FHIR Implementatiegids voor de Nederlandse Kankerregistratie
1.4.0 - release

FHIR Implementatiegids voor de Nederlandse Kankerregistratie - Local Development build (v1.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Ncr Ehr Laboratory Test Result

Official URL: http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-laboratory-test-result Version: 1.4.0
Draft as of 2026-01-22 Computable Name: NcrEhrLaboratoryTestResult

Copyright/Legal: Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.

A nl-core derived Laboratory Test Result profile that specifies the linkage to a tumor condition through the ServiceRequest.reasonReference on which the Lab Test Result is based. Also refines the code to be from a required value set of LOINC codes.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* NlcoreLaboratoryTestResult LaboratoryTestResult / LaboratoryTest
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:sequelTo 0..* (Complex) Sequel to referenced Observation
URL: http://hl7.org/fhir/StructureDefinition/observation-sequelTo
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-sequelTo"
..... value[x] 1..1 Reference(Observation | nl core LaboratoryTestResult) RelatedResult
.... extension:edifactReferenceNumber N 0..1 string Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-EdifactReferenceNumber
.... extension:copyIndicator N 0..1 boolean Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-CopyIndicator
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code ResultStatus / TestResultStatus
Binding: ObservationStatus (required): Use ConceptMap TestUitslagStatusCodelijst-to-ObservationStatus to translate terminology from the functional model to profile terminology in ValueSet ObservationStatus.
Required Pattern: final
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:laboratoryCategory 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:resultType 0..1 CodeableConcept ResultType
Binding: ResultaatTypeCodelijst (required): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept PanelOrBattery / TestCode
Binding: TestCodeLOINCCodelijst (required)
... subject SΣ 0..1 Reference(NcrEhrPatient) {b} Who and/or what the observation is about
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime Σ 0..1 dateTime TestDateTime
... Slices for performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Open by profile:resolve()
.... performer:performer Σ 0..1 Reference(nl core HealthcareProvider Organization) Performer
... value[x] SΣC 0..1 TestResult
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... Slices for interpretation 0..* CodeableConcept High, low, normal, etc.
Slice: Unordered, Open by exists:coding
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... interpretation:resultFlags 0..* CodeableConcept ResultFlags
Binding: InterpretatieVlaggenCodelijst (extensible): Use ConceptMap InterpretatieVlaggenCodelijst-to-ObservationInterpretationCodes to translate terminology from the functional model to profile terminology in ValueSet ObservationInterpretation.
..... coding Σ 1..* Coding Code defined by a terminology system
.... interpretation:resultInterpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..1 Annotation Comments about the observation
.... text Σ 1..1 markdown Comment
... Slices for hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:resolve()
.... hasMember:laboratoryTest Σ 0..* Reference(nl core LaboratoryTestResult) LaboratoryTest

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratoryCategory Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:resultType Base required ResultaatTypeCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.code Base required TestCodeLOINCCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.interpretation:resultFlags Base extensible InterpretatieVlaggenCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.interpretation:resultInterpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (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 Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from NlcoreLaboratoryTestResult

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* NlcoreLaboratoryTestResult LaboratoryTestResult / LaboratoryTest
... basedOn 0..* Reference(Service request) {b} Fulfills plan, proposal or order
... status 1..1 code ResultStatus / TestResultStatus
Required Pattern: final
... code S 1..1 CodeableConcept PanelOrBattery / TestCode
Binding: TestCodeLOINCCodelijst (required)
... effective[x] 1..1 dateTime Clinically relevant time/time-period for observation
... value[x] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period TestResult

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required TestCodeLOINCCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* NlcoreLaboratoryTestResult LaboratoryTestResult / LaboratoryTest
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:sequelTo 0..* (Complex) Sequel to referenced Observation
URL: http://hl7.org/fhir/StructureDefinition/observation-sequelTo
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-sequelTo"
..... value[x] 1..1 Reference(Observation | nl core LaboratoryTestResult) RelatedResult
.... extension:edifactReferenceNumber N 0..1 string Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-EdifactReferenceNumber
.... extension:copyIndicator N 0..1 boolean Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-CopyIndicator
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(Service request) {b} Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code ResultStatus / TestResultStatus
Binding: ObservationStatus (required): Use ConceptMap TestUitslagStatusCodelijst-to-ObservationStatus to translate terminology from the functional model to profile terminology in ValueSet ObservationStatus.
Required Pattern: final
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:laboratoryCategory 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:resultType 0..1 CodeableConcept ResultType
Binding: ResultaatTypeCodelijst (required): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept PanelOrBattery / TestCode
Binding: TestCodeLOINCCodelijst (required)
... subject SΣ 0..1 Reference(NcrEhrPatient) {b} Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime Σ 0..1 dateTime TestDateTime
... issued Σ 0..1 instant Date/Time this version was made available
... Slices for performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Open by profile:resolve()
.... performer:performer Σ 0..1 Reference(nl core HealthcareProvider Organization) Performer
... value[x] SΣC 0..1 TestResult
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... Slices for interpretation 0..* CodeableConcept High, low, normal, etc.
Slice: Unordered, Open by exists:coding
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... interpretation:resultFlags 0..* CodeableConcept ResultFlags
Binding: InterpretatieVlaggenCodelijst (extensible): Use ConceptMap InterpretatieVlaggenCodelijst-to-ObservationInterpretationCodes to translate terminology from the functional model to profile terminology in ValueSet ObservationInterpretation.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... interpretation:resultInterpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... text Σ 0..1 string ResultInterpretation
... note 0..1 Annotation Comments about the observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown Comment
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept TestMethod
Binding: TestmethodeCodelijst (required): Methods for simple observations.
... specimen 0..1 Reference(Specimen | nl core LaboratoryTestResult.Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity ReferenceRangeLowerLimit
.... high C 0..1 SimpleQuantity ReferenceRangeUpperLimit
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... Slices for hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:resolve()
.... hasMember:laboratoryTest Σ 0..* Reference(nl core LaboratoryTestResult) LaboratoryTest
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratoryCategory Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:resultType Base required ResultaatTypeCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.code Base required TestCodeLOINCCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.interpretation:resultFlags Base extensible InterpretatieVlaggenCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.interpretation:resultInterpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base required TestmethodeCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📦4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (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 Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* NlcoreLaboratoryTestResult LaboratoryTestResult / LaboratoryTest
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:sequelTo 0..* (Complex) Sequel to referenced Observation
URL: http://hl7.org/fhir/StructureDefinition/observation-sequelTo
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-sequelTo"
..... value[x] 1..1 Reference(Observation | nl core LaboratoryTestResult) RelatedResult
.... extension:edifactReferenceNumber N 0..1 string Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-EdifactReferenceNumber
.... extension:copyIndicator N 0..1 boolean Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-CopyIndicator
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code ResultStatus / TestResultStatus
Binding: ObservationStatus (required): Use ConceptMap TestUitslagStatusCodelijst-to-ObservationStatus to translate terminology from the functional model to profile terminology in ValueSet ObservationStatus.
Required Pattern: final
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:laboratoryCategory 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:resultType 0..1 CodeableConcept ResultType
Binding: ResultaatTypeCodelijst (required): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept PanelOrBattery / TestCode
Binding: TestCodeLOINCCodelijst (required)
... subject SΣ 0..1 Reference(NcrEhrPatient) {b} Who and/or what the observation is about
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime Σ 0..1 dateTime TestDateTime
... Slices for performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Open by profile:resolve()
.... performer:performer Σ 0..1 Reference(nl core HealthcareProvider Organization) Performer
... value[x] SΣC 0..1 TestResult
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... Slices for interpretation 0..* CodeableConcept High, low, normal, etc.
Slice: Unordered, Open by exists:coding
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... interpretation:resultFlags 0..* CodeableConcept ResultFlags
Binding: InterpretatieVlaggenCodelijst (extensible): Use ConceptMap InterpretatieVlaggenCodelijst-to-ObservationInterpretationCodes to translate terminology from the functional model to profile terminology in ValueSet ObservationInterpretation.
..... coding Σ 1..* Coding Code defined by a terminology system
.... interpretation:resultInterpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..1 Annotation Comments about the observation
.... text Σ 1..1 markdown Comment
... Slices for hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:resolve()
.... hasMember:laboratoryTest Σ 0..* Reference(nl core LaboratoryTestResult) LaboratoryTest

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratoryCategory Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:resultType Base required ResultaatTypeCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.code Base required TestCodeLOINCCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.interpretation:resultFlags Base extensible InterpretatieVlaggenCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.interpretation:resultInterpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (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 Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from NlcoreLaboratoryTestResult

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* NlcoreLaboratoryTestResult LaboratoryTestResult / LaboratoryTest
... basedOn 0..* Reference(Service request) {b} Fulfills plan, proposal or order
... status 1..1 code ResultStatus / TestResultStatus
Required Pattern: final
... code S 1..1 CodeableConcept PanelOrBattery / TestCode
Binding: TestCodeLOINCCodelijst (required)
... effective[x] 1..1 dateTime Clinically relevant time/time-period for observation
... value[x] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period TestResult

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required TestCodeLOINCCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* NlcoreLaboratoryTestResult LaboratoryTestResult / LaboratoryTest
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:sequelTo 0..* (Complex) Sequel to referenced Observation
URL: http://hl7.org/fhir/StructureDefinition/observation-sequelTo
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-sequelTo"
..... value[x] 1..1 Reference(Observation | nl core LaboratoryTestResult) RelatedResult
.... extension:edifactReferenceNumber N 0..1 string Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-EdifactReferenceNumber
.... extension:copyIndicator N 0..1 boolean Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-CopyIndicator
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(Service request) {b} Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code ResultStatus / TestResultStatus
Binding: ObservationStatus (required): Use ConceptMap TestUitslagStatusCodelijst-to-ObservationStatus to translate terminology from the functional model to profile terminology in ValueSet ObservationStatus.
Required Pattern: final
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:laboratoryCategory 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:resultType 0..1 CodeableConcept ResultType
Binding: ResultaatTypeCodelijst (required): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept PanelOrBattery / TestCode
Binding: TestCodeLOINCCodelijst (required)
... subject SΣ 0..1 Reference(NcrEhrPatient) {b} Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime Σ 0..1 dateTime TestDateTime
... issued Σ 0..1 instant Date/Time this version was made available
... Slices for performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Open by profile:resolve()
.... performer:performer Σ 0..1 Reference(nl core HealthcareProvider Organization) Performer
... value[x] SΣC 0..1 TestResult
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... Slices for interpretation 0..* CodeableConcept High, low, normal, etc.
Slice: Unordered, Open by exists:coding
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... interpretation:resultFlags 0..* CodeableConcept ResultFlags
Binding: InterpretatieVlaggenCodelijst (extensible): Use ConceptMap InterpretatieVlaggenCodelijst-to-ObservationInterpretationCodes to translate terminology from the functional model to profile terminology in ValueSet ObservationInterpretation.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... interpretation:resultInterpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... text Σ 0..1 string ResultInterpretation
... note 0..1 Annotation Comments about the observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown Comment
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept TestMethod
Binding: TestmethodeCodelijst (required): Methods for simple observations.
... specimen 0..1 Reference(Specimen | nl core LaboratoryTestResult.Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity ReferenceRangeLowerLimit
.... high C 0..1 SimpleQuantity ReferenceRangeUpperLimit
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... Slices for hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:resolve()
.... hasMember:laboratoryTest Σ 0..* Reference(nl core LaboratoryTestResult) LaboratoryTest
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:laboratoryCategory Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:resultType Base required ResultaatTypeCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.code Base required TestCodeLOINCCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.interpretation:resultFlags Base extensible InterpretatieVlaggenCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.interpretation:resultInterpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base required TestmethodeCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📦4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (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 Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

 

Other representations of profile: CSV, Excel, Schematron