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{
  "resourceType": "StructureDefinition",
  "id": "zib-LaboratoryTestResult-Observation",
  "meta": {
    "versionId": "8",
    "lastUpdated": "2018-01-29T12:28:44.183+00:00"
  },
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation",
  "version": "1.0",
  "name": "ZIB-LaboratoryTestResult-Observation",
  "title": "HCIM LaboratoryTestResult Observation",
  "status": "retired",
  "date": "2017-08-11T12:22:55.327+00:00",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "email",
          "value": "info@nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "A LaboratoryTestResult as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 1.2",
  "copyright": "CC0",
  "fhirVersion": "3.0.1",
  "mapping": [
    {
      "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
      "uri": "https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v1.2.2(2015EN)",
      "name": "HCIM LaboratoryTestResultForTransfer-v1.2.2(2015EN)"
    },
    {
      "identity": "hcim-patient-v2.0.1-2015EN",
      "uri": "https://zibs.nl/wiki/Patient-v2.0.1(2015EN)",
      "name": "HCIM Patient-v2.0.1(2015EN)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/observation-nl",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "short": "LaboratoryTestResult",
        "definition": "Measurements and simple assertions made about a patient, device or other subject. These may be a simple or a complex observations. Simple Observations could consist of just a code and a value, whereas complex observations like panels and batteries could have related Observations and or components.\r\nThe HCIM LaboratoryResult also supports simple and more complex situations. For a simple result there will be a single LaboratoryTestResult.LaboratoryTest.TestName in Observation.code and no LaboratoryTestresult.Test. For a more complex situation there will be a LaboratoryTestResult.Test and any number of related LaboratoryTestResult.LaboratoryTest, e.g. parts of a panel or battery. Each related LaboratoryTest shall be conveyed in Observation.related or Observation.component. The deciding factor in choosing between related or component is: does the observation have use as independent observation (Observation.related) or is the observation only relevant in the context of its parent (Observation.component).\r\nNote that (textual) reports on individual (panels of) observations, like conclusions, go into a different resource DiagnosticReport. The DiagnosticReport then contains the references to the Observation resources it concerns.",
        "alias": [
          "LaboratoriumUitslag"
        ],
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.1"
          }
        ]
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.identifier",
        "short": "Identifier",
        "alias": [
          "Identificatie"
        ]
      },
      {
        "id": "Observation.status",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString": "default: final"
          }
        ],
        "path": "Observation.status",
        "short": "ResultStatus",
        "alias": [
          "ResultaatStatus"
        ]
      },
      {
        "id": "Observation.status.extension",
        "path": "Observation.status.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.status.extension:ResultStatus",
        "path": "Observation.status.extension",
        "sliceName": "ResultStatus",
        "short": "Provides the specific HCIM code for ResultStatus",
        "definition": "Defines a more specific value to a code. Especially useful for FHIRs required ValueSets.",
        "alias": [
          "ResultaatStatus"
        ],
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20150401000000",
            "display": "ResultaatStatusCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.6"
          }
        ]
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.code"
            },
            {
              "type": "value",
              "path": "coding"
            }
          ],
          "rules": "open"
        },
        "min": 2
      },
      {
        "id": "Observation.category:LaboratoryTestResultCode",
        "path": "Observation.category",
        "sliceName": "LaboratoryTestResultCode",
        "short": "LaboratoryTestResultCode",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.category:LaboratoryTestResultCode.coding.system",
        "path": "Observation.category.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.category:LaboratoryTestResultCode.coding.code",
        "path": "Observation.category.coding.code",
        "fixedCode": "49581000146104"
      },
      {
        "id": "Observation.category:LaboratoryTestResultCode.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.category.coding.display",
        "short": "Laboratory test finding (finding)"
      },
      {
        "id": "Observation.category:ResultType",
        "path": "Observation.category",
        "sliceName": "ResultType",
        "short": "ResultType",
        "definition": "The type of result defines the laboratory specialty under which the test is categorized.",
        "alias": [
          "ResultaatType"
        ],
        "min": 1,
        "max": "1",
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationCategory"
            }
          ],
          "strength": "extensible",
          "description": "ResultaatTypeCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20150401000000",
            "display": "ResultaatTypeCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.7"
          }
        ]
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "short": "TestOrTestName",
        "comment": "This can either be the ZIB concept Test (NL-CM:13.1.4) or TestName (NL-CM:13.1.8) depending on the use of DiagnosticReport resource. This element shall be mapped to TestName if DiagnosticReport is used and .component.code is not used. If component.code is used, the ZIB concept Test shall be mapped to this element.",
        "alias": [
          "OnderzoekOfTestNaam"
        ],
        "binding": {
          "strength": "extensible",
          "description": "LOINC (2.16.840.1.113883.6.1): All values",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20150401000000",
            "display": "OnderzoekCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.4"
          },
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.8"
          }
        ]
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "short": "Patient",
        "alias": [
          "Patiënt"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-patient-v2.0.1-2015EN",
            "map": "NL-CM:0.1.1"
          }
        ]
      },
      {
        "id": "Observation.effective",
        "path": "Observation.effective[x]",
        "short": "TestDateTime",
        "definition": "The date and if possible the time at which the test was carried out.",
        "alias": [
          "TestDatumTijd"
        ],
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.13"
          }
        ]
      },
      {
        "id": "Observation.value",
        "path": "Observation.value[x]",
        "short": "Result",
        "alias": [
          "Uitslag"
        ],
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.10"
          }
        ]
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "short": "ResultFlags",
        "definition": "Attention codes indicating whether the result is above or below certain reference values.",
        "alias": [
          "ResultaatVlaggen"
        ],
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.14"
          }
        ]
      },
      {
        "id": "Observation.comment",
        "path": "Observation.comment",
        "short": "Explanation",
        "definition": "Comments, such as a textual interpretation or advice accompanying the result, for example.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.5"
          }
        ]
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "short": "TestMethod",
        "definition": "The test method used to obtain the result.",
        "alias": [
          "Testmethode"
        ],
        "binding": {
          "strength": "extensible",
          "description": "SNOMED CT (2.16.840.1.113883.6.96): All values",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.4--20150401000000",
            "display": "TestmethodeCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.9"
          }
        ]
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "short": "Specimen",
        "alias": [
          "Monster"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.2"
          }
        ]
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "short": "Reference",
        "alias": [
          "Referentie"
        ]
      },
      {
        "id": "Observation.referenceRange.low",
        "path": "Observation.referenceRange.low",
        "short": "LowerReferenceLimit",
        "alias": [
          "ReferentieOndergrens"
        ],
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.12"
          }
        ]
      },
      {
        "id": "Observation.referenceRange.high",
        "path": "Observation.referenceRange.high",
        "short": "UpperReferenceLimit",
        "alias": [
          "ReferentieBovengrens"
        ],
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.11"
          }
        ]
      },
      {
        "id": "Observation.related",
        "path": "Observation.related",
        "short": "LaboratoryTest",
        "requirements": "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and a set of related observations or sometimes QuestionnaireResponse from which the measure is derived.",
        "alias": [
          "LaboratoriumTest"
        ],
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.3"
          }
        ]
      },
      {
        "id": "Observation.related.type",
        "path": "Observation.related.type",
        "min": 1,
        "fixedCode": "has-member",
        "mustSupport": true
      },
      {
        "id": "Observation.related.target",
        "path": "Observation.related.target",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Sequence"
          },
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation"
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "short": "LaboratoryTest",
        "definition": "Container of the LaboratoryTest concept. This container contains all data elements of the LaboratoryTest concept.",
        "alias": [
          "LaboratoriumTest"
        ],
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.3"
          }
        ]
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "TestName",
        "definition": "The TestName is the name of the executed test.",
        "alias": [
          "TestNaam"
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationCode"
            }
          ],
          "strength": "extensible",
          "description": "LOINC (2.16.840.1.113883.6.1): All values",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.3--20150401000000",
            "display": "TestNaamCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.8"
          }
        ]
      },
      {
        "id": "Observation.component.value[x]",
        "path": "Observation.component.value[x]",
        "short": "Result",
        "definition": "The test result. Depending on the type of test, the result will consist of a value with a unit or a coded value (ordinal or nominal).",
        "alias": [
          "Uitslag"
        ],
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.10"
          }
        ]
      },
      {
        "id": "Observation.component.interpretation",
        "path": "Observation.component.interpretation",
        "short": "ResultFlags",
        "definition": "Attention codes indicating whether the result is above or below certain reference values.",
        "alias": [
          "ResultaatVlaggen"
        ],
        "mapping": [
          {
            "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN",
            "map": "NL-CM:13.1.14"
          }
        ]
      }
    ]
  }
}

name : ZIB-LaboratoryTestResult-Observation

{

}