description: 'A LaboratoryTestResult as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB)  version 4.1, release 2017.'
package_name: nictiz.fhir.nl.stu3.zib2017
derivation: constraint
name: Zib LaboratoryTestResult Observation
type: Observation
elements:
  category:
    index: 6
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: value}
      min: 1
      slices:
        LaboratoryTestResultCode:
          match:
            coding:
            - {code: '49581000146104', system: 'http://snomed.info/sct'}
          schema:
            short: LaboratoryTestResultCode
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: '49581000146104', system: 'http://snomed.info/sct'}
            _required: true
            index: 7
            elements:
              coding:
                elements:
                  display: {defaultValueString: Laboratory test finding (finding), index: 8}
        ResultType:
          match: {}
          schema: {short: ResultType, index: 9}
          max: 1
  referenceRange:
    short: Reference
    index: 28
    elements:
      low: {short: ReferenceRangeLowerLimit, index: 29}
      high: {short: ReferenceRangeUpperLimit, index: 30}
  interpretation:
    elements:
      coding:
        constraint:
          zib-LaboratoryTestResult-Observation-1: {human: If a value from the HCIM ValueSet 'InterperatatieVlaggenCodelijst' 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., severity: error, expression: '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()'}
        index: 17
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: 1
          slices:
            ObservationInterpretation:
              match: {system: 'http://hl7.org/fhir/v2/0078'}
              schema:
                index: 18
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://hl7.org/fhir/v2/0078'}
                    index: 19
                  code: {index: 20}
                required: [system, code]
            InterpretatieVlaggenCodelijst:
              match: {system: 'http://snomed.info/sct'}
              schema:
                short: ResultFlags
                index: 21
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 22
                  code: {index: 23}
                required: [system, code]
    required: [coding]
  method: {short: TestMethod, index: 25}
  specimen:
    type: Reference
    short: Specimen
    refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen', 'http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen-Isolate']
    index: 26
  value:
    short: TestResult
    choices: []
    index: 16
  related:
    short: RelatedResults
    index: 31
    elements:
      target:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse', 'http://hl7.org/fhir/StructureDefinition/Sequence', 'http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation']
        index: 32
  component:
    short: LaboratoryTest
    index: 33
    elements:
      code: {short: TestCode, index: 34}
      value:
        short: TestResult
        choices: []
        index: 36
      interpretation: {short: ResultFlags, index: 37}
  status:
    short: TestUitslagStatus
    index: 2
    extensions:
      TestResultStatus:
        url: h
        short: TestResultStatus
        type: Extension
        index: 4
        elements:
          valueCodeableConcept:
            index: 5
            slicing:
              slices:
                valueCodeableConcept:
                  match: {}
                  schema: {index: 5}
    elements:
      extension:
        index: 3
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            TestResultStatus:
              match: {url: null}
              schema:
                short: TestResultStatus
                type: Extension
                url: h
                index: 4
                elements:
                  valueCodeableConcept:
                    index: 5
                    slicing:
                      slices:
                        valueCodeableConcept:
                          match: {}
                          schema: {index: 5}
  effective:
    short: TestDateTime
    choices: []
    index: 14
  comment: {short: Comment or ResultInterpretation, index: 24}
  code: {short: TestCode or PanelOrBattery, index: 10}
  identifier: {short: Identifier, index: 0}
  context: {short: Encounter during which this observation is made, index: 12}
  device:
    type: Reference
    refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct']
    index: 27
  basedOn: {short: 'Fulfills plan, proposal or order including requester information.', index: 1}
  subject: {short: Patient, index: 11}
package_version: 2.1.12
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation
base: http://fhir.nl/fhir/StructureDefinition/nl-core-observation
version: 2.1.7
required: [category]