<status value="active" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="A LaboratoryTestResult as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1, release 2017." /> <purpose value="# Purpose of HCIM Laboratory tests are done for the purpose of diagnosing and preventing disease and follow-up on the effects of treatment." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <uri value="https://zibs.nl/wiki/LaboratoryTestResult-v4.1(2017EN)" /> <name value="HCIM LaboratoryTestResult-v4.1(2017EN)" /> </mapping> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <uri value="https://zibs.nl/wiki/BasicElements-v1.0(2017EN)" /> <name value="HCIM BasicElements-v1.0(2017EN)" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <uri value="https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v3.0(2016EN)" /> <name value="HCIM LaboratoryTestResultForTransfer-v3.0(2016EN)" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <uri value="https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v1.2.2(2015EN)" /> <name value="HCIM LaboratoryTestResultForTransfer-v1.2.2(2015EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://fhir.nl/fhir/StructureDefinition/nl-core-observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="LaboratoryTestResult" /> <definition value="A laboratory result describes the result of a laboratory analysis. These are specimen-oriented tests as performed in laboratories such as Clinical Chemistry, Serology, Microbiology, etc. In addition to the results of tests with a singular result, this concept can also contain the results of more complex tests with multiple results or a ‘panel’." /> <comment value="This profile is used for two concepts of the HCIM LaboratoryTestResult at the same time: the root concept (NL-CM:13.1.1) and the LaboratoryTest concept (NL-CM:13.1.3). A LaboratoryTestResult can consist of just one LaboratoryTest or can be a panel of multiple LaboratoryTests. If there's just one LaboratoryTest, a single instance of this profile may be used to represent both concepts, but if there are multiple LaboratoryTests, there should be one parent instance representing the LaboratoryTestResult that uses `Observation.related` to link child instances representing individual LaboratoryTests. Note that the `Observation.related` field in is also used for a third case where there are multiple related LaboratoryTestResults (RelatedResult, NL-CM:13.1.33). The list below summarizes the different situations: 1. Single LaboratoryTestResult with single LaboratoryTest: * single instance of this profile * `.code` represents the HCIM concept TestCode (NL-CM:13.1.8) 2. Single LaboratoryTestResult with multiple LaboratoryTests * parent instance with child instances in `.related.target` * `.code` of parent represents the HCIM concept PanelOrBattery (NL-CM:13.1.4) * `.code` of child represents the HCIM concept TestCode (NL-CM:13.1.8) * `.related.type` of parent set to "has-member" 3. Multiple related LaboratoryTestResults * multiple instances representing the root concept * `.code` represents the HCIM concept TestCode (NL-CM:13.1.8) * `.related.target` references the related instances * `.related.type` set to whichever value is appropriate Also note that there is the additional profile [zib-LaboratoryTestResult-DiagnosticReport](http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-DiagnosticReport), which is used for (textual) reports on individual (panels of) observations, like conclusions. The DiagnosticReport contains references to instances of this profile and can be used in all three the situations described above." /> <alias value="LaboratoriumUitslag" /> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.1" /> <comment value="LaboratoryTestResult" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.1" /> <comment value="LaboratoryTestResult" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.1" /> <comment value="LaboratoryTestResult" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.3" /> <comment value="LaboratoryTest" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.3" /> <comment value="LaboratoryTest" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.3" /> <comment value="LaboratoryTest" /> </mapping> </element> <element id="Observation.identifier"> <path value="Observation.identifier" /> <short value="Identifier" /> <alias value="Identificatie" /> </element> <element id="Observation.basedOn"> <path value="Observation.basedOn" /> <short value="Fulfills plan, proposal or order including requester information." /> <comment value="Requester information should be captured and exchanged in the resource ProcedureRequest referenced by `basedOn`. Requester is the healthcare provider and/or organization where or by whom the LaboratoryTestResult was requested. There are a few required elements in ProcedureRequest: * `ProcedureRequest.status` (use fixed value _active_, unless you know what the actual value is) * `ProcedureRequest.intent` (use fixed value _order_, unless you know what the actual value is) * `ProcedureRequest.code` (use extension http://hl7.org/fhir/STU3/extension-iso21090-nullflavor.html with `valueCode` _UNK_, unless you know what the actual value is) * `ProcedureRequest.subject` (equal to `Observation.subject`) * `ProcedureRequest.requester.agent` (contains the requesting HealthProfessional)" /> <alias value="Aanvrager" /> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.34" /> <comment value="Contains Requester::HealthProfessional" /> </mapping> </element> <element id="Observation.status"> <path value="Observation.status" /> <short value="TestUitslagStatus" /> <definition value="The status of the test result of this test. If the laboratory test is an panel/cluster, the overall status is given in the status of the panel/cluster." /> <alias value="TestUitslagStatus" /> </element> <element id="Observation.status.extension"> <path value="Observation.status.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.status.extension:TestResultStatus"> <path value="Observation.status.extension" /> <sliceName value="TestResultStatus" /> <short value="TestResultStatus" /> <definition value="Provides the specific HCIM code for TestResultStatus or ResultStatus. The status of the laboratory test result. If the laboratory test is an panel/cluster, this status reflects the status of the whole panel/cluster. If the status item per subtest is used too, this status must be in accordance with these status values." /> <alias value="TestUitslagStatus" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/code-specification" /> </type> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.31" /> <comment value="TestResultStatus" /> </mapping> </element> <element id="Observation.status.extension:TestResultStatus.valueCodeableConcept:valueCodeableConcept"> <path value="Observation.status.extension.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <binding> <strength value="extensible" /> <description value="TestResultStatusCodelist" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000" /> <display value="TestResultStatusCodelijst" /> </valueSetReference> </binding> </element> <element id="Observation.category"> <path value="Observation.category" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Observation.category:LaboratoryTestResultCode"> <path value="Observation.category" /> <sliceName value="LaboratoryTestResultCode" /> <short value="LaboratoryTestResultCode" /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="49581000146104" /> </coding> </patternCodeableConcept> </element> <element id="Observation.category:LaboratoryTestResultCode.coding.display"> <path value="Observation.category.coding.display" /> <defaultValueString value="Laboratory test finding (finding)" /> </element> <element id="Observation.category:ResultType"> <path value="Observation.category" /> <sliceName value="ResultType" /> <short value="ResultType" /> <definition value="The type of result defines the laboratory specialty under which the test is categorized." /> <alias value="ResultaatType" /> <max value="1" /> <binding> <strength value="required" /> <description value="ResultaatTypeCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000" /> <display value="ResultaatTypeCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.7" /> <comment value="ResultType" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.7" /> <comment value="ResultType" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.7" /> <comment value="ResultType" /> </mapping> </element> <element id="Observation.code"> <path value="Observation.code" /> <short value="TestCode or PanelOrBattery" /> <definition value="The name and code of the executed test or for laboratory tests comprising multiple subtests and often requested together as a whole, this concept contains the name of the compound request (often indicated as a ‘panel’, ‘battery’ or ‘cluster’). Examples include: blood gases and EBV serology." /> <comment value="This can either be the HCIM concept PanelOrBattery (NL-CM:13.1.4) or TestCode (NL-CM:13.1.8) depending on the use case. See the documentation on the root of this profile for guidance on implementing the different uses cases." /> <alias value="TestCode" /> <alias value="Onderzoek" /> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.4" /> <comment value="Test" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.4" /> <comment value="Test" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.4" /> <comment value="PanelOrBattery" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.8" /> <comment value="TestName" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.8" /> <comment value="TestName" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.8" /> <comment value="TestCode" /> </mapping> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <short value="Patient" /> <alias value="Patiënt" /> </element> <element id="Observation.context"> <path value="Observation.context" /> <short value="Encounter during which this observation is made" /> <definition value="The encounter during which this journal entry was made." /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <short value="TestDateTime" /> <definition value="The date and if possible the time at which the test was carried out." /> <alias value="TestDatumTijd" /> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.13" /> <comment value="TestDateTime" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.13" /> <comment value="TestDateTime" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.13" /> <comment value="TestDateTime" /> </mapping> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <short value="TestResult" /> <definition value="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 value="TestUitslag" /> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.10" /> <comment value="TestResult" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.10" /> <comment value="TestResult" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.10" /> <comment value="TestResult" /> </mapping> </element> <element id="Observation.interpretation.coding"> <path value="Observation.interpretation.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <constraint> <key value="zib-LaboratoryTestResult-Observation-1" /> <severity value="error" /> <human value="If a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values." /> <expression value="coding.where(system = 'http://snomed.info/sct' and (code = '281302008' or '281300000' or '11896004' or '30714006' or '131196009') ).exists() implies coding.where(system = 'http://hl7.org/fhir/v2/0078').exists()" /> </constraint> </element> <element id="Observation.interpretation.coding:ObservationInterpretation"> <path value="Observation.interpretation.coding" /> <sliceName value="ObservationInterpretation" /> <binding> <strength value="required" /> <description value="Observation Interpretation Codes" /> <valueSetReference> <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"> <valueReference> <reference value="http://nictiz.nl/fhir/ConceptMap/InterpretatieVlaggenCodelijst-to-observation-interpretation" /> <display value="InterpretatieVlaggenCodelijst-to-observation-interpretation" /> </valueReference> </extension> <reference value="http://hl7.org/fhir/ValueSet/observation-interpretation" /> </valueSetReference> </binding> </element> <element id="Observation.interpretation.coding:ObservationInterpretation.system"> <path value="Observation.interpretation.coding.system" /> <min value="1" /> <fixedUri value="http://hl7.org/fhir/v2/0078" /> </element> <element id="Observation.interpretation.coding:ObservationInterpretation.code"> <path value="Observation.interpretation.coding.code" /> <min value="1" /> </element> <element id="Observation.interpretation.coding:InterpretatieVlaggenCodelijst"> <path value="Observation.interpretation.coding" /> <sliceName value="InterpretatieVlaggenCodelijst" /> <short value="ResultFlags" /> <definition value="Attention codes indicating whether the result is above or below certain reference values or interpreting the result otherwise. (Resistent)" /> <comment value="This slice binds the ValueSet from the HCIM, which overlaps the ValueSet from the core FHIR Observation. To satisfy the FHIR profiling rules, the code from the core FHIR ValueSet SHOULD be included as well if a code from this ValueSet is included. A ConceptMap (https://simplifier.net/resolve?canonical=http://nictiz.nl/fhir/ConceptMap/InterpretatieVlaggenCodelijst-to-observation-interpretation) is available that explains the relationship between the FHIR observation-interpretation value set and the HCIM ResultFlagsCodelist." /> <alias value="InterpretatieVlaggen" /> <binding> <strength value="required" /> <description value="InterpretatieVlaggenCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000" /> <display value="InterpretatieVlaggenCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.14" /> <comment value="ResultFlags" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.14" /> <comment value="ResultFlags" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.14" /> <comment value="ResultFlags - see ConceptMap 'HCIM InterpretatieVlaggenCodelijst to Observation Interpretation Codes'" /> </mapping> </element> <element id="Observation.interpretation.coding:InterpretatieVlaggenCodelijst.system"> <path value="Observation.interpretation.coding.system" /> <min value="1" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="Observation.interpretation.coding:InterpretatieVlaggenCodelijst.code"> <path value="Observation.interpretation.coding.code" /> <min value="1" /> </element> <element id="Observation.comment"> <path value="Observation.comment" /> <short value="Comment or ResultInterpretation" /> <definition value="Comments, such as a textual interpretation or advice accompanying the result, for example or a comment of the laboratory specialist regarding the interpretation of the results." /> <alias value="Toelichting" /> <alias value="UitslagInterpretatie" /> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.5" /> <comment value="Explanation" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.5" /> <comment value="Explanation" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.5" /> <comment value="Comment" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.32" /> <comment value="ResultInterpretation" /> </mapping> </element> <element id="Observation.method"> <path value="Observation.method" /> <short value="TestMethod" /> <definition value="The test method used to obtain the result." /> <alias value="Testmethode" /> <binding> <strength value="extensible" /> <description value="SNOMED CT (2.16.840.1.113883.6.96): All values" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.4--20171231000000" /> <display value="TestmethodeCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.9" /> <comment value="TestMethod" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.9" /> <comment value="TestMethod" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.9" /> <comment value="TestMethod" /> </mapping> </element> <element id="Observation.specimen"> <path value="Observation.specimen" /> <short value="Specimen" /> <alias value="Monster" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen" /> </type> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen-Isolate" /> </type> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.2" /> <comment value="Specimen" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.2" /> <comment value="Specimen" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.2" /> <comment value="Specimen" /> </mapping> </element> <element id="Observation.device"> <path value="Observation.device" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" /> </type> </element> <element id="Observation.referenceRange"> <path value="Observation.referenceRange" /> <short value="Reference" /> <alias value="Referentie" /> </element> <element id="Observation.referenceRange.low"> <path value="Observation.referenceRange.low" /> <short value="ReferenceRangeLowerLimit" /> <definition value="The lower reference limit for the patient of the value measured with the test." /> <alias value="ReferentieOndergrens" /> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.12" /> <comment value="LowerReferenceLimit" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.12" /> <comment value="LowerReferenceLimit" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.12" /> <comment value="ReferenceRangeLowerLimit" /> </mapping> </element> <element id="Observation.referenceRange.high"> <path value="Observation.referenceRange.high" /> <short value="ReferenceRangeUpperLimit" /> <definition value="The upper reference limit for the patient of the value measured in the test." /> <alias value="ReferentieBovengrens" /> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.11" /> <comment value="UpperReferenceLimit" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.11" /> <comment value="UpperReferenceLimit" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.11" /> <comment value="ReferenceRangeUpperLimit" /> </mapping> </element> <element id="Observation.related"> <path value="Observation.related" /> <short value="RelatedResults" /> <definition value="Reference to related LaboratoryTestResult instances, or to the LaboratoryTest concept if this is a grouping Observation." /> <comment value="The `Observation.related` field is used for two different HCIM use cases: 1. The LaboratoryTestResult can reference other, related LaboratoryTestResults (RelatedResult, NL-CM:13.1.33). 2. The LaboratoryTestResult can consist of multiple LaboratoryTest concepts (NL-CM:13.1.3) See the documentation on the root if this profile for guidance on implementing these use cases." /> <alias value="GerelateerdeUitslag" /> <alias value="LaboratoriumTest" /> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.33" /> <comment value="RelatedResults" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.3" /> <comment value="LaboratoryTest" /> </mapping> </element> <element id="Observation.related.target"> <path value="Observation.related.target" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Sequence" /> </type> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation" /> </type> </element> <element id="Observation.component"> <path value="Observation.component" /> <short value="LaboratoryTest" /> <definition value="Container of the LaboratoryTest concept. This container contains all data elements of the LaboratoryTest concept." /> <alias value="LaboratoriumTest" /> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.3" /> <comment value="LaboratoryTest" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.3" /> <comment value="LaboratoryTest" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.3" /> <comment value="LaboratoryTest" /> </mapping> </element> <element id="Observation.component.code"> <path value="Observation.component.code" /> <short value="TestCode" /> <definition value="The TestCode is the name of the executed test." /> <alias value="TestCode" /> <binding> <strength value="extensible" /> <description value="LOINC (2.16.840.1.113883.6.1): All values" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.3--20171231000000" /> <display value="TestNaamCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.8" /> <comment value="TestName" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.8" /> <comment value="TestName" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.8" /> <comment value="TestCode" /> </mapping> </element> <element id="Observation.component.value[x]"> <path value="Observation.component.value[x]" /> <short value="TestResult" /> <definition value="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 value="TestUitslag" /> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.10" /> <comment value="TestResult" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.10" /> <comment value="TestResult" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.10" /> <comment value="TestResult" /> </mapping> </element> <element id="Observation.component.interpretation"> <path value="Observation.component.interpretation" /> <short value="ResultFlags" /> <definition value="Attention codes indicating whether the result is above or below certain reference values or interpreting the result otherwise. (Resistent)" /> <comment value="A ConceptMap (https://simplifier.net/resolve?canonical=http://nictiz.nl/fhir/ConceptMap/InterpretatieVlaggenCodelijst-to-observation-interpretation) is available that maps ResultFlagsCodelist to the observation-interpretation value set." /> <alias value="InterpretatieVlaggen" /> <binding> <strength value="extensible" /> <description value="InterpretatieVlaggenCodelijst" /> <valueSetReference> <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"> <valueReference> <reference value="http://nictiz.nl/fhir/ConceptMap/InterpretatieVlaggenCodelijst-to-observation-interpretation" /> <display value="InterpretatieVlaggenCodelijst-to-observation-interpretation" /> </valueReference> </extension> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000" /> <display value="InterpretatieVlaggenCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.14" /> <comment value="ResultFlags" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.14" /> <comment value="ResultFlags" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.14" /> <comment value="ResultFlags" /> </mapping> </element> </differential> </StructureDefinition>