Nictiz FHIR NL STU3 Zib2017
1.3.15 - CI Build

Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: VitalSigns BloodGlucose

Official URL: http://nictiz.nl/fhir/StructureDefinition/vitalsign-bloodglucose Version: 1.3.15
Active as of 2025-09-22 Computable Name: Vital Signs BloodGlucose

Copyright/Legal: CC0

This profile represents a single blood glucose self measurement based on the seven-point scale (SMBG).

Usages:

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

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.

This structure is derived from Zib LaboratoryTestResult Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Zib LaboratoryTestResult Observation FHIR Blood Glucose Profile
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:eventTiming S 0..1 (Complex) Approximate time of observation
URL: http://hl7.org/fhir/StructureDefinition/observation-eventTiming
..... Slices for extension Content/Rules for all slices
...... extension:code 0..1 Extension Extension
....... Slices for valueCodeableConcept Content/Rules for all slices
........ valueCodeableConcept:valueCodeableConcept 0..1 CodeableConcept Value of extension
...... extension:offset 0..1 Extension Extension
....... Slices for valueQuantity Content/Rules for all slices
........ valueQuantity:valueQuantity 0..1 Quantity Value of extension
... code C 1..1 CodeableConcept TestCode or PanelOrBattery
Constraints: bg-1, bg-2
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC 0..* Coding Code defined by a terminology system
Binding: GlucoseMeetmomentenLOINCCodelijst (required): GlucoseMeetmomentenLOINCCodelijst
...... system 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... coding:NHGTable45 0..* Coding Code defined by a terminology system
Binding: GlucoseMeetmomentenNhgtable45Codelijst (required): GlucoseMeetmomentenNhgtable45Codelijst
...... system 0..1 uri Identity of the terminology system
Fixed Value: https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen
... Slices for valueQuantity Content/Rules for all slices
.... valueQuantity:valueQuantity 0..1 Quantity TestResult

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.code.coding:LOINCrequiredGlucoseMeetmomentenLOINCCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.53.11.1--20200618120422
From this IG
Observation.code.coding:NHGTable45requiredGlucoseMeetmomentenNhgtable45Codelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.53.11.2--20190813000000
From this IG

Constraints

IdGradePath(s)DetailsRequirements
bg-1errorObservation.codeObservation.code SHALL have at least one coding based on LOINC
: coding.where(system = 'http://loinc.org').exists()
bg-2errorObservation.codeObservation.code MAY have a maximum of one coding based on NHG Table 45
: coding.where(system = 'https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen').count() <= 1
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Zib LaboratoryTestResult Observation FHIR Blood Glucose Profile
Constraints: obs-7, obs-6
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:eventTiming S 0..1 (Complex) Approximate time of observation
URL: http://hl7.org/fhir/StructureDefinition/observation-eventTiming
..... Slices for extension Content/Rules for all slices
...... extension:code 0..1 Extension Extension
....... url 1..1 uri "code"
....... Slices for valueCodeableConcept Content/Rules for all slices
........ valueCodeableConcept:valueCodeableConcept 0..1 CodeableConcept ​Value of extension
Binding: TimingEvent|2016-11-11 (extensible)
...... extension:offset 0..1 Extension Extension
....... url 1..1 uri "offset"
....... Slices for valueQuantity Content/Rules for all slices
........ valueQuantity:valueQuantity 0..1 Quantity Value of extension
Binding: UnitsOfTime (required)
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-eventTiming"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... Slices for extension Content/Rules for all slices
..... extension:TestResultStatus 0..1 (Complex) TestResultStatus
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
...... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ResultaatStatusCodelijst (extensible): TestResultStatusCodelist
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: Observation Category Codes (preferred): Codes for high level observation categories.
.... category:LaboratoryTestResultCode 1..1 CodeableConcept LaboratoryTestResultCode
Binding: Observation Category Codes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 49581000146104
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:ResultType 0..1 CodeableConcept ResultType
Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst
... code ΣC 1..1 CodeableConcept TestCode or PanelOrBattery
Binding: LOINC Codes (example): Codes identifying names of simple observations.
Constraints: bg-1, bg-2
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: GlucoseMeetmomentenLOINCCodelijst (required): GlucoseMeetmomentenLOINCCodelijst
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... coding:NHGTable45 Σ 0..* Coding Code defined by a terminology system
Binding: GlucoseMeetmomentenNhgtable45Codelijst (required): GlucoseMeetmomentenNhgtable45Codelijst
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen
... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Patient
... Slices for value[x] ΣC 0..1 Quantity TestResult
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity ΣC 0..1 Quantity TestResult

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.extension:eventTiming.extension:code.valueCodeableConcept:valueCodeableConceptextensiblev3 Code System TimingEvent
http://hl7.org/fhir/ValueSet/v3-TimingEvent|2016-11-11
From the FHIR Standard
Observation.extension:eventTiming.extension:offset.valueQuantity:valueQuantityrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|3.0.2
From the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|3.0.2
From the FHIR Standard
Observation.status.extension:TestResultStatus.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000
From this IG
Observation.categorypreferredObservation Category Codes
http://hl7.org/fhir/ValueSet/observation-category|3.0.2
From the FHIR Standard
Observation.category:LaboratoryTestResultCodepreferredPattern Value: SNOMED-CT Code 49581000146104
http://hl7.org/fhir/ValueSet/observation-category|3.0.2
From the FHIR Standard
Observation.category:ResultTyperequiredResultaatTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000
From this IG
Observation.codeexampleLOINC Codes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes|3.0.2
From the FHIR Standard
Observation.code.coding:LOINCrequiredGlucoseMeetmomentenLOINCCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.53.11.1--20200618120422
From this IG
Observation.code.coding:NHGTable45requiredGlucoseMeetmomentenNhgtable45Codelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.53.11.2--20190813000000
From this IG

Constraints

IdGradePath(s)DetailsRequirements
bg-1errorObservation.codeObservation.code SHALL have at least one coding based on LOINC
: coding.where(system = 'http://loinc.org').exists()
bg-2errorObservation.codeObservation.code MAY have a maximum of one coding based on NHG Table 45
: coding.where(system = 'https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen').count() <= 1
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Zib LaboratoryTestResult Observation FHIR Blood Glucose Profile
Constraints: obs-7, obs-6
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: Common Languages (extensible): A human language.
Additional BindingsPurpose
All Languages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:eventTiming S 0..1 (Complex) Approximate time of observation
URL: http://hl7.org/fhir/StructureDefinition/observation-eventTiming
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... extension:code 0..1 Extension Extension
....... id 0..1 string xml:id (or equivalent in JSON)
....... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "code"
....... Slices for valueCodeableConcept Content/Rules for all slices
........ valueCodeableConcept:valueCodeableConcept 0..1 CodeableConcept ​Value of extension
Binding: TimingEvent|2016-11-11 (extensible)
...... extension:offset 0..1 Extension Extension
....... id 0..1 string xml:id (or equivalent in JSON)
....... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "offset"
....... Slices for valueQuantity Content/Rules for all slices
........ valueQuantity:valueQuantity 0..1 Quantity Value of extension
Binding: UnitsOfTime (required)
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-eventTiming"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order including requester information.
... status ?!Σ 1..1 code TestUitslagStatus
Binding: ObservationStatus (required): Codes providing the status of an observation.
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:TestResultStatus 0..1 (Complex) TestResultStatus
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
...... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ResultaatStatusCodelijst (extensible): TestResultStatusCodelist
.... value 0..1 code Primitive value for code
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: Observation Category Codes (preferred): Codes for high level observation categories.
.... category:LaboratoryTestResultCode 1..1 CodeableConcept LaboratoryTestResultCode
Binding: Observation Category Codes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 49581000146104
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... category:ResultType 0..1 CodeableConcept ResultType
Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst
... code ΣC 1..1 CodeableConcept TestCode or PanelOrBattery
Binding: LOINC Codes (example): Codes identifying names of simple observations.
Constraints: bg-1, bg-2
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: GlucoseMeetmomentenLOINCCodelijst (required): GlucoseMeetmomentenLOINCCodelijst
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:NHGTable45 Σ 0..* Coding Code defined by a terminology system
Binding: GlucoseMeetmomentenNhgtable45Codelijst (required): GlucoseMeetmomentenNhgtable45Codelijst
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Patient
... context 0..1 Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) Encounter during which this observation is made
... effective[x] Σ 0..1 TestDateTime
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this was made available
... performer Σ 0..* Reference(nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who is responsible for the observation
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for value[x] ΣC 0..1 Quantity TestResult
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity ΣC 0..1 Quantity TestResult
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding ΣC 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
Constraints: zib-LaboratoryTestResult-Observation-1
..... coding:ObservationInterpretation Σ 0..* Coding Code defined by a terminology system
Binding: Observation Interpretation Codes (required): Observation Interpretation Codes
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/v2/0078
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:InterpretatieVlaggenCodelijst Σ 0..* Coding ResultFlags
Binding: InterpretatieVlaggenCodelijst (required): InterpretatieVlaggenCodelijst
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... comment 0..1 string Comment or ResultInterpretation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept TestMethod
Binding: TestmethodeCodelijst (extensible): SNOMED CT (2.16.840.1.113883.6.96): All values
... specimen 0..1 Reference(HCIM LaboratoryTestResult Specimen | HCIM LaboratoryTestResult Specimen Isolate) Specimen
... device 0..1 Reference(HCIM MedicalDevice Product) (Measurement) Device
... referenceRange C 0..* BackboneElement Reference
Constraints: obs-3
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... low C 0..1 SimpleQuantity ReferenceRangeLowerLimit
.... high C 0..1 SimpleQuantity ReferenceRangeUpperLimit
.... type 0..1 CodeableConcept Reference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... related Σ 0..* BackboneElement RelatedResults
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... type 0..1 code has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.
.... target 1..1 Reference(QuestionnaireResponse | Sequence | HCIM LaboratoryTestResult Observation) Resource that is related to this one
... component Σ 0..* BackboneElement LaboratoryTest
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... code Σ 1..1 CodeableConcept TestCode
Binding: TestCodeCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values
.... value[x] Σ 0..1 TestResult
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueAttachment Attachment
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..1 CodeableConcept ResultFlags
Binding: InterpretatieVlaggenCodelijst (extensible): InterpretatieVlaggenCodelijst
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languageextensibleCommon Languages
http://hl7.org/fhir/ValueSet/languages|3.0.2
From the FHIR Standard
Additional Bindings Purpose
All Languages Max Binding
Observation.extension:eventTiming.extension:code.valueCodeableConcept:valueCodeableConceptextensiblev3 Code System TimingEvent
http://hl7.org/fhir/ValueSet/v3-TimingEvent|2016-11-11
From the FHIR Standard
Observation.extension:eventTiming.extension:offset.valueQuantity:valueQuantityrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|3.0.2
From the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|3.0.2
From the FHIR Standard
Observation.status.extension:TestResultStatus.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000
From this IG
Observation.categorypreferredObservation Category Codes
http://hl7.org/fhir/ValueSet/observation-category|3.0.2
From the FHIR Standard
Observation.category:LaboratoryTestResultCodepreferredPattern Value: SNOMED-CT Code 49581000146104
http://hl7.org/fhir/ValueSet/observation-category|3.0.2
From the FHIR Standard
Observation.category:ResultTyperequiredResultaatTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000
From this IG
Observation.codeexampleLOINC Codes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes|3.0.2
From the FHIR Standard
Observation.code.coding:LOINCrequiredGlucoseMeetmomentenLOINCCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.53.11.1--20200618120422
From this IG
Observation.code.coding:NHGTable45requiredGlucoseMeetmomentenNhgtable45Codelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.53.11.2--20190813000000
From this IG
Observation.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
From the FHIR Standard
Observation.interpretationextensibleObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2
From the FHIR Standard
Observation.interpretation.coding:ObservationInterpretationrequiredObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.interpretation.coding:InterpretatieVlaggenCodelijstrequiredInterpretatieVlaggenCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000
From this IG
Observation.bodySiteexampleSNOMED CT Body Structures
http://hl7.org/fhir/ValueSet/body-site|3.0.2
From the FHIR Standard
Observation.methodextensibleTestmethodeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.4--20171231000000
From this IG
Observation.referenceRange.typeextensibleObservation Reference Range Meaning Codes
http://hl7.org/fhir/ValueSet/referencerange-meaning|3.0.2
From the FHIR Standard
Observation.referenceRange.appliesToexampleObservation Reference Range Applies To Codes
http://hl7.org/fhir/ValueSet/referencerange-appliesto|3.0.2
From the FHIR Standard
Observation.related.typerequiredObservationRelationshipType
http://hl7.org/fhir/ValueSet/observation-relationshiptypes|3.0.2
From the FHIR Standard
Observation.component.codeextensibleTestCodeCodelijst(a valid code from LOINC)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.3--20171231000000
From this IG
Observation.component.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
From the FHIR Standard
Observation.component.interpretationextensibleInterpretatieVlaggenCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000
From this IG

Constraints

IdGradePath(s)DetailsRequirements
bg-1errorObservation.codeObservation.code SHALL have at least one coding based on LOINC
: coding.where(system = 'http://loinc.org').exists()
bg-2errorObservation.codeObservation.code MAY have a maximum of one coding based on NHG Table 45
: coding.where(system = 'https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen').count() <= 1
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
zib-LaboratoryTestResult-Observation-1errorObservation.interpretation.codingIf a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.
: coding.where(system = 'http://snomed.info/sct' and (code = '281302008' or '281300000' or '11896004' or '30714006' or '131196009') ).exists() implies coding.where(system = 'http://hl7.org/fhir/v2/0078').exists()

This structure is derived from Zib LaboratoryTestResult Observation

Summary

Mandatory: 1 element
Must-Support: 1 element
Fixed: 2 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.code.coding

Differential View

This structure is derived from Zib LaboratoryTestResult Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Zib LaboratoryTestResult Observation FHIR Blood Glucose Profile
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:eventTiming S 0..1 (Complex) Approximate time of observation
URL: http://hl7.org/fhir/StructureDefinition/observation-eventTiming
..... Slices for extension Content/Rules for all slices
...... extension:code 0..1 Extension Extension
....... Slices for valueCodeableConcept Content/Rules for all slices
........ valueCodeableConcept:valueCodeableConcept 0..1 CodeableConcept Value of extension
...... extension:offset 0..1 Extension Extension
....... Slices for valueQuantity Content/Rules for all slices
........ valueQuantity:valueQuantity 0..1 Quantity Value of extension
... code C 1..1 CodeableConcept TestCode or PanelOrBattery
Constraints: bg-1, bg-2
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC 0..* Coding Code defined by a terminology system
Binding: GlucoseMeetmomentenLOINCCodelijst (required): GlucoseMeetmomentenLOINCCodelijst
...... system 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... coding:NHGTable45 0..* Coding Code defined by a terminology system
Binding: GlucoseMeetmomentenNhgtable45Codelijst (required): GlucoseMeetmomentenNhgtable45Codelijst
...... system 0..1 uri Identity of the terminology system
Fixed Value: https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen
... Slices for valueQuantity Content/Rules for all slices
.... valueQuantity:valueQuantity 0..1 Quantity TestResult

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.code.coding:LOINCrequiredGlucoseMeetmomentenLOINCCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.53.11.1--20200618120422
From this IG
Observation.code.coding:NHGTable45requiredGlucoseMeetmomentenNhgtable45Codelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.53.11.2--20190813000000
From this IG

Constraints

IdGradePath(s)DetailsRequirements
bg-1errorObservation.codeObservation.code SHALL have at least one coding based on LOINC
: coding.where(system = 'http://loinc.org').exists()
bg-2errorObservation.codeObservation.code MAY have a maximum of one coding based on NHG Table 45
: coding.where(system = 'https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen').count() <= 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Zib LaboratoryTestResult Observation FHIR Blood Glucose Profile
Constraints: obs-7, obs-6
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:eventTiming S 0..1 (Complex) Approximate time of observation
URL: http://hl7.org/fhir/StructureDefinition/observation-eventTiming
..... Slices for extension Content/Rules for all slices
...... extension:code 0..1 Extension Extension
....... url 1..1 uri "code"
....... Slices for valueCodeableConcept Content/Rules for all slices
........ valueCodeableConcept:valueCodeableConcept 0..1 CodeableConcept ​Value of extension
Binding: TimingEvent|2016-11-11 (extensible)
...... extension:offset 0..1 Extension Extension
....... url 1..1 uri "offset"
....... Slices for valueQuantity Content/Rules for all slices
........ valueQuantity:valueQuantity 0..1 Quantity Value of extension
Binding: UnitsOfTime (required)
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-eventTiming"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... Slices for extension Content/Rules for all slices
..... extension:TestResultStatus 0..1 (Complex) TestResultStatus
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
...... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ResultaatStatusCodelijst (extensible): TestResultStatusCodelist
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: Observation Category Codes (preferred): Codes for high level observation categories.
.... category:LaboratoryTestResultCode 1..1 CodeableConcept LaboratoryTestResultCode
Binding: Observation Category Codes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 49581000146104
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:ResultType 0..1 CodeableConcept ResultType
Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst
... code ΣC 1..1 CodeableConcept TestCode or PanelOrBattery
Binding: LOINC Codes (example): Codes identifying names of simple observations.
Constraints: bg-1, bg-2
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: GlucoseMeetmomentenLOINCCodelijst (required): GlucoseMeetmomentenLOINCCodelijst
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... coding:NHGTable45 Σ 0..* Coding Code defined by a terminology system
Binding: GlucoseMeetmomentenNhgtable45Codelijst (required): GlucoseMeetmomentenNhgtable45Codelijst
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen
... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Patient
... Slices for value[x] ΣC 0..1 Quantity TestResult
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity ΣC 0..1 Quantity TestResult

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.extension:eventTiming.extension:code.valueCodeableConcept:valueCodeableConceptextensiblev3 Code System TimingEvent
http://hl7.org/fhir/ValueSet/v3-TimingEvent|2016-11-11
From the FHIR Standard
Observation.extension:eventTiming.extension:offset.valueQuantity:valueQuantityrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|3.0.2
From the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|3.0.2
From the FHIR Standard
Observation.status.extension:TestResultStatus.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000
From this IG
Observation.categorypreferredObservation Category Codes
http://hl7.org/fhir/ValueSet/observation-category|3.0.2
From the FHIR Standard
Observation.category:LaboratoryTestResultCodepreferredPattern Value: SNOMED-CT Code 49581000146104
http://hl7.org/fhir/ValueSet/observation-category|3.0.2
From the FHIR Standard
Observation.category:ResultTyperequiredResultaatTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000
From this IG
Observation.codeexampleLOINC Codes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes|3.0.2
From the FHIR Standard
Observation.code.coding:LOINCrequiredGlucoseMeetmomentenLOINCCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.53.11.1--20200618120422
From this IG
Observation.code.coding:NHGTable45requiredGlucoseMeetmomentenNhgtable45Codelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.53.11.2--20190813000000
From this IG

Constraints

IdGradePath(s)DetailsRequirements
bg-1errorObservation.codeObservation.code SHALL have at least one coding based on LOINC
: coding.where(system = 'http://loinc.org').exists()
bg-2errorObservation.codeObservation.code MAY have a maximum of one coding based on NHG Table 45
: coding.where(system = 'https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen').count() <= 1
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Zib LaboratoryTestResult Observation FHIR Blood Glucose Profile
Constraints: obs-7, obs-6
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: Common Languages (extensible): A human language.
Additional BindingsPurpose
All Languages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:eventTiming S 0..1 (Complex) Approximate time of observation
URL: http://hl7.org/fhir/StructureDefinition/observation-eventTiming
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... extension:code 0..1 Extension Extension
....... id 0..1 string xml:id (or equivalent in JSON)
....... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "code"
....... Slices for valueCodeableConcept Content/Rules for all slices
........ valueCodeableConcept:valueCodeableConcept 0..1 CodeableConcept ​Value of extension
Binding: TimingEvent|2016-11-11 (extensible)
...... extension:offset 0..1 Extension Extension
....... id 0..1 string xml:id (or equivalent in JSON)
....... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "offset"
....... Slices for valueQuantity Content/Rules for all slices
........ valueQuantity:valueQuantity 0..1 Quantity Value of extension
Binding: UnitsOfTime (required)
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-eventTiming"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order including requester information.
... status ?!Σ 1..1 code TestUitslagStatus
Binding: ObservationStatus (required): Codes providing the status of an observation.
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:TestResultStatus 0..1 (Complex) TestResultStatus
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
...... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ResultaatStatusCodelijst (extensible): TestResultStatusCodelist
.... value 0..1 code Primitive value for code
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: Observation Category Codes (preferred): Codes for high level observation categories.
.... category:LaboratoryTestResultCode 1..1 CodeableConcept LaboratoryTestResultCode
Binding: Observation Category Codes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 49581000146104
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... category:ResultType 0..1 CodeableConcept ResultType
Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst
... code ΣC 1..1 CodeableConcept TestCode or PanelOrBattery
Binding: LOINC Codes (example): Codes identifying names of simple observations.
Constraints: bg-1, bg-2
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: GlucoseMeetmomentenLOINCCodelijst (required): GlucoseMeetmomentenLOINCCodelijst
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:NHGTable45 Σ 0..* Coding Code defined by a terminology system
Binding: GlucoseMeetmomentenNhgtable45Codelijst (required): GlucoseMeetmomentenNhgtable45Codelijst
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Patient
... context 0..1 Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) Encounter during which this observation is made
... effective[x] Σ 0..1 TestDateTime
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this was made available
... performer Σ 0..* Reference(nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who is responsible for the observation
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for value[x] ΣC 0..1 Quantity TestResult
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity ΣC 0..1 Quantity TestResult
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding ΣC 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
Constraints: zib-LaboratoryTestResult-Observation-1
..... coding:ObservationInterpretation Σ 0..* Coding Code defined by a terminology system
Binding: Observation Interpretation Codes (required): Observation Interpretation Codes
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/v2/0078
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:InterpretatieVlaggenCodelijst Σ 0..* Coding ResultFlags
Binding: InterpretatieVlaggenCodelijst (required): InterpretatieVlaggenCodelijst
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... comment 0..1 string Comment or ResultInterpretation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept TestMethod
Binding: TestmethodeCodelijst (extensible): SNOMED CT (2.16.840.1.113883.6.96): All values
... specimen 0..1 Reference(HCIM LaboratoryTestResult Specimen | HCIM LaboratoryTestResult Specimen Isolate) Specimen
... device 0..1 Reference(HCIM MedicalDevice Product) (Measurement) Device
... referenceRange C 0..* BackboneElement Reference
Constraints: obs-3
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... low C 0..1 SimpleQuantity ReferenceRangeLowerLimit
.... high C 0..1 SimpleQuantity ReferenceRangeUpperLimit
.... type 0..1 CodeableConcept Reference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... related Σ 0..* BackboneElement RelatedResults
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... type 0..1 code has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.
.... target 1..1 Reference(QuestionnaireResponse | Sequence | HCIM LaboratoryTestResult Observation) Resource that is related to this one
... component Σ 0..* BackboneElement LaboratoryTest
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... code Σ 1..1 CodeableConcept TestCode
Binding: TestCodeCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values
.... value[x] Σ 0..1 TestResult
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueAttachment Attachment
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..1 CodeableConcept ResultFlags
Binding: InterpretatieVlaggenCodelijst (extensible): InterpretatieVlaggenCodelijst
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languageextensibleCommon Languages
http://hl7.org/fhir/ValueSet/languages|3.0.2
From the FHIR Standard
Additional Bindings Purpose
All Languages Max Binding
Observation.extension:eventTiming.extension:code.valueCodeableConcept:valueCodeableConceptextensiblev3 Code System TimingEvent
http://hl7.org/fhir/ValueSet/v3-TimingEvent|2016-11-11
From the FHIR Standard
Observation.extension:eventTiming.extension:offset.valueQuantity:valueQuantityrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|3.0.2
From the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|3.0.2
From the FHIR Standard
Observation.status.extension:TestResultStatus.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000
From this IG
Observation.categorypreferredObservation Category Codes
http://hl7.org/fhir/ValueSet/observation-category|3.0.2
From the FHIR Standard
Observation.category:LaboratoryTestResultCodepreferredPattern Value: SNOMED-CT Code 49581000146104
http://hl7.org/fhir/ValueSet/observation-category|3.0.2
From the FHIR Standard
Observation.category:ResultTyperequiredResultaatTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000
From this IG
Observation.codeexampleLOINC Codes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes|3.0.2
From the FHIR Standard
Observation.code.coding:LOINCrequiredGlucoseMeetmomentenLOINCCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.53.11.1--20200618120422
From this IG
Observation.code.coding:NHGTable45requiredGlucoseMeetmomentenNhgtable45Codelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.53.11.2--20190813000000
From this IG
Observation.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
From the FHIR Standard
Observation.interpretationextensibleObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2
From the FHIR Standard
Observation.interpretation.coding:ObservationInterpretationrequiredObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.interpretation.coding:InterpretatieVlaggenCodelijstrequiredInterpretatieVlaggenCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000
From this IG
Observation.bodySiteexampleSNOMED CT Body Structures
http://hl7.org/fhir/ValueSet/body-site|3.0.2
From the FHIR Standard
Observation.methodextensibleTestmethodeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.4--20171231000000
From this IG
Observation.referenceRange.typeextensibleObservation Reference Range Meaning Codes
http://hl7.org/fhir/ValueSet/referencerange-meaning|3.0.2
From the FHIR Standard
Observation.referenceRange.appliesToexampleObservation Reference Range Applies To Codes
http://hl7.org/fhir/ValueSet/referencerange-appliesto|3.0.2
From the FHIR Standard
Observation.related.typerequiredObservationRelationshipType
http://hl7.org/fhir/ValueSet/observation-relationshiptypes|3.0.2
From the FHIR Standard
Observation.component.codeextensibleTestCodeCodelijst(a valid code from LOINC)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.3--20171231000000
From this IG
Observation.component.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
From the FHIR Standard
Observation.component.interpretationextensibleInterpretatieVlaggenCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000
From this IG

Constraints

IdGradePath(s)DetailsRequirements
bg-1errorObservation.codeObservation.code SHALL have at least one coding based on LOINC
: coding.where(system = 'http://loinc.org').exists()
bg-2errorObservation.codeObservation.code MAY have a maximum of one coding based on NHG Table 45
: coding.where(system = 'https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen').count() <= 1
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
zib-LaboratoryTestResult-Observation-1errorObservation.interpretation.codingIf a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values.
: coding.where(system = 'http://snomed.info/sct' and (code = '281302008' or '281300000' or '11896004' or '30714006' or '131196009') ).exists() implies coding.where(system = 'http://hl7.org/fhir/v2/0078').exists()

This structure is derived from Zib LaboratoryTestResult Observation

Summary

Mandatory: 1 element
Must-Support: 1 element
Fixed: 2 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.code.coding

 

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