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: HCIM General Measurement

Official URL: http://nictiz.nl/fhir/StructureDefinition/zib-GeneralMeasurement Version: 1.3.15
Active as of 2025-09-22 Computable Name: Zib GeneralMeasurement

Copyright/Legal: CC0

General Measurement as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) GeneralMeasurement version 3.0, release 2017.

A general measurement determines the result of a measurement or determination made for a patient. The information model is used to record the measurement results for which no specific information models have yet been formulated. The information model is not intended for laboratory determinations to be carried out on the material taken from the patient.

The measurement and documentation of physiological observations are an important tool for evaluating a patient’s condition. This information model offers the option to record various relevant measurement values.

Usages:

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 nl-core-observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* nl-core-observation GeneralMeasurement
... status 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:ResultStatusCodelist 0..1 (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... Slices for valueCodeableConcept Content/Rules for all slices
....... valueCodeableConcept:valueCodeableConcept 1..1 CodeableConcept ResultaatStatusCodelijst
Binding: ResultaatStatusCodelijst (extensible): ResultaatStatusCodelijst
... code 1..1 CodeableConcept Investigation or MeasurementName
Binding: MetingNaamCodelijst (extensible): OnderzoekCodelijst or MetingNaamCodelijst
... effective[x] 0..1 dateTime, Period ResultDateTime
... comment 0..1 string Comment
... method 0..1 CodeableConcept MeasuringMethod
Binding: MeetmethodeCodelijst (extensible): SNOMED CT - all concepts
... related 0..* BackboneElement MeasurementResult
.... type 0..1 code has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
.... target 1..1 Reference(HCIM General Measurement) Resource that is related to this one

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status
From the FHIR Standard
Observation.status.extension:ResultStatusCodelist.valueCodeableConcept:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1--20171231000000
From this IG
Observation.codeextensibleMetingNaamCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2--20171231000000
From this IG
Observation.methodextensibleMeetmethodeCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.4--20171231000000
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* nl-core-observation GeneralMeasurement
Constraints: obs-7, obs-6
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:ResultStatusCodelist 0..1 (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
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 ResultaatStatusCodelijst
Binding: ResultaatStatusCodelijst (extensible): ResultaatStatusCodelijst
... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Who and/or what this is about
... effective[x] Σ 0..1 ResultDateTime
.... effectiveDateTime dateTime
.... effectivePeriod Period
... value[x] ΣC 0..1 ResultValue
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueAttachment Attachment
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... comment 0..1 string Comment
... method 0..1 CodeableConcept MeasuringMethod
Binding: MeetmethodeCodelijst (extensible): SNOMED CT - all concepts
... related Σ 0..* BackboneElement MeasurementResult
.... 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(HCIM General Measurement) Resource that is related to this one

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status
From the FHIR Standard
Observation.status.extension:ResultStatusCodelist.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1--20171231000000
From this IG
Observation.codeextensibleMetingNaamCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2--20171231000000
From this IG
Observation.methodextensibleMeetmethodeCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.4--20171231000000
From this IG
Observation.related.typerequiredObservationRelationshipType
http://hl7.org/fhir/ValueSet/observation-relationshiptypes|3.0.2
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-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..* nl-core-observation GeneralMeasurement
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
... extension 0..* Extension Additional Content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:ResultStatusCodelist 0..1 (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
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 ResultaatStatusCodelijst
Binding: ResultaatStatusCodelijst (extensible): ResultaatStatusCodelijst
.... value 0..1 code Primitive value for code
... category 0..* CodeableConcept Classification of type of observation
Binding: Observation Category Codes (preferred): Codes for high level observation categories.
... code Σ 1..1 CodeableConcept Investigation or MeasurementName
Binding: MetingNaamCodelijst (extensible): OnderzoekCodelijst or MetingNaamCodelijst
... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Who and/or what this is about
... context 0..1 Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) Healthcare event during which this observation is made
... effective[x] Σ 0..1 ResultDateTime
.... 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
... value[x] ΣC 0..1 ResultValue
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueAttachment Attachment
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
... comment 0..1 string Comment
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept MeasuringMethod
Binding: MeetmethodeCodelijst (extensible): SNOMED CT - all concepts
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... related Σ 0..* BackboneElement MeasurementResult
.... 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(HCIM General Measurement) Resource that is related to this one
... component Σ 0..* BackboneElement Component results
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueAttachment Attachment
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languageextensibleCommon Languages
http://hl7.org/fhir/ValueSet/languages|3.0.2
From the FHIR Standard
Additional Bindings Purpose
All Languages Max Binding
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status
From the FHIR Standard
Observation.status.extension:ResultStatusCodelist.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1--20171231000000
From this IG
Observation.categorypreferredObservation Category Codes
http://hl7.org/fhir/ValueSet/observation-category|3.0.2
From the FHIR Standard
Observation.codeextensibleMetingNaamCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2--20171231000000
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.bodySiteexampleSNOMED CT Body Structures
http://hl7.org/fhir/ValueSet/body-site|3.0.2
From the FHIR Standard
Observation.methodextensibleMeetmethodeCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.4--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.codeexampleLOINC Codes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes|3.0.2
From the FHIR Standard
Observation.component.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
From the FHIR Standard
Observation.component.interpretationextensibleObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2
From the FHIR Standard

Constraints

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

This structure is derived from nl-core-observation

Summary

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from nl-core-observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* nl-core-observation GeneralMeasurement
... status 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:ResultStatusCodelist 0..1 (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... Slices for valueCodeableConcept Content/Rules for all slices
....... valueCodeableConcept:valueCodeableConcept 1..1 CodeableConcept ResultaatStatusCodelijst
Binding: ResultaatStatusCodelijst (extensible): ResultaatStatusCodelijst
... code 1..1 CodeableConcept Investigation or MeasurementName
Binding: MetingNaamCodelijst (extensible): OnderzoekCodelijst or MetingNaamCodelijst
... effective[x] 0..1 dateTime, Period ResultDateTime
... comment 0..1 string Comment
... method 0..1 CodeableConcept MeasuringMethod
Binding: MeetmethodeCodelijst (extensible): SNOMED CT - all concepts
... related 0..* BackboneElement MeasurementResult
.... type 0..1 code has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
.... target 1..1 Reference(HCIM General Measurement) Resource that is related to this one

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status
From the FHIR Standard
Observation.status.extension:ResultStatusCodelist.valueCodeableConcept:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1--20171231000000
From this IG
Observation.codeextensibleMetingNaamCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2--20171231000000
From this IG
Observation.methodextensibleMeetmethodeCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.4--20171231000000
From this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* nl-core-observation GeneralMeasurement
Constraints: obs-7, obs-6
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:ResultStatusCodelist 0..1 (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
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 ResultaatStatusCodelijst
Binding: ResultaatStatusCodelijst (extensible): ResultaatStatusCodelijst
... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Who and/or what this is about
... effective[x] Σ 0..1 ResultDateTime
.... effectiveDateTime dateTime
.... effectivePeriod Period
... value[x] ΣC 0..1 ResultValue
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueAttachment Attachment
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... comment 0..1 string Comment
... method 0..1 CodeableConcept MeasuringMethod
Binding: MeetmethodeCodelijst (extensible): SNOMED CT - all concepts
... related Σ 0..* BackboneElement MeasurementResult
.... 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(HCIM General Measurement) Resource that is related to this one

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status
From the FHIR Standard
Observation.status.extension:ResultStatusCodelist.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1--20171231000000
From this IG
Observation.codeextensibleMetingNaamCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2--20171231000000
From this IG
Observation.methodextensibleMeetmethodeCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.4--20171231000000
From this IG
Observation.related.typerequiredObservationRelationshipType
http://hl7.org/fhir/ValueSet/observation-relationshiptypes|3.0.2
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-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..* nl-core-observation GeneralMeasurement
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
... extension 0..* Extension Additional Content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:ResultStatusCodelist 0..1 (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
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 ResultaatStatusCodelijst
Binding: ResultaatStatusCodelijst (extensible): ResultaatStatusCodelijst
.... value 0..1 code Primitive value for code
... category 0..* CodeableConcept Classification of type of observation
Binding: Observation Category Codes (preferred): Codes for high level observation categories.
... code Σ 1..1 CodeableConcept Investigation or MeasurementName
Binding: MetingNaamCodelijst (extensible): OnderzoekCodelijst or MetingNaamCodelijst
... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Who and/or what this is about
... context 0..1 Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) Healthcare event during which this observation is made
... effective[x] Σ 0..1 ResultDateTime
.... 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
... value[x] ΣC 0..1 ResultValue
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueAttachment Attachment
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
... comment 0..1 string Comment
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept MeasuringMethod
Binding: MeetmethodeCodelijst (extensible): SNOMED CT - all concepts
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... related Σ 0..* BackboneElement MeasurementResult
.... 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(HCIM General Measurement) Resource that is related to this one
... component Σ 0..* BackboneElement Component results
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueAttachment Attachment
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languageextensibleCommon Languages
http://hl7.org/fhir/ValueSet/languages|3.0.2
From the FHIR Standard
Additional Bindings Purpose
All Languages Max Binding
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status
From the FHIR Standard
Observation.status.extension:ResultStatusCodelist.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1--20171231000000
From this IG
Observation.categorypreferredObservation Category Codes
http://hl7.org/fhir/ValueSet/observation-category|3.0.2
From the FHIR Standard
Observation.codeextensibleMetingNaamCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2--20171231000000
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.bodySiteexampleSNOMED CT Body Structures
http://hl7.org/fhir/ValueSet/body-site|3.0.2
From the FHIR Standard
Observation.methodextensibleMeetmethodeCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.4--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.codeexampleLOINC Codes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes|3.0.2
From the FHIR Standard
Observation.component.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
From the FHIR Standard
Observation.component.interpretationextensibleObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2
From the FHIR Standard

Constraints

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

This structure is derived from nl-core-observation

Summary

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

 

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