQuantity | Low Range, if relevant
high | C | 0..1 | SimpleQuantity | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
related | Σ | 0..* | BackboneElement | Resource related to this observation
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
type |  | 0..1 | code | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.
target |  | 1..1 | Reference(Observation | QuestionnaireResponse | Sequence) | Resource that is related to this one
component | Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations.
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueAttachment |  |  | Attachment |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.language | Base | extensible | Common Languages | 📦3.0.2 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📦3.0.2 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📦3.0.2 | FHIR Std.
Observation.code | Base | example | LOINC Codes | 📦3.0.2 | FHIR Std.
Observation.valueCodeableConcept:valueCodeableConcept | Base | extensible | WoningTypeCodelijst | 📦2017-12-31T00:00:00 | Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.dataAbsentReason | Base | extensible | Observation Value Absent Reason | 📦3.0.2 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦3.0.2 | FHIR Std.
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📦3.0.2 | FHIR Std.
Observation.method | Base | example | Observation Methods | 📦3.0.2 | FHIR Std.
Observation.referenceRange.​type | Base | extensible | Observation Reference Range Meaning Codes | 📦3.0.2 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦3.0.2 | FHIR Std.
Observation.related.​type | Base | required | ObservationRelationshipType | 📦3.0.2 | FHIR Std.
Observation.component.​code | Base | example | LOINC Codes | 📦3.0.2 | FHIR Std.
Observation.component.​dataAbsentReason | Base | extensible | Observation Value Absent Reason | 📦3.0.2 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📦3.0.2 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-1 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain any narrative | `contained.text.empty()`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource | `contained.where(('#'+id in %resource.descendants().reference).not()).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() | (children().count() > id.count())`
ext-1 | error | Observation.performer.extension:practitionerRole | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text | `low.exists() or high.exists() or text.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If code is the same as a component code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()`

This structure is derived from Zib LivingSituation

Summary

Must-Support: 2 elements

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Zib LivingSituation | LivingSituation Constraints: obs-7, obs-6
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:livingSituationCode | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 365508006
subject | Σ | 1..1 | Reference(Group | Device | nl-core-location | nl-core-patient) | Who and/or what this is about
Slices for valueCodeableConcept |  |  |  | Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | TypeOfHome Binding: WoningTypeCodelijst (extensible): Type of home the patient lives in. Example Example of TypeofHome: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.13.1","code":"FLATW","display":"Appartement of flatwoning"}]}
text | S Σ | 0..1 | string | Plain text representation of the concept
comment | S | 0..1 | string | Comment
Documentation for this format

#### Terminology Bindings

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

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-1 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain any narrative | `contained.text.empty()`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource | `contained.where(('#'+id in %resource.descendants().reference).not()).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If code is the same as a component code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()`

Differential View

This structure is derived from Zib LivingSituation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | Zib LivingSituation | LivingSituation
​ valueCodeableConcept |  |  |  |
​ text | S | 0..1 | string | Plain text representation of the concept
comment | S | 0..1 | string | Comment
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Zib LivingSituation | LivingSituation Constraints: obs-7, obs-6
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: Common Languages (extensible): A human language.
Additional Bindings | Purpose
All Languages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional Content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) | Fulfills plan, proposal or order
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: Observation Category Codes (preferred): Codes for high level observation categories.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:livingSituationCode | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 365508006
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(Group | Device | nl-core-location | nl-core-patient) | Who and/or what this is about
context |  | 0..1 | Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) | Healthcare event during which this observation is made
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
issued | Σ | 0..1 | instant | Date/Time this was made available
performer | Σ | 0..* | Reference(nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson) | Who is responsible for the observation
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole |  | 0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
Slices for valueCodeableConcept |  |  |  | Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | TypeOfHome Binding: WoningTypeCodelijst (extensible): Type of home the patient lives in. Example Example of TypeofHome: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.13.1","code":"FLATW","display":"Appartement of flatwoning"}]}
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | S Σ | 0..1 | string | Plain text representation of the concept
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
comment | S | 0..1 | string | Comment
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Binding: Observation Methods (example): Methods for simple observations.
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
low | C | 0..1 | SimpleQuantity | Low Range, if relevant
high | C | 0..1 | SimpleQuantity | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
related | Σ | 0..* | BackboneElement | Resource related to this observation
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
type |  | 0..1 | code | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.
target |  | 1..1 | Reference(Observation | QuestionnaireResponse | Sequence) | Resource that is related to this one
component | Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations.
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueAttachment |  |  | Attachment |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.language | Base | extensible | Common Languages | 📦3.0.2 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📦3.0.2 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📦3.0.2 | FHIR Std.
Observation.code | Base | example | LOINC Codes | 📦3.0.2 | FHIR Std.
Observation.valueCodeableConcept:valueCodeableConcept | Base | extensible | WoningTypeCodelijst | 📦2017-12-31T00:00:00 | Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.dataAbsentReason | Base | extensible | Observation Value Absent Reason | 📦3.0.2 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦3.0.2 | FHIR Std.
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📦3.0.2 | FHIR Std.
Observation.method | Base | example | Observation Methods | 📦3.0.2 | FHIR Std.
Observation.referenceRange.​type | Base | extensible | Observation Reference Range Meaning Codes | 📦3.0.2 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦3.0.2 | FHIR Std.
Observation.related.​type | Base | required | ObservationRelationshipType | 📦3.0.2 | FHIR Std.
Observation.component.​code | Base | example | LOINC Codes | 📦3.0.2 | FHIR Std.
Observation.component.​dataAbsentReason | Base | extensible | Observation Value Absent Reason | 📦3.0.2 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📦3.0.2 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-1 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain any narrative | `contained.text.empty()`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource | `contained.where(('#'+id in %resource.descendants().reference).not()).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() | (children().count() > id.count())`
ext-1 | error | Observation.performer.extension:practitionerRole | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text | `low.exists() or high.exists() or text.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If code is the same as a component code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()`

This structure is derived from Zib LivingSituation

Summary

Must-Support: 2 elements

Other representations of profile: CSV, Excel, Schematron