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

RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.8.0 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

Official URL: http://hl7.nl/fhir/zorgviewer/StructureDefinition/LaboratoryTestResult Version: 1.8.0
Active as of 2024-11-25 Computable Name: LaboratoryTestResult

Laboratorium Test Uitslagen

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

Zorginformatiebouwsteen

ZIB Laboratorium uitslag

User-Interface guidance

Een schets van het scherm met labels en sortering informatie

Kolom definities:

Kolom label FHIR Path FHIR Type Zib element Toelichting of regels
Bron .meta.extension[system="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
Afnamedatum .specimen.resolve().collection.collectedDateTime dateTime Monster/ AfnameDatumTijd
Test .code.text string​ TestCode
Testuitslag (interpretatie) .valueString of .valueQuantity.value + .valueQuantity.unit + (.interpretation.code zie toelichting) decimal + string (+ icon​) TestUitslag, InterpretatieVlaggen .interpretation.code
"AA": uitroepteken icon, kritiek
"281302008" of "H": pijl omhoog, boven de bovengrens
"281300000" of "L": pijl naar beneden, onder de ondergrens
N.B. Resistent, Intermediar en Sensitief vanuit de standaard zijn niet van toepassing op de klinische chemie.

Epic: Indien lab-order geannuleerd, dan wordt deze kolom gevuld met "GEANNULEERD". Dit is voor nu akkoord bevonden door stuurgroep Zorgviewer.
Onder- en bovengrens .referenceRange.low.value '–' .referenceRange.high.value + .referenceRange.high.unit
indien low.unit en high.unit niet gelijk zijn aan elkaar:
.referenceRange.low.value + .referenceRange.low.unit '–' .referenceRange.high.value + .referenceRange.high.unit		 decimal + string​ ReferentieOndergrens, ReferentieBovengrens
Materiaal .specimen.resolve().type.text string​ Monster/ Monstermateriaal
Status .status code ResultaatStatus Epic: Indien lab-order geannuleerd, dan krijgt dit alsnog de status Definitief met een Testuitslag van "GEANNULEERD". Dit is voor nu akkoord bevonden door stuurgroep Zorgviewer. ​
(1) UITKLAPVELD
Commentaar .comment string Toelichting ​
Toelichting materiaal .specimen.revolve().note.text string Monster/ Toelichting ​

Zoeken naar codes

Request

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

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

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

Bronsysteem herkennen

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

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

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

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

Usage:

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

Formal Views of Profile Content

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

This structure is derived from Zib LaboratoryTestResult Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Zib LaboratoryTestResult Observation LaboratoryTestResult
... status S 1..1 code TestUitslagStatus
... code
.... text S 0..1 string Plain text representation of the concept
... effectiveDateTime S 0..1 dateTime TestDateTime
.... value S 0..1 decimal Numerical value (with implicit precision)
.... unit S 0..1 string Unit representation
... interpretation
.... coding
..... code S 0..1 code Symbol in syntax defined by the system
.... text S 0..1 string Plain text representation of the concept
... specimen S 0..1 Reference(Specimen) Specimen
... referenceRange
.... low
..... value S 0..1 decimal Numerical value (with implicit precision)
..... unit S 0..1 string Unit representation
.... high
..... value S 0..1 decimal Numerical value (with implicit precision)
..... unit S 0..1 string Unit representation

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Zib LaboratoryTestResult Observation LaboratoryTestResult
obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code TestUitslagStatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

.... Slices for extension Content/Rules for all slices
..... TestResultStatus 0..1 (Complex) TestResultStatus
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
...... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ResultaatStatusCodelijst (extensible): TestResultStatusCodelist

.... category:LaboratoryTestResultCode 1..1 CodeableConcept LaboratoryTestResultCode
Binding: Observation Category Codes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 49581000146104
.... category:ResultType 0..1 CodeableConcept ResultType
Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst


... code Σ 1..1 CodeableConcept TestCode or PanelOrBattery
Binding: LOINC Codes (example): Codes identifying names of simple observations.

.... text SΣ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Patient
... Slices for effective[x] Σ 0..1 dateTime TestDateTime
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime TestDateTime
... Slices for value[x] ΣC 0..1 Quantity TestResult
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 0..1 Quantity TestResult
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ 0..1 string Unit representation
... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.

.... Slices for coding ΣC 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
zib-LaboratoryTestResult-Observation-1: If a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.
..... coding:All Slices Content/Rules for all slices
...... code SΣ 0..1 code Symbol in syntax defined by the system
..... coding:ObservationInterpretation Σ 0..* Coding Code defined by a terminology system
Binding: Observation Interpretation Codes (required): Observation Interpretation Codes


...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/v2/0078
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:InterpretatieVlaggenCodelijst Σ 0..* Coding ResultFlags
Binding: InterpretatieVlaggenCodelijst (required): InterpretatieVlaggenCodelijst


...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... specimen S 0..1 Reference(Specimen) Specimen
... referenceRange C 0..* BackboneElement Reference
obs-3: Must have at least a low or a high or text
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... low C 0..1 SimpleQuantity ReferenceRangeLowerLimit
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
.... high C 0..1 SimpleQuantity ReferenceRangeUpperLimit
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status
from the FHIR Standard
Observation.status.extension:TestResultStatus.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000
Observation.categorypreferredObservation Category Codes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:LaboratoryTestResultCodepreferredPattern: SNOMED-CT Code 49581000146104
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:ResultTyperequiredResultaatTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000
Observation.codeexampleLOINC Codes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator
from the FHIR Standard
Observation.interpretationextensibleObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.interpretation.coding:ObservationInterpretationrequiredObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.interpretation.coding:InterpretatieVlaggenCodelijstrequiredInterpretatieVlaggenCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
zib-LaboratoryTestResult-Observation-1errorObservation.interpretation.codingIf a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.
: coding.where(system = 'http://snomed.info/sct' and (code = '281302008' or '281300000' or '11896004' or '30714006' or '131196009') ).exists() implies coding.where(system = 'http://hl7.org/fhir/v2/0078').exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Zib LaboratoryTestResult Observation LaboratoryTestResult
obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: Common Languages (extensible): A human language.

Additional BindingsPurpose
All Languages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional Content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order including requester information.
... status ?!SΣ 1..1 code TestUitslagStatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... TestResultStatus 0..1 (Complex) TestResultStatus
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
...... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ResultaatStatusCodelijst (extensible): TestResultStatusCodelist

.... value 0..1 code Primitive value for code
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: Observation Category Codes (preferred): Codes for high level observation categories.


.... category:LaboratoryTestResultCode 1..1 CodeableConcept LaboratoryTestResultCode
Binding: Observation Category Codes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 49581000146104
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... category:ResultType 0..1 CodeableConcept ResultType
Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst


... code Σ 1..1 CodeableConcept TestCode or PanelOrBattery
Binding: LOINC Codes (example): Codes identifying names of simple observations.

.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Patient
... context 0..1 Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) Encounter during which this observation is made
... Slices for effective[x] Σ 0..1 dateTime TestDateTime
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime TestDateTime
... issued Σ 0..1 instant Date/Time this was made available
... performer Σ 0..* Reference(nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who is responsible for the observation
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for value[x] ΣC 0..1 Quantity TestResult
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 0..1 Quantity TestResult
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.

.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding ΣC 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
zib-LaboratoryTestResult-Observation-1: If a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ObservationInterpretation Σ 0..* Coding Code defined by a terminology system
Binding: Observation Interpretation Codes (required): Observation Interpretation Codes


...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/v2/0078
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:InterpretatieVlaggenCodelijst Σ 0..* Coding ResultFlags
Binding: InterpretatieVlaggenCodelijst (required): InterpretatieVlaggenCodelijst


...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... comment 0..1 string Comment or ResultInterpretation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept TestMethod
Binding: TestmethodeCodelijst (extensible): SNOMED CT (2.16.840.1.113883.6.96): All values

... specimen S 0..1 Reference(Specimen) Specimen
... device 0..1 Reference(HCIM MedicalDevice Product) (Measurement) Device
... referenceRange C 0..* BackboneElement Reference
obs-3: Must have at least a low or a high or text
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... low C 0..1 SimpleQuantity ReferenceRangeLowerLimit
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... high C 0..1 SimpleQuantity ReferenceRangeUpperLimit
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... type 0..1 CodeableConcept Reference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... related Σ 0..* BackboneElement RelatedResults
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... type 0..1 code has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.

.... target 1..1 Reference(QuestionnaireResponse | Sequence | HCIM LaboratoryTestResult Observation) Resource that is related to this one
... component Σ 0..* BackboneElement LaboratoryTest
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... code Σ 1..1 CodeableConcept TestCode
Binding: TestCodeCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values

.... value[x] Σ 0..1 TestResult
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueAttachment Attachment
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..1 CodeableConcept ResultFlags
Binding: InterpretatieVlaggenCodelijst (extensible): InterpretatieVlaggenCodelijst

.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languageextensibleCommon Languages
Additional Bindings Purpose
All Languages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status
from the FHIR Standard
Observation.status.extension:TestResultStatus.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000
Observation.categorypreferredObservation Category Codes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:LaboratoryTestResultCodepreferredPattern: SNOMED-CT Code 49581000146104
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:ResultTyperequiredResultaatTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000
Observation.codeexampleLOINC Codes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator
from the FHIR Standard
Observation.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason
from the FHIR Standard
Observation.interpretationextensibleObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.interpretation.coding:ObservationInterpretationrequiredObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.interpretation.coding:InterpretatieVlaggenCodelijstrequiredInterpretatieVlaggenCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000
Observation.bodySiteexampleSNOMED CT Body Structures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodextensibleTestmethodeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.4--20171231000000
Observation.referenceRange.typeextensibleObservation Reference Range Meaning Codes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservation Reference Range Applies To Codes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.related.typerequiredObservationRelationshipType
http://hl7.org/fhir/ValueSet/observation-relationshiptypes
from the FHIR Standard
Observation.component.codeextensibleTestCodeCodelijst (a valid code from LOINC)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.3--20171231000000
Observation.component.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason
from the FHIR Standard
Observation.component.interpretationextensibleInterpretatieVlaggenCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
zib-LaboratoryTestResult-Observation-1errorObservation.interpretation.codingIf a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.
: coding.where(system = 'http://snomed.info/sct' and (code = '281302008' or '281300000' or '11896004' or '30714006' or '131196009') ).exists() implies coding.where(system = 'http://hl7.org/fhir/v2/0078').exists()

This structure is derived from Zib LaboratoryTestResult Observation

Summary

Must-Support: 13 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from Zib LaboratoryTestResult Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Zib LaboratoryTestResult Observation LaboratoryTestResult
... status S 1..1 code TestUitslagStatus
... code
.... text S 0..1 string Plain text representation of the concept
... effectiveDateTime S 0..1 dateTime TestDateTime
.... value S 0..1 decimal Numerical value (with implicit precision)
.... unit S 0..1 string Unit representation
... interpretation
.... coding
..... code S 0..1 code Symbol in syntax defined by the system
.... text S 0..1 string Plain text representation of the concept
... specimen S 0..1 Reference(Specimen) Specimen
... referenceRange
.... low
..... value S 0..1 decimal Numerical value (with implicit precision)
..... unit S 0..1 string Unit representation
.... high
..... value S 0..1 decimal Numerical value (with implicit precision)
..... unit S 0..1 string Unit representation

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Zib LaboratoryTestResult Observation LaboratoryTestResult
obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code TestUitslagStatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

.... Slices for extension Content/Rules for all slices
..... TestResultStatus 0..1 (Complex) TestResultStatus
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
...... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ResultaatStatusCodelijst (extensible): TestResultStatusCodelist

.... category:LaboratoryTestResultCode 1..1 CodeableConcept LaboratoryTestResultCode
Binding: Observation Category Codes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 49581000146104
.... category:ResultType 0..1 CodeableConcept ResultType
Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst


... code Σ 1..1 CodeableConcept TestCode or PanelOrBattery
Binding: LOINC Codes (example): Codes identifying names of simple observations.

.... text SΣ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Patient
... Slices for effective[x] Σ 0..1 dateTime TestDateTime
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime TestDateTime
... Slices for value[x] ΣC 0..1 Quantity TestResult
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 0..1 Quantity TestResult
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ 0..1 string Unit representation
... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.

.... Slices for coding ΣC 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
zib-LaboratoryTestResult-Observation-1: If a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.
..... coding:All Slices Content/Rules for all slices
...... code SΣ 0..1 code Symbol in syntax defined by the system
..... coding:ObservationInterpretation Σ 0..* Coding Code defined by a terminology system
Binding: Observation Interpretation Codes (required): Observation Interpretation Codes


...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/v2/0078
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:InterpretatieVlaggenCodelijst Σ 0..* Coding ResultFlags
Binding: InterpretatieVlaggenCodelijst (required): InterpretatieVlaggenCodelijst


...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... specimen S 0..1 Reference(Specimen) Specimen
... referenceRange C 0..* BackboneElement Reference
obs-3: Must have at least a low or a high or text
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... low C 0..1 SimpleQuantity ReferenceRangeLowerLimit
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
.... high C 0..1 SimpleQuantity ReferenceRangeUpperLimit
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status
from the FHIR Standard
Observation.status.extension:TestResultStatus.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000
Observation.categorypreferredObservation Category Codes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:LaboratoryTestResultCodepreferredPattern: SNOMED-CT Code 49581000146104
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:ResultTyperequiredResultaatTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000
Observation.codeexampleLOINC Codes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator
from the FHIR Standard
Observation.interpretationextensibleObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.interpretation.coding:ObservationInterpretationrequiredObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.interpretation.coding:InterpretatieVlaggenCodelijstrequiredInterpretatieVlaggenCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
zib-LaboratoryTestResult-Observation-1errorObservation.interpretation.codingIf a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.
: coding.where(system = 'http://snomed.info/sct' and (code = '281302008' or '281300000' or '11896004' or '30714006' or '131196009') ).exists() implies coding.where(system = 'http://hl7.org/fhir/v2/0078').exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Zib LaboratoryTestResult Observation LaboratoryTestResult
obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: Common Languages (extensible): A human language.

Additional BindingsPurpose
All Languages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional Content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order including requester information.
... status ?!SΣ 1..1 code TestUitslagStatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... TestResultStatus 0..1 (Complex) TestResultStatus
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
...... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ResultaatStatusCodelijst (extensible): TestResultStatusCodelist

.... value 0..1 code Primitive value for code
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: Observation Category Codes (preferred): Codes for high level observation categories.


.... category:LaboratoryTestResultCode 1..1 CodeableConcept LaboratoryTestResultCode
Binding: Observation Category Codes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 49581000146104
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... category:ResultType 0..1 CodeableConcept ResultType
Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst


... code Σ 1..1 CodeableConcept TestCode or PanelOrBattery
Binding: LOINC Codes (example): Codes identifying names of simple observations.

.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Patient
... context 0..1 Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) Encounter during which this observation is made
... Slices for effective[x] Σ 0..1 dateTime TestDateTime
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime TestDateTime
... issued Σ 0..1 instant Date/Time this was made available
... performer Σ 0..* Reference(nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who is responsible for the observation
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for value[x] ΣC 0..1 Quantity TestResult
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 0..1 Quantity TestResult
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.

.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding ΣC 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
zib-LaboratoryTestResult-Observation-1: If a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ObservationInterpretation Σ 0..* Coding Code defined by a terminology system
Binding: Observation Interpretation Codes (required): Observation Interpretation Codes


...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/v2/0078
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:InterpretatieVlaggenCodelijst Σ 0..* Coding ResultFlags
Binding: InterpretatieVlaggenCodelijst (required): InterpretatieVlaggenCodelijst


...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... comment 0..1 string Comment or ResultInterpretation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept TestMethod
Binding: TestmethodeCodelijst (extensible): SNOMED CT (2.16.840.1.113883.6.96): All values

... specimen S 0..1 Reference(Specimen) Specimen
... device 0..1 Reference(HCIM MedicalDevice Product) (Measurement) Device
... referenceRange C 0..* BackboneElement Reference
obs-3: Must have at least a low or a high or text
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... low C 0..1 SimpleQuantity ReferenceRangeLowerLimit
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... high C 0..1 SimpleQuantity ReferenceRangeUpperLimit
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... type 0..1 CodeableConcept Reference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... related Σ 0..* BackboneElement RelatedResults
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... type 0..1 code has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.

.... target 1..1 Reference(QuestionnaireResponse | Sequence | HCIM LaboratoryTestResult Observation) Resource that is related to this one
... component Σ 0..* BackboneElement LaboratoryTest
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... code Σ 1..1 CodeableConcept TestCode
Binding: TestCodeCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values

.... value[x] Σ 0..1 TestResult
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueAttachment Attachment
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..1 CodeableConcept ResultFlags
Binding: InterpretatieVlaggenCodelijst (extensible): InterpretatieVlaggenCodelijst

.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languageextensibleCommon Languages
Additional Bindings Purpose
All Languages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status
from the FHIR Standard
Observation.status.extension:TestResultStatus.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000
Observation.categorypreferredObservation Category Codes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:LaboratoryTestResultCodepreferredPattern: SNOMED-CT Code 49581000146104
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:ResultTyperequiredResultaatTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000
Observation.codeexampleLOINC Codes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator
from the FHIR Standard
Observation.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason
from the FHIR Standard
Observation.interpretationextensibleObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.interpretation.coding:ObservationInterpretationrequiredObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.interpretation.coding:InterpretatieVlaggenCodelijstrequiredInterpretatieVlaggenCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000
Observation.bodySiteexampleSNOMED CT Body Structures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodextensibleTestmethodeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.4--20171231000000
Observation.referenceRange.typeextensibleObservation Reference Range Meaning Codes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservation Reference Range Applies To Codes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.related.typerequiredObservationRelationshipType
http://hl7.org/fhir/ValueSet/observation-relationshiptypes
from the FHIR Standard
Observation.component.codeextensibleTestCodeCodelijst (a valid code from LOINC)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.3--20171231000000
Observation.component.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason
from the FHIR Standard
Observation.component.interpretationextensibleInterpretatieVlaggenCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
zib-LaboratoryTestResult-Observation-1errorObservation.interpretation.codingIf a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.
: coding.where(system = 'http://snomed.info/sct' and (code = '281302008' or '281300000' or '11896004' or '30714006' or '131196009') ).exists() implies coding.where(system = 'http://hl7.org/fhir/v2/0078').exists()

This structure is derived from Zib LaboratoryTestResult Observation

Summary

Must-Support: 13 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron