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
Official URL: http://nictiz.nl/fhir/StructureDefinition/zib-Respiration | Version: 1.3.15 | |||
Active as of 2025-09-22 | Computable Name: Zib Respiration | |||
Copyright/Legal: CC0 |
An Observation resource as defined by the Dutch HCIM Respiration v3.1(2017EN).
During breathing or respiration, air flows to and from the lungs, where gas exchange occurs, absorbing oxygen from the air into the blood and exhaling carbon dioxide into the air. Observations of spontaneous breathing, usually registered as part of the observation of vital functions.
Observing a person’s spontaneous breathing, including recording breathing frequency, depth and rhythm, is done to gain an indication of the health condition of the patient’s pulmonary system.
This profile defines the main building block for observing a patient’s respiratory parameters, including spontaneous breathing and info about administered oxygen (via the extension zib-Respiration-AdministeredOxygen). It is complemented by the profiles zib-Respiration-AdministeredOxygen-MedicalDevice (DeviceUseStatement) and zib-Respiration-AdministeredOxygen-MedicalDeviceProduct (Device) to register the device used to administer extra oxygen.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from nl-core-observation
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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0..* | nl-core-observation | Measurements and simple assertions | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | AdministeredOxygen URL: http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen | |
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Content/Rules for all slices | |||
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0..1 | Extension | Extension | |
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Content/Rules for all slices | |||
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0..1 | boolean | ExtraOxygenAdministration | |
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0..1 | Extension | Extension | |
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Content/Rules for all slices | |||
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0..1 | Quantity | FlowRate Example Example of flow rate: {"value":2,"unit":"l/min","system":"http://unitsofmeasure.org","code":"l/min"} | |
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0..1 | decimal | Numerical value (with implicit precision) | |
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0..1 | Extension | Extension | |
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Content/Rules for all slices | |||
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0..1 | Quantity | FiO2 Example Example of FiO2: {"value":0.29,"unit":"{fraction}","system":"http://unitsofmeasure.org"} | |
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0..1 | decimal | Numerical value (with implicit precision) | |
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen" | |
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1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | |
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1..1 | Coding | Code defined by a terminology system | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 422834003 | |
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0..1 | string | Representation defined by the system | |
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Content/Rules for all slices | |||
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1..1 | dateTime | BreathingDateTime | |
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0..1 | string | Comment | |
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0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | |
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0..1 | BackboneElement | Component results | |
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1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1 | |
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Content/Rules for all slices | |||
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0..1 | Quantity | BreathingFrequency Example Example of breathing frequency: {"value":15,"unit":"breaths per minute","system":"http://unitsofmeasure.org","code":"{breaths}/min"} | |
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0..1 | BackboneElement | Component results | |
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1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 48064009 | |
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Content/Rules for all slices | |||
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0..1 | CodeableConcept | Rhythm Binding: RitmeCodelijst (extensible): RitmeCodelijst | |
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0..1 | BackboneElement | Component results | |
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1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 271626009 | |
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Content/Rules for all slices | |||
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0..1 | CodeableConcept | Depth Binding: DiepteCodelijst (extensible): DiepteCodelijst | |
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0..1 | BackboneElement | Component results | |
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1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 278907009 | |
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Content/Rules for all slices | |||
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0..1 | CodeableConcept | DeviatingBreathingPattern Binding: AfwijkendAdemhalingspatroonCodelijst (extensible): AfwijkendAdemhalingspatroonCodelijst | |
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Path | Conformance | ValueSet | URI |
Observation.component:Rhythm.valueCodeableConcept:valueCodeableConcept | extensible | RitmeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.1--20171231000000 From this IG | |
Observation.component:Depth.valueCodeableConcept:valueCodeableConcept | extensible | DiepteCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.2--20171231000000 From this IG | |
Observation.component:DeviatingBreathingPattern.valueCodeableConcept:valueCodeableConcept | extensible | AfwijkendAdemhalingspatroonCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.3--20171231000000 From this IG |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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C | 0..* | nl-core-observation | Measurements and simple assertions Constraints: obs-7, obs-6 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | AdministeredOxygen URL: http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen | |
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Content/Rules for all slices | |||
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0..1 | Extension | Extension | |
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1..1 | uri | "extraOxygenAdministration" | |
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0..1 | boolean | Value of extension Slice: Unordered, Closed by type:$this | |
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0..1 | boolean | ExtraOxygenAdministration | |
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0..1 | Extension | Extension | |
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1..1 | uri | "flowRate" | |
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0..1 | Quantity | Value of extension Slice: Unordered, Closed by type:$this | |
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0..1 | Quantity | FlowRate Example Example of flow rate: {"value":2,"unit":"l/min","system":"http://unitsofmeasure.org","code":"l/min"} | |
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Σ | 0..1 | decimal | Numerical value (with implicit precision) |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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0..1 | Extension | Extension | |
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1..1 | uri | "fiO2" | |
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0..1 | Quantity | Value of extension Slice: Unordered, Closed by type:$this | |
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0..1 | Quantity | FiO2 Example Example of FiO2: {"value":0.29,"unit":"{fraction}","system":"http://unitsofmeasure.org"} | |
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Σ | 0..1 | decimal | Numerical value (with implicit precision) |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen" | |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
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Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. |
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Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code |
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Σ | 1..1 | Coding | Code defined by a terminology system |
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 422834003 |
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Σ | 0..1 | string | Representation defined by the system |
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Σ | 1..1 | Reference(Group | Device | nl-core-location | nl-core-patient) | Who and/or what this is about |
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Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this |
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Σ | 1..1 | dateTime | BreathingDateTime |
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0..1 | string | Comment | |
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Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code |
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Content/Rules for all slices | |||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. |
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Σ | 0..1 | BackboneElement | Component results |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1 | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |
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Quantity | |||
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CodeableConcept | |||
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string | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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Attachment | |||
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time | |||
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dateTime | |||
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Period | |||
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Σ | 0..1 | Quantity | BreathingFrequency Example Example of breathing frequency: {"value":15,"unit":"breaths per minute","system":"http://unitsofmeasure.org","code":"{breaths}/min"} |
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Σ | 0..1 | BackboneElement | Component results |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 48064009 | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |
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Quantity | |||
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CodeableConcept | |||
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string | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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Attachment | |||
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time | |||
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dateTime | |||
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Period | |||
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Σ | 0..1 | CodeableConcept | Rhythm Binding: RitmeCodelijst (extensible): RitmeCodelijst |
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Σ | 0..1 | BackboneElement | Component results |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 271626009 | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |
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Quantity | |||
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CodeableConcept | |||
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string | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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Attachment | |||
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time | |||
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dateTime | |||
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Period | |||
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Σ | 0..1 | CodeableConcept | Depth Binding: DiepteCodelijst (extensible): DiepteCodelijst |
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Σ | 0..1 | BackboneElement | Component results |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 278907009 | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |
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Quantity | |||
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CodeableConcept | |||
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string | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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Attachment | |||
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time | |||
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dateTime | |||
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Period | |||
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Σ | 0..1 | CodeableConcept | DeviatingBreathingPattern Binding: AfwijkendAdemhalingspatroonCodelijst (extensible): AfwijkendAdemhalingspatroonCodelijst |
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Path | Conformance | ValueSet / Code | URI |
Observation.extension:AdministeredOxygen.extension:flowRate.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2 From the FHIR Standard | |
Observation.extension:AdministeredOxygen.extension:fiO2.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2 From the FHIR Standard | |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|3.0.2 From the FHIR Standard | |
Observation.code | example | LOINC Codes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | |
Observation.component.code | example | LOINC Codes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | |
Observation.component:BreathingFrequency.code | example | Pattern Value: LOINC Code 9279-1http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | |
Observation.component:Rhythm.code | example | Pattern Value: SNOMED-CT Code 48064009http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | |
Observation.component:Rhythm.value[x]:valueCodeableConcept | extensible | RitmeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.1--20171231000000 From this IG | |
Observation.component:Depth.code | example | Pattern Value: SNOMED-CT Code 271626009http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | |
Observation.component:Depth.value[x]:valueCodeableConcept | extensible | DiepteCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.2--20171231000000 From this IG | |
Observation.component:DeviatingBreathingPattern.code | example | Pattern Value: SNOMED-CT Code 278907009http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | |
Observation.component:DeviatingBreathingPattern.value[x]:valueCodeableConcept | extensible | AfwijkendAdemhalingspatroonCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.3--20171231000000 From this IG |
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-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 Filter: ![]() ![]() | ||||
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C | 0..* | nl-core-observation | Measurements and simple assertions Constraints: obs-7, obs-6 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: Common Languages (extensible): A human language.
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | (Complex) | AdministeredOxygen URL: http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | Extension | Extension | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "extraOxygenAdministration" | |||||
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0..1 | boolean | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | boolean | ExtraOxygenAdministration | |||||
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0..1 | Extension | Extension | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "flowRate" | |||||
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0..1 | Quantity | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | Quantity | FlowRate Example Example of flow rate: {"value":2,"unit":"l/min","system":"http://unitsofmeasure.org","code":"l/min"} | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 0..1 | uri | System that defines coded unit form | ||||
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Σ | 0..1 | code | Coded form of the unit | ||||
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0..1 | Extension | Extension | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "fiO2" | |||||
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0..1 | Quantity | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | Quantity | FiO2 Example Example of FiO2: {"value":0.29,"unit":"{fraction}","system":"http://unitsofmeasure.org"} | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 0..1 | uri | System that defines coded unit form | ||||
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Σ | 0..1 | code | Coded form of the unit | ||||
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen" | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business Identifier for observation | ||||
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Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) | Fulfills plan, proposal or order | ||||
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?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
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0..* | CodeableConcept | Classification of type of observation Binding: Observation Category Codes (preferred): Codes for high level observation categories. | |||||
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Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | ||||
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Σ | 1..1 | Coding | Code defined by a terminology system | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 422834003 | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 1..1 | Reference(Group | Device | nl-core-location | nl-core-patient) | Who and/or what this is about | ||||
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0..1 | Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) | Healthcare event during which this observation is made | |||||
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Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | ||||
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Σ | 1..1 | dateTime | BreathingDateTime | ||||
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Σ | 0..1 | instant | Date/Time this was made available | ||||
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Σ | 0..* | Reference(nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson) | Who is responsible for the observation | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference | |||||
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ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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ΣC | 0..1 | Actual result | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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Attachment | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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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. | ||||
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0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |||||
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0..1 | string | Comment | |||||
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0..1 | CodeableConcept | Observed body part Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality. | |||||
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0..1 | CodeableConcept | How it was done Binding: Observation Methods (example): Methods for simple observations. | |||||
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0..1 | Reference(Specimen) | Specimen used for this observation | |||||
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0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
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C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
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C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
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0..1 | CodeableConcept | Reference range qualifier Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range. | |||||
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0..* | CodeableConcept | Reference range population Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to. | |||||
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0..1 | Range | Applicable age range, if relevant | |||||
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0..1 | string | Text based reference range in an observation | |||||
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Σ | 0..* | BackboneElement | Resource related to this observation | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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0..1 | code | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType (required): Codes specifying how two observations are related. | |||||
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1..1 | Reference(Observation | QuestionnaireResponse | Sequence) | Resource that is related to this one | |||||
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Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. | ||||
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Σ | 0..1 | Actual component result | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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Attachment | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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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. | ||||
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0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Σ | 0..1 | BackboneElement | Component results | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1 | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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Attachment | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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Σ | 0..1 | Quantity | BreathingFrequency Example Example of breathing frequency: {"value":15,"unit":"breaths per minute","system":"http://unitsofmeasure.org","code":"{breaths}/min"} | ||||
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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. | ||||
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0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Σ | 0..1 | BackboneElement | Component results | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 48064009 | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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Attachment | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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Σ | 0..1 | CodeableConcept | Rhythm Binding: RitmeCodelijst (extensible): RitmeCodelijst | ||||
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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. | ||||
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0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Σ | 0..1 | BackboneElement | Component results | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 271626009 | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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Attachment | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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Σ | 0..1 | CodeableConcept | Depth Binding: DiepteCodelijst (extensible): DiepteCodelijst | ||||
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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. | ||||
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0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Σ | 0..1 | BackboneElement | Component results | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 278907009 | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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Attachment | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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Σ | 0..1 | CodeableConcept | DeviatingBreathingPattern Binding: AfwijkendAdemhalingspatroonCodelijst (extensible): AfwijkendAdemhalingspatroonCodelijst | ||||
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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. | ||||
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0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Observation.language | extensible | Common Languageshttp://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard
| ||||
Observation.extension:AdministeredOxygen.extension:flowRate.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2 From the FHIR Standard | ||||
Observation.extension:AdministeredOxygen.extension:fiO2.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2 From the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|3.0.2 From the FHIR Standard | ||||
Observation.category | preferred | Observation Category Codeshttp://hl7.org/fhir/ValueSet/observation-category|3.0.2 From the FHIR Standard | ||||
Observation.code | example | LOINC Codes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | Observation Value Absent Reasonhttp://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2 From the FHIR Standard | ||||
Observation.interpretation | extensible | Observation Interpretation Codeshttp://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2 From the FHIR Standard | ||||
Observation.bodySite | example | SNOMED CT Body Structureshttp://hl7.org/fhir/ValueSet/body-site|3.0.2 From the FHIR Standard | ||||
Observation.method | example | Observation Methodshttp://hl7.org/fhir/ValueSet/observation-methods|3.0.2 From the FHIR Standard | ||||
Observation.referenceRange.type | extensible | Observation Reference Range Meaning Codeshttp://hl7.org/fhir/ValueSet/referencerange-meaning|3.0.2 From the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | Observation Reference Range Applies To Codeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto|3.0.2 From the FHIR Standard | ||||
Observation.related.type | required | ObservationRelationshipTypehttp://hl7.org/fhir/ValueSet/observation-relationshiptypes|3.0.2 From the FHIR Standard | ||||
Observation.component.code | example | LOINC Codes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | Observation Value Absent Reasonhttp://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2 From the FHIR Standard | ||||
Observation.component.interpretation | extensible | Observation Interpretation Codeshttp://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2 From the FHIR Standard | ||||
Observation.component:BreathingFrequency.code | example | Pattern Value: LOINC Code 9279-1http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | ||||
Observation.component:BreathingFrequency.dataAbsentReason | extensible | Observation Value Absent Reasonhttp://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2 From the FHIR Standard | ||||
Observation.component:BreathingFrequency.interpretation | extensible | Observation Interpretation Codeshttp://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2 From the FHIR Standard | ||||
Observation.component:Rhythm.code | example | Pattern Value: SNOMED-CT Code 48064009http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | ||||
Observation.component:Rhythm.value[x]:valueCodeableConcept | extensible | RitmeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.1--20171231000000 From this IG | ||||
Observation.component:Rhythm.dataAbsentReason | extensible | Observation Value Absent Reasonhttp://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2 From the FHIR Standard | ||||
Observation.component:Rhythm.interpretation | extensible | Observation Interpretation Codeshttp://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2 From the FHIR Standard | ||||
Observation.component:Depth.code | example | Pattern Value: SNOMED-CT Code 271626009http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | ||||
Observation.component:Depth.value[x]:valueCodeableConcept | extensible | DiepteCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.2--20171231000000 From this IG | ||||
Observation.component:Depth.dataAbsentReason | extensible | Observation Value Absent Reasonhttp://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2 From the FHIR Standard | ||||
Observation.component:Depth.interpretation | extensible | Observation Interpretation Codeshttp://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2 From the FHIR Standard | ||||
Observation.component:DeviatingBreathingPattern.code | example | Pattern Value: SNOMED-CT Code 278907009http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | ||||
Observation.component:DeviatingBreathingPattern.value[x]:valueCodeableConcept | extensible | AfwijkendAdemhalingspatroonCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.3--20171231000000 From this IG | ||||
Observation.component:DeviatingBreathingPattern.dataAbsentReason | extensible | Observation Value Absent Reasonhttp://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2 From the FHIR Standard | ||||
Observation.component:DeviatingBreathingPattern.interpretation | extensible | Observation Interpretation Codeshttp://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2 From the FHIR Standard |
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() |
This structure is derived from nl-core-observation
Summary
Mandatory: 5 elements
Fixed: 3 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from nl-core-observation
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
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0..* | nl-core-observation | Measurements and simple assertions | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | AdministeredOxygen URL: http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen | |
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Content/Rules for all slices | |||
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0..1 | Extension | Extension | |
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Content/Rules for all slices | |||
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0..1 | boolean | ExtraOxygenAdministration | |
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0..1 | Extension | Extension | |
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Content/Rules for all slices | |||
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0..1 | Quantity | FlowRate Example Example of flow rate: {"value":2,"unit":"l/min","system":"http://unitsofmeasure.org","code":"l/min"} | |
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0..1 | decimal | Numerical value (with implicit precision) | |
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0..1 | Extension | Extension | |
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Content/Rules for all slices | |||
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0..1 | Quantity | FiO2 Example Example of FiO2: {"value":0.29,"unit":"{fraction}","system":"http://unitsofmeasure.org"} | |
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0..1 | decimal | Numerical value (with implicit precision) | |
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen" | |
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||||
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1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | |
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1..1 | Coding | Code defined by a terminology system | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 422834003 | |
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0..1 | string | Representation defined by the system | |
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Content/Rules for all slices | |||
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1..1 | dateTime | BreathingDateTime | |
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0..1 | string | Comment | |
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0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | |
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0..1 | BackboneElement | Component results | |
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1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1 | |
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Content/Rules for all slices | |||
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0..1 | Quantity | BreathingFrequency Example Example of breathing frequency: {"value":15,"unit":"breaths per minute","system":"http://unitsofmeasure.org","code":"{breaths}/min"} | |
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0..1 | BackboneElement | Component results | |
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1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 48064009 | |
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Content/Rules for all slices | |||
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0..1 | CodeableConcept | Rhythm Binding: RitmeCodelijst (extensible): RitmeCodelijst | |
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0..1 | BackboneElement | Component results | |
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1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 271626009 | |
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Content/Rules for all slices | |||
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0..1 | CodeableConcept | Depth Binding: DiepteCodelijst (extensible): DiepteCodelijst | |
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0..1 | BackboneElement | Component results | |
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1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 278907009 | |
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Content/Rules for all slices | |||
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0..1 | CodeableConcept | DeviatingBreathingPattern Binding: AfwijkendAdemhalingspatroonCodelijst (extensible): AfwijkendAdemhalingspatroonCodelijst | |
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Path | Conformance | ValueSet | URI |
Observation.component:Rhythm.valueCodeableConcept:valueCodeableConcept | extensible | RitmeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.1--20171231000000 From this IG | |
Observation.component:Depth.valueCodeableConcept:valueCodeableConcept | extensible | DiepteCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.2--20171231000000 From this IG | |
Observation.component:DeviatingBreathingPattern.valueCodeableConcept:valueCodeableConcept | extensible | AfwijkendAdemhalingspatroonCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.3--20171231000000 From this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
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C | 0..* | nl-core-observation | Measurements and simple assertions Constraints: obs-7, obs-6 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | AdministeredOxygen URL: http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen | |
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Content/Rules for all slices | |||
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0..1 | Extension | Extension | |
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1..1 | uri | "extraOxygenAdministration" | |
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0..1 | boolean | Value of extension Slice: Unordered, Closed by type:$this | |
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0..1 | boolean | ExtraOxygenAdministration | |
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0..1 | Extension | Extension | |
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1..1 | uri | "flowRate" | |
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0..1 | Quantity | Value of extension Slice: Unordered, Closed by type:$this | |
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0..1 | Quantity | FlowRate Example Example of flow rate: {"value":2,"unit":"l/min","system":"http://unitsofmeasure.org","code":"l/min"} | |
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Σ | 0..1 | decimal | Numerical value (with implicit precision) |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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0..1 | Extension | Extension | |
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1..1 | uri | "fiO2" | |
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0..1 | Quantity | Value of extension Slice: Unordered, Closed by type:$this | |
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0..1 | Quantity | FiO2 Example Example of FiO2: {"value":0.29,"unit":"{fraction}","system":"http://unitsofmeasure.org"} | |
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Σ | 0..1 | decimal | Numerical value (with implicit precision) |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen" | |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
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Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. |
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Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code |
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Σ | 1..1 | Coding | Code defined by a terminology system |
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 422834003 |
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Σ | 0..1 | string | Representation defined by the system |
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Σ | 1..1 | Reference(Group | Device | nl-core-location | nl-core-patient) | Who and/or what this is about |
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Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this |
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Σ | 1..1 | dateTime | BreathingDateTime |
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0..1 | string | Comment | |
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Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code |
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Content/Rules for all slices | |||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. |
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Σ | 0..1 | BackboneElement | Component results |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1 | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |
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Quantity | |||
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CodeableConcept | |||
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string | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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Attachment | |||
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time | |||
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dateTime | |||
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Period | |||
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Σ | 0..1 | Quantity | BreathingFrequency Example Example of breathing frequency: {"value":15,"unit":"breaths per minute","system":"http://unitsofmeasure.org","code":"{breaths}/min"} |
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Σ | 0..1 | BackboneElement | Component results |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 48064009 | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |
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Quantity | |||
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CodeableConcept | |||
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string | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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Attachment | |||
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time | |||
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dateTime | |||
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Period | |||
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Σ | 0..1 | CodeableConcept | Rhythm Binding: RitmeCodelijst (extensible): RitmeCodelijst |
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Σ | 0..1 | BackboneElement | Component results |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 271626009 | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |
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Quantity | |||
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CodeableConcept | |||
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string | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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Attachment | |||
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time | |||
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dateTime | |||
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Period | |||
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Σ | 0..1 | CodeableConcept | Depth Binding: DiepteCodelijst (extensible): DiepteCodelijst |
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Σ | 0..1 | BackboneElement | Component results |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 278907009 | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |
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Quantity | |||
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CodeableConcept | |||
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string | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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Attachment | |||
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time | |||
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dateTime | |||
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Period | |||
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Σ | 0..1 | CodeableConcept | DeviatingBreathingPattern Binding: AfwijkendAdemhalingspatroonCodelijst (extensible): AfwijkendAdemhalingspatroonCodelijst |
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Path | Conformance | ValueSet / Code | URI |
Observation.extension:AdministeredOxygen.extension:flowRate.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2 From the FHIR Standard | |
Observation.extension:AdministeredOxygen.extension:fiO2.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2 From the FHIR Standard | |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|3.0.2 From the FHIR Standard | |
Observation.code | example | LOINC Codes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | |
Observation.component.code | example | LOINC Codes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | |
Observation.component:BreathingFrequency.code | example | Pattern Value: LOINC Code 9279-1http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | |
Observation.component:Rhythm.code | example | Pattern Value: SNOMED-CT Code 48064009http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | |
Observation.component:Rhythm.value[x]:valueCodeableConcept | extensible | RitmeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.1--20171231000000 From this IG | |
Observation.component:Depth.code | example | Pattern Value: SNOMED-CT Code 271626009http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | |
Observation.component:Depth.value[x]:valueCodeableConcept | extensible | DiepteCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.2--20171231000000 From this IG | |
Observation.component:DeviatingBreathingPattern.code | example | Pattern Value: SNOMED-CT Code 278907009http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | |
Observation.component:DeviatingBreathingPattern.value[x]:valueCodeableConcept | extensible | AfwijkendAdemhalingspatroonCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.3--20171231000000 From this IG |
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-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() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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C | 0..* | nl-core-observation | Measurements and simple assertions Constraints: obs-7, obs-6 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: Common Languages (extensible): A human language.
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | (Complex) | AdministeredOxygen URL: http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | Extension | Extension | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "extraOxygenAdministration" | |||||
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0..1 | boolean | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | boolean | ExtraOxygenAdministration | |||||
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0..1 | Extension | Extension | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "flowRate" | |||||
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0..1 | Quantity | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | Quantity | FlowRate Example Example of flow rate: {"value":2,"unit":"l/min","system":"http://unitsofmeasure.org","code":"l/min"} | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 0..1 | uri | System that defines coded unit form | ||||
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Σ | 0..1 | code | Coded form of the unit | ||||
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0..1 | Extension | Extension | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "fiO2" | |||||
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0..1 | Quantity | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | Quantity | FiO2 Example Example of FiO2: {"value":0.29,"unit":"{fraction}","system":"http://unitsofmeasure.org"} | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 0..1 | uri | System that defines coded unit form | ||||
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Σ | 0..1 | code | Coded form of the unit | ||||
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen" | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business Identifier for observation | ||||
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Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) | Fulfills plan, proposal or order | ||||
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?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
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0..* | CodeableConcept | Classification of type of observation Binding: Observation Category Codes (preferred): Codes for high level observation categories. | |||||
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Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | ||||
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Σ | 1..1 | Coding | Code defined by a terminology system | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 422834003 | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 1..1 | Reference(Group | Device | nl-core-location | nl-core-patient) | Who and/or what this is about | ||||
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0..1 | Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) | Healthcare event during which this observation is made | |||||
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Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | ||||
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Σ | 1..1 | dateTime | BreathingDateTime | ||||
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Σ | 0..1 | instant | Date/Time this was made available | ||||
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Σ | 0..* | Reference(nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson) | Who is responsible for the observation | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference | |||||
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ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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ΣC | 0..1 | Actual result | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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Attachment | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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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. | ||||
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0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |||||
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0..1 | string | Comment | |||||
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0..1 | CodeableConcept | Observed body part Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality. | |||||
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0..1 | CodeableConcept | How it was done Binding: Observation Methods (example): Methods for simple observations. | |||||
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0..1 | Reference(Specimen) | Specimen used for this observation | |||||
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0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
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C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
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C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
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0..1 | CodeableConcept | Reference range qualifier Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range. | |||||
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0..* | CodeableConcept | Reference range population Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to. | |||||
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0..1 | Range | Applicable age range, if relevant | |||||
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0..1 | string | Text based reference range in an observation | |||||
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Σ | 0..* | BackboneElement | Resource related to this observation | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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0..1 | code | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType (required): Codes specifying how two observations are related. | |||||
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1..1 | Reference(Observation | QuestionnaireResponse | Sequence) | Resource that is related to this one | |||||
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Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. | ||||
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Σ | 0..1 | Actual component result | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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Attachment | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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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. | ||||
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0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Σ | 0..1 | BackboneElement | Component results | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1 | |||||
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0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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Attachment | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
time | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Period | |||||||
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Σ | 0..1 | Quantity | BreathingFrequency Example Example of breathing frequency: {"value":15,"unit":"breaths per minute","system":"http://unitsofmeasure.org","code":"{breaths}/min"} | ||||
![]() ![]() ![]() ![]() ![]() |
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. | ||||
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0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Σ | 0..1 | BackboneElement | Component results | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
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0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48064009 | |||||
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0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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Attachment | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
time | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
dateTime | |||||||
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Period | |||||||
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Σ | 0..1 | CodeableConcept | Rhythm Binding: RitmeCodelijst (extensible): RitmeCodelijst | ||||
![]() ![]() ![]() ![]() ![]() |
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. | ||||
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0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Σ | 0..1 | BackboneElement | Component results | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 271626009 | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Attachment | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
time | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Period | |||||||
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Σ | 0..1 | CodeableConcept | Depth Binding: DiepteCodelijst (extensible): DiepteCodelijst | ||||
![]() ![]() ![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | BackboneElement | Component results | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 278907009 | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Quantity | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Ratio | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
SampledData | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Attachment | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
time | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | DeviatingBreathingPattern Binding: AfwijkendAdemhalingspatroonCodelijst (extensible): AfwijkendAdemhalingspatroonCodelijst | ||||
![]() ![]() ![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
![]() |
Path | Conformance | ValueSet / Code | URI | |||
Observation.language | extensible | Common Languageshttp://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard
| ||||
Observation.extension:AdministeredOxygen.extension:flowRate.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2 From the FHIR Standard | ||||
Observation.extension:AdministeredOxygen.extension:fiO2.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2 From the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|3.0.2 From the FHIR Standard | ||||
Observation.category | preferred | Observation Category Codeshttp://hl7.org/fhir/ValueSet/observation-category|3.0.2 From the FHIR Standard | ||||
Observation.code | example | LOINC Codes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | Observation Value Absent Reasonhttp://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2 From the FHIR Standard | ||||
Observation.interpretation | extensible | Observation Interpretation Codeshttp://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2 From the FHIR Standard | ||||
Observation.bodySite | example | SNOMED CT Body Structureshttp://hl7.org/fhir/ValueSet/body-site|3.0.2 From the FHIR Standard | ||||
Observation.method | example | Observation Methodshttp://hl7.org/fhir/ValueSet/observation-methods|3.0.2 From the FHIR Standard | ||||
Observation.referenceRange.type | extensible | Observation Reference Range Meaning Codeshttp://hl7.org/fhir/ValueSet/referencerange-meaning|3.0.2 From the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | Observation Reference Range Applies To Codeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto|3.0.2 From the FHIR Standard | ||||
Observation.related.type | required | ObservationRelationshipTypehttp://hl7.org/fhir/ValueSet/observation-relationshiptypes|3.0.2 From the FHIR Standard | ||||
Observation.component.code | example | LOINC Codes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | Observation Value Absent Reasonhttp://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2 From the FHIR Standard | ||||
Observation.component.interpretation | extensible | Observation Interpretation Codeshttp://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2 From the FHIR Standard | ||||
Observation.component:BreathingFrequency.code | example | Pattern Value: LOINC Code 9279-1http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | ||||
Observation.component:BreathingFrequency.dataAbsentReason | extensible | Observation Value Absent Reasonhttp://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2 From the FHIR Standard | ||||
Observation.component:BreathingFrequency.interpretation | extensible | Observation Interpretation Codeshttp://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2 From the FHIR Standard | ||||
Observation.component:Rhythm.code | example | Pattern Value: SNOMED-CT Code 48064009http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | ||||
Observation.component:Rhythm.value[x]:valueCodeableConcept | extensible | RitmeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.1--20171231000000 From this IG | ||||
Observation.component:Rhythm.dataAbsentReason | extensible | Observation Value Absent Reasonhttp://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2 From the FHIR Standard | ||||
Observation.component:Rhythm.interpretation | extensible | Observation Interpretation Codeshttp://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2 From the FHIR Standard | ||||
Observation.component:Depth.code | example | Pattern Value: SNOMED-CT Code 271626009http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | ||||
Observation.component:Depth.value[x]:valueCodeableConcept | extensible | DiepteCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.2--20171231000000 From this IG | ||||
Observation.component:Depth.dataAbsentReason | extensible | Observation Value Absent Reasonhttp://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2 From the FHIR Standard | ||||
Observation.component:Depth.interpretation | extensible | Observation Interpretation Codeshttp://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2 From the FHIR Standard | ||||
Observation.component:DeviatingBreathingPattern.code | example | Pattern Value: SNOMED-CT Code 278907009http://hl7.org/fhir/ValueSet/observation-codes|3.0.2 From the FHIR Standard | ||||
Observation.component:DeviatingBreathingPattern.value[x]:valueCodeableConcept | extensible | AfwijkendAdemhalingspatroonCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.3--20171231000000 From this IG | ||||
Observation.component:DeviatingBreathingPattern.dataAbsentReason | extensible | Observation Value Absent Reasonhttp://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2 From the FHIR Standard | ||||
Observation.component:DeviatingBreathingPattern.interpretation | extensible | Observation Interpretation Codeshttp://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2 From the FHIR Standard |
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() |
This structure is derived from nl-core-observation
Summary
Mandatory: 5 elements
Fixed: 3 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron