Dit profiel is het resultaat van de vergelijking tussen de zib2017 STU3 en zibs2020 R4 FHIR Profiel, relevante informatiestandarden en de implementaties in de ontsloten systemen en instellingen. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Woonsituatie

View Definition

• ViewDefinition voor Woonsituatie

UI Wireframe

Woonsituatie

Gegevensherkomst

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.

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

Key Elements View

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

This structure is derived from Zib LivingSituation

Summary

Must-Support: 2 elements