PackagesCanonicalsLogsProblems
    Packages
    nictiz.fhir.nl.stu3.zib2017@2.0.4
    http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation
{
  "description": "A LaboratoryTestResult as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB)  version 4.1, release 2017.",
  "_filename": "zib-LaboratoryTestResult-Observation.json",
  "package_name": "nictiz.fhir.nl.stu3.zib2017",
  "date": null,
  "derivation": "constraint",
  "publisher": "Nictiz",
  "fhirVersion": "3.0.2",
  "purpose": "# Purpose of HCIM\r\nLaboratory tests are done for the purpose of diagnosing and preventing disease and follow-up on the effects of treatment.",
  "name": "Zib LaboratoryTestResult Observation",
  "mapping": [ {
    "uri": "https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v1.2.2(2015EN)",
    "name": "HCIM LaboratoryTestResultForTransfer-v1.2.2(2015EN)",
    "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
  }, {
    "uri": "https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v3.0(2016EN)",
    "name": "HCIM LaboratoryTestResultForTransfer-v3.0(2016EN)",
    "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
  }, {
    "uri": "https://zibs.nl/wiki/LaboratoryTestResult-v4.1(2017EN)",
    "name": "HCIM LaboratoryTestResult-v4.1(2017EN)",
    "identity": "hcim-laboratorytestresult-v4.1-2017EN"
  }, {
    "uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
    "name": "HCIM BasicElements-v1.0(2017EN)",
    "identity": "hcim-basicelements-v1.0-2017EN"
  } ],
  "abstract": false,
  "copyright": "CC0",
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "HCIM LaboratoryTestResult Observation",
  "package_version": "2.0.4",
  "status": "active",
  "id": "d4853e89-c6dd-4330-bb30-6eae37bc80ac",
  "kind": "resource",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation",
  "version": "2.1.6",
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "alias": [ "LaboratoriumUitslag" ],
      "short": "LaboratoryTestResult",
      "comment": "This profile is used for two concepts of the HCIM LaboratoryTestResult at te 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.\r\n\r\nNote 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).\r\n\r\nThe list below summarizes the different situations:\r\n1. Single LaboratoryTestResult with single LaboratoryTest:\r\n* single instance of this profile\r\n* `.code` represents the HCIM concept Test (NL-CM:13.1.8)\r\n2. Single LaboratoryTestResult with multiple LaboratoryTests\r\n* parent instance with child instances in `.related.target` (\r\n* `.code` of parent represents the HCIM concept PanelOrBattery (NL-CM:13.1.4)\r\n* `.code` of child represents the HCIM concept Test (NL-CM:13.1.8)\r\n* `.related.type` of parent set to \"has-member\"\r\n3. Multiple related LaboratoryTestResults\r\n* multiple instances representing the root concept\r\n* `.code` represents the HCIM concept Test (NL-CM:13.1.8)\r\n* `.related.target` references the related instances\r\n* `.related.type` set to whichever value is appropriate\r\n\r\nAlso 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.",
      "mapping": [ {
        "map": "NL-CM:13.1.3",
        "comment": "LaboratoryTest",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.3",
        "comment": "LaboratoryTest",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.3",
        "comment": "LaboratoryTest",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "definition": "A laboratory result describes the result of a laboratory analysis.\r\nThese are specimen-oriented tests as performed in laboratories such as Clinical Chemistry, Serology, Microbiology, etc.\r\nIn 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’."
    }, {
      "id": "Observation.identifier",
      "path": "Observation.identifier",
      "alias": [ "Identificatie" ],
      "short": "Identifier"
    }, {
      "id": "Observation.basedOn",
      "path": "Observation.basedOn",
      "alias": [ "Aanvrager" ],
      "short": "Fulfills plan, proposal or order including requester information.",
      "comment": "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\r\n                 - ProcedureRequest.status (use fixed value \"active\", unless you know what the actual value is)\r\n                 - ProcedureRequest.intent (use fixed value \"order\", unless you know what the actual value is)\r\n                 - ProcedureRequest.code (use extension http://hl7.org/fhir/STU3/extension-iso21090-nullflavor.html met valueCode UNK, unless you know what the actual value is)\r\n                 - ProcedureRequest.subject (equal to Observation.subject)\r\n                 - ProcedureRequest.requester.agent (contains the requesting HealthProfessional)",
      "mapping": [ {
        "map": "NL-CM:13.1.34",
        "comment": "Contains Requester::HealthProfessional",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ]
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "alias": [ "TestUitslagStatus" ],
      "short": "TestUitslagStatus",
      "definition": "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."
    }, {
      "id": "Observation.status.extension",
      "path": "Observation.status.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "path": "Observation.status.extension",
      "definition": "Provides the specific HCIM code for TestResultStatus or ResultStatus.\r\n\r\nThe 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.",
      "short": "TestResultStatus",
      "mapping": [ {
        "map": "NL-CM:13.1.31",
        "comment": "TestResultStatus",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification"
      } ],
      "sliceName": "TestResultStatus",
      "alias": [ "TestUitslagStatus" ],
      "max": "1",
      "id": "Observation.status.extension:TestResultStatus"
    }, {
      "id": "Observation.status.extension:TestResultStatus.valueCodeableConcept:valueCodeableConcept",
      "path": "Observation.status.extension.valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "description": "TestResultStatusCodelist",
        "valueSetReference": {
          "display": "TestResultStatusCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000"
        }
      },
      "sliceName": "valueCodeableConcept"
    }, {
      "id": "Observation.category",
      "min": 1,
      "path": "Observation.category",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.category:LaboratoryTestResultCode",
      "max": "1",
      "min": 1,
      "path": "Observation.category",
      "short": "LaboratoryTestResultCode",
      "sliceName": "LaboratoryTestResultCode",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "49581000146104",
          "system": "http://snomed.info/sct"
        } ]
      }
    }, {
      "id": "Observation.category:LaboratoryTestResultCode.coding.display",
      "path": "Observation.category.coding.display",
      "defaultValueString": "Laboratory test finding (finding)"
    }, {
      "path": "Observation.category",
      "definition": "The type of result defines the laboratory specialty under which the test is categorized.",
      "short": "ResultType",
      "mapping": [ {
        "map": "NL-CM:13.1.7",
        "comment": "ResultType",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.7",
        "comment": "ResultType",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.7",
        "comment": "ResultType",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "sliceName": "ResultType",
      "binding": {
        "strength": "required",
        "description": "ResultaatTypeCodelijst",
        "valueSetReference": {
          "display": "ResultaatTypeCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000"
        }
      },
      "alias": [ "ResultaatType" ],
      "max": "1",
      "id": "Observation.category:ResultType"
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "alias": [ "TestCode", "Onderzoek" ],
      "short": "TestCode or PanelOrBattery",
      "comment": "This can either be the HCIM concept Test (NL-CM:13.1.4) or TestName (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.",
      "mapping": [ {
        "map": "NL-CM:13.1.4",
        "comment": "Test",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.4",
        "comment": "Test",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.4",
        "comment": "PanelOrBattery",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      }, {
        "map": "NL-CM:13.1.8",
        "comment": "TestName",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.8",
        "comment": "TestName",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.8",
        "comment": "TestCode",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "definition": "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."
    }, {
      "id": "Observation.subject",
      "path": "Observation.subject",
      "alias": [ "Patiënt" ],
      "short": "Patient"
    }, {
      "id": "Observation.context",
      "path": "Observation.context",
      "short": "Encounter during which this observation is made",
      "definition": "The encounter during which this journal entry was made."
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "alias": [ "TestDatumTijd" ],
      "short": "TestDateTime",
      "mapping": [ {
        "map": "NL-CM:13.1.13",
        "comment": "TestDateTime",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.13",
        "comment": "TestDateTime",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.13",
        "comment": "TestDateTime",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "definition": "The date and if possible the time at which the test was carried out."
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "alias": [ "TestUitslag" ],
      "short": "TestResult",
      "mapping": [ {
        "map": "NL-CM:13.1.10",
        "comment": "TestResult",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.10",
        "comment": "TestResult",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.10",
        "comment": "TestResult",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "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)."
    }, {
      "id": "Observation.interpretation.coding",
      "min": 1,
      "path": "Observation.interpretation.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "constraint": [ {
        "key": "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()"
      } ]
    }, {
      "id": "Observation.interpretation.coding:ObservationInterpretation",
      "path": "Observation.interpretation.coding",
      "binding": {
        "strength": "required",
        "description": "Observation Interpretation Codes",
        "valueSetReference": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueReference": {
              "display": "InterpretatieVlaggenCodelijst-To-Observation-Interpretation",
              "reference": "http://nictiz.nl/fhir/ConceptMap/InterpretatieVlaggenCodelijst-To-Observation-Interpretation"
            }
          } ],
          "reference": "http://hl7.org/fhir/ValueSet/observation-interpretation"
        }
      },
      "sliceName": "ObservationInterpretation"
    }, {
      "id": "Observation.interpretation.coding:ObservationInterpretation.system",
      "min": 1,
      "path": "Observation.interpretation.coding.system",
      "fixedUri": "http://hl7.org/fhir/v2/0078"
    }, {
      "id": "Observation.interpretation.coding:ObservationInterpretation.code",
      "min": 1,
      "path": "Observation.interpretation.coding.code"
    }, {
      "path": "Observation.interpretation.coding",
      "definition": "Attention codes indicating whether the result is above or below certain reference values or interpreting the result otherwise. (Resistent)",
      "short": "ResultFlags",
      "mapping": [ {
        "map": "NL-CM:13.1.14",
        "comment": "ResultFlags",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.14",
        "comment": "ResultFlags",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.14",
        "comment": "ResultFlags - see ConceptMap 'HCIM InterpretatieVlaggenCodelijst to Observation Interpretation Codes'",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "sliceName": "InterpretatieVlaggenCodelijst",
      "binding": {
        "strength": "required",
        "description": "InterpretatieVlaggenCodelijst",
        "valueSetReference": {
          "display": "InterpretatieVlaggenCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000"
        }
      },
      "alias": [ "InterpretatieVlaggen" ],
      "id": "Observation.interpretation.coding:InterpretatieVlaggenCodelijst",
      "comment": "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."
    }, {
      "id": "Observation.interpretation.coding:InterpretatieVlaggenCodelijst.system",
      "min": 1,
      "path": "Observation.interpretation.coding.system",
      "fixedUri": "http://snomed.info/sct"
    }, {
      "id": "Observation.interpretation.coding:InterpretatieVlaggenCodelijst.code",
      "min": 1,
      "path": "Observation.interpretation.coding.code"
    }, {
      "id": "Observation.comment",
      "path": "Observation.comment",
      "alias": [ "Toelichting", "UitslagInterpretatie" ],
      "short": "Comment or ResultInterpretation",
      "mapping": [ {
        "map": "NL-CM:13.1.5",
        "comment": "Explanation",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.5",
        "comment": "Explanation",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.5",
        "comment": "Comment",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      }, {
        "map": "NL-CM:13.1.32",
        "comment": "ResultInterpretation",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "definition": "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."
    }, {
      "id": "Observation.method",
      "path": "Observation.method",
      "alias": [ "Testmethode" ],
      "short": "TestMethod",
      "binding": {
        "strength": "extensible",
        "description": "SNOMED CT (2.16.840.1.113883.6.96): All values",
        "valueSetReference": {
          "display": "TestmethodeCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.4--20171231000000"
        }
      },
      "mapping": [ {
        "map": "NL-CM:13.1.9",
        "comment": "TestMethod",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.9",
        "comment": "TestMethod",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.9",
        "comment": "TestMethod",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "definition": "The test method used to obtain the result."
    }, {
      "id": "Observation.specimen",
      "path": "Observation.specimen",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen"
      }, {
        "code": "Reference",
        "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen-Isolate"
      } ],
      "alias": [ "Monster" ],
      "short": "Specimen",
      "mapping": [ {
        "map": "NL-CM:13.1.2",
        "comment": "Specimen",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.2",
        "comment": "Specimen",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.2",
        "comment": "Specimen",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ]
    }, {
      "id": "Observation.device",
      "path": "Observation.device",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct"
      } ]
    }, {
      "id": "Observation.referenceRange",
      "path": "Observation.referenceRange",
      "alias": [ "Referentie" ],
      "short": "Reference"
    }, {
      "id": "Observation.referenceRange.low",
      "path": "Observation.referenceRange.low",
      "alias": [ "ReferentieOndergrens" ],
      "short": "ReferenceRangeLowerLimit",
      "mapping": [ {
        "map": "NL-CM:13.1.12",
        "comment": "LowerReferenceLimit",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.12",
        "comment": "LowerReferenceLimit",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.12",
        "comment": "ReferenceRangeLowerLimit",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "definition": "The lower reference limit for the patient of the value measured with the test."
    }, {
      "id": "Observation.referenceRange.high",
      "path": "Observation.referenceRange.high",
      "alias": [ "ReferentieBovengrens" ],
      "short": "ReferenceRangeUpperLimit",
      "mapping": [ {
        "map": "NL-CM:13.1.11",
        "comment": "UpperReferenceLimit",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.11",
        "comment": "UpperReferenceLimit",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.11",
        "comment": "ReferenceRangeUpperLimit",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "definition": "The upper reference limit for the patient of the value measured in the test."
    }, {
      "id": "Observation.related",
      "path": "Observation.related",
      "alias": [ "GerelateerdeUitslag", "LaboratoriumTest" ],
      "short": "RelatedResults",
      "comment": "The `Observation.related` field is used for two different HCIM use cases:\r\n1. The LaboratoryTestResult can reference other, related LaboratoryTestResults (RelatedResult, NL-CM:13.1.33).\r\n2. The LaboratoryTestResult can consist of multiple LaboratoryTest concepts (NL-CM:13.1.3)\r\n\r\nSee the documentation on the root if this profile for guidance on implementing these use cases.",
      "mapping": [ {
        "map": "NL-CM:13.1.33",
        "comment": "RelatedResults",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      }, {
        "map": "NL-CM:13.1.3",
        "comment": "LaboratoryTest",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "definition": "Reference to related LaboratoryTestResult instances, or to the LaboratoryTest concept if this is a grouping Observation."
    }, {
      "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",
      "alias": [ "LaboratoriumTest" ],
      "short": "LaboratoryTest",
      "mapping": [ {
        "map": "NL-CM:13.1.3",
        "comment": "LaboratoryTest",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.3",
        "comment": "LaboratoryTest",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.3",
        "comment": "LaboratoryTest",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "definition": "Container of the LaboratoryTest concept. This container contains all data elements of the LaboratoryTest concept."
    }, {
      "id": "Observation.component.code",
      "path": "Observation.component.code",
      "alias": [ "TestCode" ],
      "short": "TestCode",
      "binding": {
        "strength": "extensible",
        "description": "LOINC (2.16.840.1.113883.6.1): All values",
        "valueSetReference": {
          "display": "TestNaamCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.3--20171231000000"
        }
      },
      "mapping": [ {
        "map": "NL-CM:13.1.8",
        "comment": "TestName",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.8",
        "comment": "TestName",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.8",
        "comment": "TestCode",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "definition": "The TestCode is the name of the executed test."
    }, {
      "id": "Observation.component.value[x]",
      "path": "Observation.component.value[x]",
      "alias": [ "TestUitslag" ],
      "short": "TestResult",
      "mapping": [ {
        "map": "NL-CM:13.1.10",
        "comment": "TestResult",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.10",
        "comment": "TestResult",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.10",
        "comment": "TestResult",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "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)."
    }, {
      "id": "Observation.component.interpretation",
      "path": "Observation.component.interpretation",
      "alias": [ "InterpretatieVlaggen" ],
      "short": "ResultFlags",
      "binding": {
        "strength": "extensible",
        "description": "InterpretatieVlaggenCodelijst",
        "valueSetReference": {
          "display": "InterpretatieVlaggenCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000"
        }
      },
      "comment": "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 valueset.",
      "mapping": [ {
        "map": "NL-CM:13.1.14",
        "comment": "ResultFlags",
        "identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
      }, {
        "map": "NL-CM:13.1.14",
        "comment": "ResultFlags",
        "identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
      }, {
        "map": "NL-CM:13.1.14",
        "comment": "ResultFlags",
        "identity": "hcim-laboratorytestresult-v4.1-2017EN"
      } ],
      "definition": "Attention codes indicating whether the result is above or below certain reference values or interpreting the result otherwise. (Resistent)"
    } ]
  },
  "contact": [ {
    "name": "Nictiz",
    "telecom": [ {
      "use": "work",
      "value": "info@nictiz.nl",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation"
}