Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	nl-core-observation	LaboratoryTestResult
identifier		0..*	Identifier	Identifier
basedOn		0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)	Fulfills plan, proposal or order including requester information.
status		1..1	code	TestUitslagStatus
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
TestResultStatus		0..1	(Complex)	TestResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
valueCodeableConcept: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:coding.code, value:coding.system
category:LaboratoryTestResultCode		1..1	CodeableConcept	LaboratoryTestResultCode
coding
system		0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Fixed Value: 49581000146104
display		0..1	string	Laboratory test finding (finding)
category:ResultType		0..1	CodeableConcept	ResultType Binding: ResultaatTypeCodelijst (extensible): ResultaatTypeCodelijst
code		1..1	CodeableConcept	TestCode or PanelOrBattery Binding: OnderzoekCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values
subject		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]		0..1	dateTime, Period	TestDateTime
value[x]		0..1	Quantity, CodeableConcept, string, boolean, Range, Ratio, SampledData, Attachment, time, dateTime, Period	TestResult
interpretation		0..1	CodeableConcept	ResultFlags Binding: InterpretatieVlaggenCodelijst (extensible)
comment		0..1	string	Comment or ResultInterpretation
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		0..*	BackboneElement	Reference
low		0..1	SimpleQuantity	ReferenceRangeLowerLimit
high		0..1	SimpleQuantity	ReferenceRangeUpperLimit
related		0..*	BackboneElement	RelatedResults
type		1..1	code	has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Fixed Value: has-member
target		1..1	Reference(QuestionnaireResponse | Sequence | HCIM LaboratoryTestResult Observation)	Resource that is related to this one
component		0..*	BackboneElement	LaboratoryTest
code		1..1	CodeableConcept	TestCode Binding: TestCodeCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values
value[x]		0..1	Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, Period	TestResult
interpretation		0..1	CodeableConcept	ResultFlags Binding: InterpretatieVlaggenCodelijst (extensible): InterpretatieVlaggenCodelijst
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status.extension:TestResultStatus.valueCodeableConcept:valueCodeableConcept	extensible	ResultaatStatusCodelijst 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.category:ResultType	extensible	ResultaatTypeCodelijst 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.code	extensible	OnderzoekCodelijst (a valid code from LOINC) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000 from this IG
Observation.interpretation	extensible	InterpretatieVlaggenCodelijst 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.method	extensible	TestmethodeCodelijst 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.component.code	extensible	TestCodeCodelijst (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.interpretation	extensible	InterpretatieVlaggenCodelijst 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

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	nl-core-observation	LaboratoryTestResult obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
TestResultStatus		0..1	(Complex)	TestResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
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:coding.code, value:coding.system 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.
category:ResultType		0..1	CodeableConcept	ResultType Binding: ResultaatTypeCodelijst (extensible): ResultaatTypeCodelijst
code	Σ	1..1	CodeableConcept	TestCode or PanelOrBattery Binding: OnderzoekCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values
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
value[x]	ΣC	0..1		TestResult
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueAttachment			Attachment
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation		0..1	CodeableConcept	ResultFlags Binding: InterpretatieVlaggenCodelijst (extensible)
comment		0..1	string	Comment or ResultInterpretation
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 obs-3: Must have at least a low or a high or text
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
low	C	0..1	SimpleQuantity	ReferenceRangeLowerLimit
high	C	0..1	SimpleQuantity	ReferenceRangeUpperLimit
related	Σ	0..*	BackboneElement	RelatedResults
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type		1..1	code	has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType (required): Codes specifying how two observations are related. Fixed Value: has-member
target		1..1	Reference(QuestionnaireResponse | Sequence | HCIM LaboratoryTestResult Observation)	Resource that is related to this one
component	Σ	0..*	BackboneElement	LaboratoryTest
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
interpretation		0..1	CodeableConcept	ResultFlags Binding: InterpretatieVlaggenCodelijst (extensible): InterpretatieVlaggenCodelijst
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status from the FHIR Standard
Observation.status.extension:TestResultStatus.value[x]:valueCodeableConcept	extensible	ResultaatStatusCodelijst 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.category	preferred	Observation Category Codes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:LaboratoryTestResultCode	preferred	Observation Category Codes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:ResultType	extensible	ResultaatTypeCodelijst 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.code	extensible	OnderzoekCodelijst (a valid code from LOINC) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000 from this IG
Observation.interpretation	extensible	InterpretatieVlaggenCodelijst 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.method	extensible	TestmethodeCodelijst 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.related.type	required	Fixed Value: has-member http://hl7.org/fhir/ValueSet/observation-relationshiptypes from the FHIR Standard
Observation.component.code	extensible	TestCodeCodelijst (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.interpretation	extensible	InterpretatieVlaggenCodelijst 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

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

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	nl-core-observation	LaboratoryTestResult obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)	Fulfills plan, proposal or order including requester information.
status	?!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
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:coding.code, value:coding.system 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.
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 Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 49581000146104
display	Σ	0..1	string	Laboratory test finding (finding)
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 (extensible): ResultaatTypeCodelijst
code	Σ	1..1	CodeableConcept	TestCode or PanelOrBattery Binding: OnderzoekCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values
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
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		TestResult
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	ResultFlags Binding: InterpretatieVlaggenCodelijst (extensible)
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 obs-3: Must have at least a low or a high or text
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
low	C	0..1	SimpleQuantity	ReferenceRangeLowerLimit
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		1..1	code	has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType (required): Codes specifying how two observations are related. Fixed Value: has-member
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status from the FHIR Standard
Observation.status.extension:TestResultStatus.value[x]:valueCodeableConcept	extensible	ResultaatStatusCodelijst 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.category	preferred	Observation Category Codes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:LaboratoryTestResultCode	preferred	Observation Category Codes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:ResultType	extensible	ResultaatTypeCodelijst 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.code	extensible	OnderzoekCodelijst (a valid code from LOINC) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000 from this IG
Observation.dataAbsentReason	extensible	Observation Value Absent Reason http://hl7.org/fhir/ValueSet/observation-valueabsentreason from the FHIR Standard
Observation.interpretation	extensible	InterpretatieVlaggenCodelijst 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.bodySite	example	SNOMED CT Body Structures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	extensible	TestmethodeCodelijst 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.type	extensible	Observation Reference Range Meaning Codes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	Observation Reference Range Applies To Codes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.related.type	required	Fixed Value: has-member http://hl7.org/fhir/ValueSet/observation-relationshiptypes from the FHIR Standard
Observation.component.code	extensible	TestCodeCodelijst (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.dataAbsentReason	extensible	Observation Value Absent Reason http://hl7.org/fhir/ValueSet/observation-valueabsentreason from the FHIR Standard
Observation.component.interpretation	extensible	InterpretatieVlaggenCodelijst 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

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

Summary

Mandatory: 2 elements(1 nested mandatory element)
Fixed: 3 elements

Structures

This structure refers to these other structures:

• HCIM LaboratoryTestResult Specimen (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen)
• HCIM LaboratoryTestResult Specimen Isolate (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen-Isolate)
• HCIM MedicalDevice Product (http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct)
• HCIM LaboratoryTestResult Observation (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/code-specification

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Observation.category

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	nl-core-observation	LaboratoryTestResult
identifier		0..*	Identifier	Identifier
basedOn		0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)	Fulfills plan, proposal or order including requester information.
status		1..1	code	TestUitslagStatus
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
TestResultStatus		0..1	(Complex)	TestResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
valueCodeableConcept: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:coding.code, value:coding.system
category:LaboratoryTestResultCode		1..1	CodeableConcept	LaboratoryTestResultCode
coding
system		0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Fixed Value: 49581000146104
display		0..1	string	Laboratory test finding (finding)
category:ResultType		0..1	CodeableConcept	ResultType Binding: ResultaatTypeCodelijst (extensible): ResultaatTypeCodelijst
code		1..1	CodeableConcept	TestCode or PanelOrBattery Binding: OnderzoekCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values
subject		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]		0..1	dateTime, Period	TestDateTime
value[x]		0..1	Quantity, CodeableConcept, string, boolean, Range, Ratio, SampledData, Attachment, time, dateTime, Period	TestResult
interpretation		0..1	CodeableConcept	ResultFlags Binding: InterpretatieVlaggenCodelijst (extensible)
comment		0..1	string	Comment or ResultInterpretation
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		0..*	BackboneElement	Reference
low		0..1	SimpleQuantity	ReferenceRangeLowerLimit
high		0..1	SimpleQuantity	ReferenceRangeUpperLimit
related		0..*	BackboneElement	RelatedResults
type		1..1	code	has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Fixed Value: has-member
target		1..1	Reference(QuestionnaireResponse | Sequence | HCIM LaboratoryTestResult Observation)	Resource that is related to this one
component		0..*	BackboneElement	LaboratoryTest
code		1..1	CodeableConcept	TestCode Binding: TestCodeCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values
value[x]		0..1	Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, Period	TestResult
interpretation		0..1	CodeableConcept	ResultFlags Binding: InterpretatieVlaggenCodelijst (extensible): InterpretatieVlaggenCodelijst
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status.extension:TestResultStatus.valueCodeableConcept:valueCodeableConcept	extensible	ResultaatStatusCodelijst 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.category:ResultType	extensible	ResultaatTypeCodelijst 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.code	extensible	OnderzoekCodelijst (a valid code from LOINC) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000 from this IG
Observation.interpretation	extensible	InterpretatieVlaggenCodelijst 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.method	extensible	TestmethodeCodelijst 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.component.code	extensible	TestCodeCodelijst (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.interpretation	extensible	InterpretatieVlaggenCodelijst 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

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	nl-core-observation	LaboratoryTestResult obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
TestResultStatus		0..1	(Complex)	TestResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
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:coding.code, value:coding.system 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.
category:ResultType		0..1	CodeableConcept	ResultType Binding: ResultaatTypeCodelijst (extensible): ResultaatTypeCodelijst
code	Σ	1..1	CodeableConcept	TestCode or PanelOrBattery Binding: OnderzoekCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values
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
value[x]	ΣC	0..1		TestResult
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueAttachment			Attachment
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation		0..1	CodeableConcept	ResultFlags Binding: InterpretatieVlaggenCodelijst (extensible)
comment		0..1	string	Comment or ResultInterpretation
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 obs-3: Must have at least a low or a high or text
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
low	C	0..1	SimpleQuantity	ReferenceRangeLowerLimit
high	C	0..1	SimpleQuantity	ReferenceRangeUpperLimit
related	Σ	0..*	BackboneElement	RelatedResults
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type		1..1	code	has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType (required): Codes specifying how two observations are related. Fixed Value: has-member
target		1..1	Reference(QuestionnaireResponse | Sequence | HCIM LaboratoryTestResult Observation)	Resource that is related to this one
component	Σ	0..*	BackboneElement	LaboratoryTest
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
interpretation		0..1	CodeableConcept	ResultFlags Binding: InterpretatieVlaggenCodelijst (extensible): InterpretatieVlaggenCodelijst
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status from the FHIR Standard
Observation.status.extension:TestResultStatus.value[x]:valueCodeableConcept	extensible	ResultaatStatusCodelijst 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.category	preferred	Observation Category Codes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:LaboratoryTestResultCode	preferred	Observation Category Codes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:ResultType	extensible	ResultaatTypeCodelijst 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.code	extensible	OnderzoekCodelijst (a valid code from LOINC) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000 from this IG
Observation.interpretation	extensible	InterpretatieVlaggenCodelijst 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.method	extensible	TestmethodeCodelijst 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.related.type	required	Fixed Value: has-member http://hl7.org/fhir/ValueSet/observation-relationshiptypes from the FHIR Standard
Observation.component.code	extensible	TestCodeCodelijst (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.interpretation	extensible	InterpretatieVlaggenCodelijst 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

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

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	nl-core-observation	LaboratoryTestResult obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)	Fulfills plan, proposal or order including requester information.
status	?!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
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:coding.code, value:coding.system 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.
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 Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 49581000146104
display	Σ	0..1	string	Laboratory test finding (finding)
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 (extensible): ResultaatTypeCodelijst
code	Σ	1..1	CodeableConcept	TestCode or PanelOrBattery Binding: OnderzoekCodelijst (extensible): LOINC (2.16.840.1.113883.6.1): All values
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
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		TestResult
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	ResultFlags Binding: InterpretatieVlaggenCodelijst (extensible)
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 obs-3: Must have at least a low or a high or text
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
low	C	0..1	SimpleQuantity	ReferenceRangeLowerLimit
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		1..1	code	has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType (required): Codes specifying how two observations are related. Fixed Value: has-member
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status from the FHIR Standard
Observation.status.extension:TestResultStatus.value[x]:valueCodeableConcept	extensible	ResultaatStatusCodelijst 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.category	preferred	Observation Category Codes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:LaboratoryTestResultCode	preferred	Observation Category Codes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:ResultType	extensible	ResultaatTypeCodelijst 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.code	extensible	OnderzoekCodelijst (a valid code from LOINC) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000 from this IG
Observation.dataAbsentReason	extensible	Observation Value Absent Reason http://hl7.org/fhir/ValueSet/observation-valueabsentreason from the FHIR Standard
Observation.interpretation	extensible	InterpretatieVlaggenCodelijst 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.bodySite	example	SNOMED CT Body Structures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	extensible	TestmethodeCodelijst 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.type	extensible	Observation Reference Range Meaning Codes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	Observation Reference Range Applies To Codes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.related.type	required	Fixed Value: has-member http://hl7.org/fhir/ValueSet/observation-relationshiptypes from the FHIR Standard
Observation.component.code	extensible	TestCodeCodelijst (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.dataAbsentReason	extensible	Observation Value Absent Reason http://hl7.org/fhir/ValueSet/observation-valueabsentreason from the FHIR Standard
Observation.component.interpretation	extensible	InterpretatieVlaggenCodelijst 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

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

Summary

Mandatory: 2 elements(1 nested mandatory element)
Fixed: 3 elements

Structures

This structure refers to these other structures:

• HCIM LaboratoryTestResult Specimen (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen)
• HCIM LaboratoryTestResult Specimen Isolate (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen-Isolate)
• HCIM MedicalDevice Product (http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct)
• HCIM LaboratoryTestResult Observation (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/code-specification

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Observation.category