RIVO-Noord Zorgviewer Implementation Guide
1.27.0 - master 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 1.27.0 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: Mobiliteit

Official URL: http://fhir.hl7.nl/zorgviewer/StructureDefinition/Mobiliteit Version: 1.27.0
Active as of 2026-10-22 Computable Name: Mobiliteit

Mobiliteit (Observation)

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.

De specificatie op deze pagina is work-in-progress of gemaakt als uitwerking van een analyse als voorbeeld voor verdere discussie.

Zorginformatiebouwsteen

ZIB Mobiliteit

View Definition

ViewDefinition voor Mobiliteit

UI Wireframe

Mobiliteit

Bron Datum Lopen Traplopen Houding veranderen Houding handhaven Uitvoeren transfer Toelichting
Nictiz Needs help with walking Unable to manage stairsnce Independently able to change position Independently able to maintain position Ability to transfer location with assistance Rollator is eigen bezit.

Gegevensherkomst

Label FHIR Path Expression FHIR Type Zib element Toelichting of regels
Bron meta.extension('http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source').valueUri string nvt Lookup adhv uri (AGB-Z of OID) <adressering-base>/Organization?identifier=<.meta.tag.code> en gebruik dan Organization.name
Datum effectiveDateTime dateTime nvt
Lopen component.where(code.coding.exists(code='282097004')).select(value.coding.display | value.text) string Lopen
Traplopen component.where(code.coding.exists(code='301587001')).select(value.coding.display | value.text) string Traplopen
Houding veranderen component.where(code.coding.exists(code='282869009')).select(value.coding.display | value.text) string HoudingVeranderen
Houding handhaven component.where(code.coding.exists(code='249868004')).select(value.coding.display | value.text) string HoudingHandhaven
Uitvoeren transfer component.where(code.coding.exists(code='364666007')).select(value.coding.display | value.text) string UitvoerenTransfer
Toelichting comment | note[0].text string Comment

Request

  1. Opvragen (search) Mobiliteit

    GET <ontsluiten-bronsysteem-base>/Observation?patient=<fhir_patient_id>&code=http://snomed.info/sct|301438001

Bronsysteem herkennen

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

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

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

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

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Zib Mobility Measurements and simple assertions
Constraints: obs-7, obs-6
Observation.implicitRules This element is a modifier element. 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. This element must be supported. 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 This element must be supported. 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 This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
Observation.code.Slices for coding.coding:Mobility This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:Mobility.system 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:Mobility.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: 301438001 (no extensions allowed)
Observation.subject 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.effective[x] This element must be supported. 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.Slices for component This element must be supported. This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:All Slices.code This element must be supported. 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.Slices for component.component:All Slices.value[x] This element must be supported. This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueAttachment Attachment
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:Walking This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:Walking.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:Walking.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "282097004"
    }
  ]
}
Observation.Slices for component.component:Walking.value[x] This element is included in summaries. 0..1 CodeableConcept Walking
Binding: LopenCodelijst (extensible): LopenCodelijst
Observation.Slices for component.component:ClimbingStairs This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:ClimbingStairs.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:ClimbingStairs.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "301587001"
    }
  ]
}
Observation.Slices for component.component:ClimbingStairs.value[x] This element is included in summaries. 0..1 CodeableConcept ClimbingStairs
Binding: TraplopenCodelijst (extensible): TraplopenCodelijst
Observation.Slices for component.component:ChangingPosition This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:ChangingPosition.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:ChangingPosition.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "282869009"
    }
  ]
}
Observation.Slices for component.component:ChangingPosition.value[x] This element is included in summaries. 0..1 CodeableConcept ChangingPosition
Binding: HoudingVeranderenCodelijst (extensible): HoudingVeranderenCodelijst
Observation.Slices for component.component:MaintainingPosition This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:MaintainingPosition.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:MaintainingPosition.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "249868004"
    }
  ]
}
Observation.Slices for component.component:MaintainingPosition.value[x] This element is included in summaries. 0..1 CodeableConcept MaintainingPosition
Binding: HoudingHandhavenCodelijst (extensible): HoudingHandhavenCodelijst
Observation.Slices for component.component:Transfer This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:Transfer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:Transfer.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "364666007"
    }
  ]
}
Observation.Slices for component.component:Transfer.value[x] This element is included in summaries. 0..1 CodeableConcept Transfer
Binding: UitvoerenTransferCodelijst (extensible): UitvoerenTransferCodelijst

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📦3.0.2 FHIR Std.
Observation.code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:Walking.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:Walking.​value[x] Base extensible LopenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:ClimbingStairs.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:ClimbingStairs.​value[x] Base extensible TraplopenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:ChangingPosition.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:ChangingPosition.​value[x] Base extensible HoudingVeranderenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:MaintainingPosition.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:MaintainingPosition.​value[x] Base extensible HoudingHandhavenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:Transfer.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:Transfer.​value[x] Base extensible UitvoerenTransferCodelijst 📦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()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
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 Mobility

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* Zib Mobility Measurements and simple assertions
Observation.status This element must be supported. 1..1 code registered | preliminary | final | amended +
Observation.code This element must be supported. 1..1 CodeableConcept Type of observation (code / type)
Observation.effective[x] This element must be supported. 0..1 dateTime, Period Clinically relevant time/time-period for observation
Observation.component.code This element must be supported. 1..1 CodeableConcept Type of component observation (code / type)
Observation.component.value[x] This element must be supported. 0..1 Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, Period Actual component result

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Zib Mobility Measurements and simple assertions
Constraints: obs-7, obs-6
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. 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 BindingsPurpose
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 This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn 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. This element must be supported. 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 This element must be supported. 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 This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
Observation.code.Slices for coding.coding:Mobility This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:Mobility.id 0..1 string xml:id (or equivalent in JSON)
Observation.code.Slices for coding.coding:Mobility.extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:Mobility.system 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:Mobility.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.code.Slices for coding.coding:Mobility.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: 301438001 (no extensions allowed)
Observation.code.Slices for coding.coding:Mobility.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.code.Slices for coding.coding:Mobility.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.subject 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] This element must be supported. 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 This element is included in summaries. 0..1 instant Date/Time this was made available
Observation.performer 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 This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Observation.performer.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
Observation.performer.display This element is included in summaries. 0..1 string Text alternative for the resource
Observation.value[x] This element is included in summaries. C 0..1 Actual result
Observation.value[x].valueQuantity Quantity
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.value[x].valueString string
Observation.value[x].valueBoolean boolean
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueAttachment Attachment
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
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 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. 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 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. 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.Slices for component This element must be supported. This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string xml:id (or equivalent in JSON)
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional Content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:All Slices.code This element must be supported. 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.Slices for component.component:All Slices.value[x] This element must be supported. This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueAttachment Attachment
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.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.Slices for component.component:All Slices.interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:Walking This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:Walking.id 0..1 string xml:id (or equivalent in JSON)
Observation.Slices for component.component:Walking.extension 0..* Extension Additional Content defined by implementations
Observation.Slices for component.component:Walking.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:Walking.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "282097004"
    }
  ]
}
Observation.Slices for component.component:Walking.value[x] This element is included in summaries. 0..1 CodeableConcept Walking
Binding: LopenCodelijst (extensible): LopenCodelijst
Observation.Slices for component.component:Walking.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.Slices for component.component:Walking.interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:Walking.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:ClimbingStairs This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:ClimbingStairs.id 0..1 string xml:id (or equivalent in JSON)
Observation.Slices for component.component:ClimbingStairs.extension 0..* Extension Additional Content defined by implementations
Observation.Slices for component.component:ClimbingStairs.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:ClimbingStairs.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "301587001"
    }
  ]
}
Observation.Slices for component.component:ClimbingStairs.value[x] This element is included in summaries. 0..1 CodeableConcept ClimbingStairs
Binding: TraplopenCodelijst (extensible): TraplopenCodelijst
Observation.Slices for component.component:ClimbingStairs.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.Slices for component.component:ClimbingStairs.interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:ClimbingStairs.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:ChangingPosition This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:ChangingPosition.id 0..1 string xml:id (or equivalent in JSON)
Observation.Slices for component.component:ChangingPosition.extension 0..* Extension Additional Content defined by implementations
Observation.Slices for component.component:ChangingPosition.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:ChangingPosition.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "282869009"
    }
  ]
}
Observation.Slices for component.component:ChangingPosition.value[x] This element is included in summaries. 0..1 CodeableConcept ChangingPosition
Binding: HoudingVeranderenCodelijst (extensible): HoudingVeranderenCodelijst
Observation.Slices for component.component:ChangingPosition.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.Slices for component.component:ChangingPosition.interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:ChangingPosition.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:MaintainingPosition This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:MaintainingPosition.id 0..1 string xml:id (or equivalent in JSON)
Observation.Slices for component.component:MaintainingPosition.extension 0..* Extension Additional Content defined by implementations
Observation.Slices for component.component:MaintainingPosition.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:MaintainingPosition.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "249868004"
    }
  ]
}
Observation.Slices for component.component:MaintainingPosition.value[x] This element is included in summaries. 0..1 CodeableConcept MaintainingPosition
Binding: HoudingHandhavenCodelijst (extensible): HoudingHandhavenCodelijst
Observation.Slices for component.component:MaintainingPosition.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.Slices for component.component:MaintainingPosition.interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:MaintainingPosition.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:Transfer This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:Transfer.id 0..1 string xml:id (or equivalent in JSON)
Observation.Slices for component.component:Transfer.extension 0..* Extension Additional Content defined by implementations
Observation.Slices for component.component:Transfer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:Transfer.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "364666007"
    }
  ]
}
Observation.Slices for component.component:Transfer.value[x] This element is included in summaries. 0..1 CodeableConcept Transfer
Binding: UitvoerenTransferCodelijst (extensible): UitvoerenTransferCodelijst
Observation.Slices for component.component:Transfer.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.Slices for component.component:Transfer.interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:Transfer.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base extensible Common Languages 📦3.0.2 FHIR Std.
Observation.status Base required ObservationStatus 📦3.0.2 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦3.0.2 FHIR Std.
Observation.code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.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.
Observation.component:Walking.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:Walking.​value[x] Base extensible LopenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:Walking.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
Observation.component:Walking.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
Observation.component:ClimbingStairs.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:ClimbingStairs.​value[x] Base extensible TraplopenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:ClimbingStairs.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
Observation.component:ClimbingStairs.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
Observation.component:ChangingPosition.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:ChangingPosition.​value[x] Base extensible HoudingVeranderenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:ChangingPosition.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
Observation.component:ChangingPosition.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
Observation.component:MaintainingPosition.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:MaintainingPosition.​value[x] Base extensible HoudingHandhavenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:MaintainingPosition.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
Observation.component:MaintainingPosition.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
Observation.component:Transfer.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:Transfer.​value[x] Base extensible UitvoerenTransferCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:Transfer.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
Observation.component:Transfer.​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 Mobility

Summary

Must-Support: 6 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Zib Mobility Measurements and simple assertions
Constraints: obs-7, obs-6
Observation.implicitRules This element is a modifier element. 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. This element must be supported. 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 This element must be supported. 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 This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
Observation.code.Slices for coding.coding:Mobility This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:Mobility.system 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:Mobility.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: 301438001 (no extensions allowed)
Observation.subject 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.effective[x] This element must be supported. 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.Slices for component This element must be supported. This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:All Slices.code This element must be supported. 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.Slices for component.component:All Slices.value[x] This element must be supported. This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueAttachment Attachment
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:Walking This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:Walking.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:Walking.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "282097004"
    }
  ]
}
Observation.Slices for component.component:Walking.value[x] This element is included in summaries. 0..1 CodeableConcept Walking
Binding: LopenCodelijst (extensible): LopenCodelijst
Observation.Slices for component.component:ClimbingStairs This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:ClimbingStairs.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:ClimbingStairs.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "301587001"
    }
  ]
}
Observation.Slices for component.component:ClimbingStairs.value[x] This element is included in summaries. 0..1 CodeableConcept ClimbingStairs
Binding: TraplopenCodelijst (extensible): TraplopenCodelijst
Observation.Slices for component.component:ChangingPosition This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:ChangingPosition.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:ChangingPosition.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "282869009"
    }
  ]
}
Observation.Slices for component.component:ChangingPosition.value[x] This element is included in summaries. 0..1 CodeableConcept ChangingPosition
Binding: HoudingVeranderenCodelijst (extensible): HoudingVeranderenCodelijst
Observation.Slices for component.component:MaintainingPosition This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:MaintainingPosition.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:MaintainingPosition.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "249868004"
    }
  ]
}
Observation.Slices for component.component:MaintainingPosition.value[x] This element is included in summaries. 0..1 CodeableConcept MaintainingPosition
Binding: HoudingHandhavenCodelijst (extensible): HoudingHandhavenCodelijst
Observation.Slices for component.component:Transfer This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:Transfer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:Transfer.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "364666007"
    }
  ]
}
Observation.Slices for component.component:Transfer.value[x] This element is included in summaries. 0..1 CodeableConcept Transfer
Binding: UitvoerenTransferCodelijst (extensible): UitvoerenTransferCodelijst

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📦3.0.2 FHIR Std.
Observation.code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:Walking.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:Walking.​value[x] Base extensible LopenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:ClimbingStairs.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:ClimbingStairs.​value[x] Base extensible TraplopenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:ChangingPosition.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:ChangingPosition.​value[x] Base extensible HoudingVeranderenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:MaintainingPosition.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:MaintainingPosition.​value[x] Base extensible HoudingHandhavenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:Transfer.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:Transfer.​value[x] Base extensible UitvoerenTransferCodelijst 📦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()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
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 Mobility

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* Zib Mobility Measurements and simple assertions
Observation.status This element must be supported. 1..1 code registered | preliminary | final | amended +
Observation.code This element must be supported. 1..1 CodeableConcept Type of observation (code / type)
Observation.effective[x] This element must be supported. 0..1 dateTime, Period Clinically relevant time/time-period for observation
Observation.component This element must be supported. 0..* BackboneElement Component results
Observation.component.code This element must be supported. 1..1 CodeableConcept Type of component observation (code / type)
Observation.component.value[x] This element must be supported. 0..1 Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, Period Actual component result

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Zib Mobility Measurements and simple assertions
Constraints: obs-7, obs-6
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. 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 BindingsPurpose
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 This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn 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. This element must be supported. 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 This element must be supported. 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 This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
Observation.code.Slices for coding.coding:Mobility This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:Mobility.id 0..1 string xml:id (or equivalent in JSON)
Observation.code.Slices for coding.coding:Mobility.extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:Mobility.system 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:Mobility.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.code.Slices for coding.coding:Mobility.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: 301438001 (no extensions allowed)
Observation.code.Slices for coding.coding:Mobility.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.code.Slices for coding.coding:Mobility.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.subject 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] This element must be supported. 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 This element is included in summaries. 0..1 instant Date/Time this was made available
Observation.performer 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 This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Observation.performer.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
Observation.performer.display This element is included in summaries. 0..1 string Text alternative for the resource
Observation.value[x] This element is included in summaries. C 0..1 Actual result
Observation.value[x].valueQuantity Quantity
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.value[x].valueString string
Observation.value[x].valueBoolean boolean
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueAttachment Attachment
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
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 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. 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 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. 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.Slices for component This element must be supported. This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string xml:id (or equivalent in JSON)
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional Content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:All Slices.code This element must be supported. 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.Slices for component.component:All Slices.value[x] This element must be supported. This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueAttachment Attachment
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.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.Slices for component.component:All Slices.interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:Walking This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:Walking.id 0..1 string xml:id (or equivalent in JSON)
Observation.Slices for component.component:Walking.extension 0..* Extension Additional Content defined by implementations
Observation.Slices for component.component:Walking.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:Walking.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "282097004"
    }
  ]
}
Observation.Slices for component.component:Walking.value[x] This element is included in summaries. 0..1 CodeableConcept Walking
Binding: LopenCodelijst (extensible): LopenCodelijst
Observation.Slices for component.component:Walking.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.Slices for component.component:Walking.interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:Walking.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:ClimbingStairs This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:ClimbingStairs.id 0..1 string xml:id (or equivalent in JSON)
Observation.Slices for component.component:ClimbingStairs.extension 0..* Extension Additional Content defined by implementations
Observation.Slices for component.component:ClimbingStairs.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:ClimbingStairs.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "301587001"
    }
  ]
}
Observation.Slices for component.component:ClimbingStairs.value[x] This element is included in summaries. 0..1 CodeableConcept ClimbingStairs
Binding: TraplopenCodelijst (extensible): TraplopenCodelijst
Observation.Slices for component.component:ClimbingStairs.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.Slices for component.component:ClimbingStairs.interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:ClimbingStairs.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:ChangingPosition This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:ChangingPosition.id 0..1 string xml:id (or equivalent in JSON)
Observation.Slices for component.component:ChangingPosition.extension 0..* Extension Additional Content defined by implementations
Observation.Slices for component.component:ChangingPosition.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:ChangingPosition.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "282869009"
    }
  ]
}
Observation.Slices for component.component:ChangingPosition.value[x] This element is included in summaries. 0..1 CodeableConcept ChangingPosition
Binding: HoudingVeranderenCodelijst (extensible): HoudingVeranderenCodelijst
Observation.Slices for component.component:ChangingPosition.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.Slices for component.component:ChangingPosition.interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:ChangingPosition.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:MaintainingPosition This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:MaintainingPosition.id 0..1 string xml:id (or equivalent in JSON)
Observation.Slices for component.component:MaintainingPosition.extension 0..* Extension Additional Content defined by implementations
Observation.Slices for component.component:MaintainingPosition.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:MaintainingPosition.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "249868004"
    }
  ]
}
Observation.Slices for component.component:MaintainingPosition.value[x] This element is included in summaries. 0..1 CodeableConcept MaintainingPosition
Binding: HoudingHandhavenCodelijst (extensible): HoudingHandhavenCodelijst
Observation.Slices for component.component:MaintainingPosition.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.Slices for component.component:MaintainingPosition.interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:MaintainingPosition.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:Transfer This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:Transfer.id 0..1 string xml:id (or equivalent in JSON)
Observation.Slices for component.component:Transfer.extension 0..* Extension Additional Content defined by implementations
Observation.Slices for component.component:Transfer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Observation.Slices for component.component:Transfer.code 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.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "364666007"
    }
  ]
}
Observation.Slices for component.component:Transfer.value[x] This element is included in summaries. 0..1 CodeableConcept Transfer
Binding: UitvoerenTransferCodelijst (extensible): UitvoerenTransferCodelijst
Observation.Slices for component.component:Transfer.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.Slices for component.component:Transfer.interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:Transfer.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base extensible Common Languages 📦3.0.2 FHIR Std.
Observation.status Base required ObservationStatus 📦3.0.2 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦3.0.2 FHIR Std.
Observation.code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.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.
Observation.component:Walking.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:Walking.​value[x] Base extensible LopenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:Walking.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
Observation.component:Walking.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
Observation.component:ClimbingStairs.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:ClimbingStairs.​value[x] Base extensible TraplopenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:ClimbingStairs.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
Observation.component:ClimbingStairs.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
Observation.component:ChangingPosition.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:ChangingPosition.​value[x] Base extensible HoudingVeranderenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:ChangingPosition.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
Observation.component:ChangingPosition.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
Observation.component:MaintainingPosition.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:MaintainingPosition.​value[x] Base extensible HoudingHandhavenCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:MaintainingPosition.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
Observation.component:MaintainingPosition.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
Observation.component:Transfer.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
Observation.component:Transfer.​value[x] Base extensible UitvoerenTransferCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
Observation.component:Transfer.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
Observation.component:Transfer.​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 Mobility

Summary

Must-Support: 6 elements

 

Other representations of profile: CSV, Excel, Schematron