{
  "description": "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’.",
  "_filename": "HdBe-LaboratoryTestResult.json",
  "package_name": "healthdata.be.r4.cbb",
  "date": null,
  "derivation": "constraint",
  "meta": {
    "lastUpdated": "2022-02-22T19:15:54.0085997+00:00"
  },
  "publisher": "Healthdata.be (Sciensano)",
  "fhirVersion": "4.0.1",
  "name": "HdBeLaboratoryTestResult",
  "mapping": [ {
    "uri": "https://zibs.nl/wiki/LaboratoryTestResult-v4.6(2020EN)",
    "name": "zib LaboratoryTestResult-v4.6(2020EN)",
    "identity": "zib-laboratorytestresult-v4.6-2020EN"
  }, {
    "uri": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-LaboratoryTestResult",
    "name": "HdBe logical model LaboratoryTestResult",
    "identity": "HdBe-LaboratoryTestResult"
  } ],
  "abstract": false,
  "copyright": "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.",
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "HdBe LaboratoryTestResult",
  "package_version": "0.3.0-alpha",
  "status": "draft",
  "id": "e98c3c1f-a7fb-42d5-8fe4-1f91c0b796ec",
  "kind": "resource",
  "url": "https://fhir.healthdata.be/StructureDefinition/HdBe-LaboratoryTestResult",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "alias": [ "LaboratoriumUitslag", "LaboratoriumTest" ],
      "short": "LaboratoryTestResult / LaboratoryTest",
      "comment": "The CBB LaboratoryTestResult captures both singular laboratory tests and panels/clusters of multiple related tests requested together (e.g. blood gases and EBV serology)*. This profile should be used slightly different in these two situations:\r\n\r\n* For singlular laboratory test results\r\n    * A single instance of this profile is to be used.\r\n    * `Observation.code` represents CBB concept test_code while panel_or_battery is not expected to be present.\r\n    * `Observation.status` represents CBB concept test_result_status. Result_status is redundant in this situation and not expected to be present.\r\n* For a panel or cluster:\r\n    * There is a single instance for the overall result plus an instance for each individual test result.\r\n    * For the instance representing the overall result:\r\n      * `Observation.code` represents CBB concept panel_or_battery, which is required for panels/clusters.\r\n      * `Observation.status` represents CBB concept result_status. This status should be in accordance with the statuses of each individual test.\r\n      * The instances respresenting the individual test results are referenced using `Observation.hasMember`.\r\n    * For the instances representing the individual test results:\r\n      * `Observation.code` represents CBB concept test_code for that particular test.\r\n      * `Observation.status` represents CBB concept test_result_status for that particular test.\r\n\r\n*) Please note the the CBB also recognizes the related_result concept. This is unrelated to the use of panels/clusters. This concept is represented either using `Observation.derivedFrom` or `Observation.extension:relatedResult`.",
      "mapping": [ {
        "map": "NL-CM:13.1.1",
        "comment": "LaboratoryTestResult",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "NL-CM:13.1.3",
        "comment": "LaboratoryTest",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "laboratory_test_result",
        "identity": "HdBe-LaboratoryTestResult"
      }, {
        "map": "laboratory_test",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "definition": "An instance of CBB LaboratoryTestResult or of a single LaboratoryTest within this CBB."
    }, {
      "id": "Observation.extension",
      "min": 0,
      "path": "Observation.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.extension:relatedResult",
      "min": 0,
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/observation-sequelTo" ]
      } ],
      "sliceName": "relatedResult"
    }, {
      "id": "Observation.extension:relatedResult.value[x]",
      "path": "Observation.extension.value[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation", "https://fhir.healthdata.be/StructureDefinition/HdBe-LaboratoryTestResult" ]
      } ],
      "alias": [ "GerelateerdeUitslag" ],
      "short": "RelatedResult",
      "mapping": [ {
        "map": "NL-CM:13.1.33",
        "comment": "RelatedResult",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "related_result",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "definition": "Reference to related tests, e.g. paired tests or sequential tests like gram staining and microbiological cultures"
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "alias": [ "TestUitslagStatus" ],
      "short": "ResultStatus / TestResultStatus",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/observation-status|4.0.1",
        "_valueSet": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueCanonical": "https://fhir.healthdata.be/ConceptMap/TestResultStatus-to-ObservationStatus"
          } ]
        },
        "description": "Use ConceptMap 'TestResultStatus-to-ObservationStatus' to translate CBB terminology to profile terminology in ValueSet 'ObservationStatus'"
      },
      "comment": "If this resource represents a singular test result or a single test in a cluster/panel, this will be the status of this particular test result. However, if it represents the overall result of a panel/cluster, this status should represent the status of the panel/cluster and should be in accordance with the test result statuses of the individual tests.",
      "mapping": [ {
        "map": "NL-CM:13.1.6",
        "comment": "ResultStatus",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "NL-CM:13.1.31",
        "comment": "TestResultStatus",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "result_status",
        "identity": "HdBe-LaboratoryTestResult"
      }, {
        "map": "laboratory_test.test_result_status",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "definition": "The status of the laboratory test result or test result panel/cluster."
    }, {
      "id": "Observation.category",
      "path": "Observation.category",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.category:resultType",
      "max": "1",
      "path": "Observation.category",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.healthdata.be/ValueSet/ResultType"
      },
      "mapping": [ {
        "map": "result_type",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "sliceName": "resultType"
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "alias": [ "Onderzoek", "TestCode" ],
      "short": "PanelOrBattery / TestCode",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.healthdata.be/ValueSet/TO-DO"
      },
      "comment": "When this resource represents a singular laboratory test result, a code MUST come from NHG Tabel 45  or the Nederlandse Labcodeset . When this resource represent the overall result of a panel/cluster, a code MUST be a LOINC code. See the root of this profile for guidance. TO-DO: Change to ReTam",
      "mapping": [ {
        "map": "NL-CM:13.1.4",
        "comment": "PanelOrBattery",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "NL-CM:13.1.8",
        "comment": "TestCode",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "panel_or_battery",
        "identity": "HdBe-LaboratoryTestResult"
      }, {
        "map": "laboratory_test.test_code",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "definition": "The name and code of the executed test. For laboratory tests comprising multiple subtests and often requested together as a whole, this concept contains the name and code 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",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Location", "https://fhir.healthdata.be/StructureDefinition/HdBe-Patient" ]
      } ]
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.effective[x]:effectiveDateTime",
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "alias": [ "TestDatumTijd" ],
      "short": "TestDateTime",
      "mapping": [ {
        "map": "NL-CM:13.1.13",
        "comment": "TestDateTime",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "laboratory_test.test_date_time",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "sliceName": "effectiveDateTime",
      "definition": "The date and if possible the time at which the test was carried out."
    }, {
      "id": "Observation.performer",
      "max": "1",
      "path": "Observation.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole", "https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-Practitioner" ]
      } ],
      "alias": [ "Uitvoerder" ],
      "short": "Performer",
      "mapping": [ {
        "map": "NL-CM:13.1.35",
        "comment": "Performer",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "performer.healthcare_provider",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "definition": "The healthcare provider and/or organization where or by whom the LaboratoryTestResult was performed."
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      }, {
        "code": "CodeableConcept"
      } ],
      "alias": [ "TestUitslag" ],
      "short": "TestResult",
      "comment": "An observation may have; 1)  a single value here, 2)  both a value and a set of related or component values,  or 3)  only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code.  A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For quantitative results, it is mandatory to provide an unit. For additional guidance, see the [Notes section](observation.html#notes) below.",
      "mapping": [ {
        "map": "NL-CM:13.1.10",
        "comment": "TestResult",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "laboratory_test.test_result",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "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",
      "path": "Observation.interpretation",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "coding",
          "type": "exists"
        } ]
      }
    }, {
      "id": "Observation.interpretation:resultFlags",
      "path": "Observation.interpretation",
      "alias": [ "InterpretatieVlaggen" ],
      "short": "ResultFlags",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/observation-interpretation",
        "_valueSet": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueCanonical": "https://fhir.healthdata.be/ConceptMap/ResultFlags-to-ObservationInterpretationCodes"
          } ]
        },
        "description": "Use ConceptMap 'ResultFlags-to-ObservationInterpretation' to translate CBB terminology to profile terminology in ValueSet 'Observation-interpretation'"
      },
      "mapping": [ {
        "map": "NL-CM:13.1.14",
        "comment": "ResultFlags",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "laboratory_test.result_flags",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "sliceName": "resultFlags",
      "definition": "Attention codes indicating whether the result of a quantitative test is above or below certain reference values or interpreting the result otherwise.(Resistent). The values Resistant, Intermediate en Susceptible are used with microbiological test results."
    }, {
      "id": "Observation.interpretation:resultFlags.coding",
      "min": 1,
      "path": "Observation.interpretation.coding"
    }, {
      "id": "Observation.interpretation:resultInterpretation",
      "max": "1",
      "path": "Observation.interpretation",
      "sliceName": "resultInterpretation"
    }, {
      "id": "Observation.interpretation:resultInterpretation.coding",
      "max": "0",
      "path": "Observation.interpretation.coding"
    }, {
      "id": "Observation.interpretation:resultInterpretation.text",
      "path": "Observation.interpretation.text",
      "alias": [ "UitslagInterpretatie" ],
      "short": "ResultInterpretation",
      "mapping": [ {
        "map": "NL-CM:13.1.32",
        "comment": "ResultInterpretation",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "laboratory_test.result_interpretation",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "definition": "Comment of the laboratory specialist regarding the interpretation of the results"
    }, {
      "id": "Observation.note",
      "max": "1",
      "path": "Observation.note"
    }, {
      "id": "Observation.note.text",
      "path": "Observation.note.text",
      "alias": [ "Toelichting" ],
      "short": "Comment",
      "mapping": [ {
        "map": "NL-CM:13.1.5",
        "comment": "Comment",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "laboratory_test.comment",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "definition": "Comments, such as a textual interpretation or advice accompanying the result, for example."
    }, {
      "id": "Observation.method",
      "path": "Observation.method",
      "alias": [ "Testmethode" ],
      "short": "TestMethod",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.healthdata.be/ValueSet/TestMethod"
      },
      "mapping": [ {
        "map": "NL-CM:13.1.9",
        "comment": "TestMethod",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "laboratory_test.test_method",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "definition": "The test method used to obtain the result."
    }, {
      "id": "Observation.specimen",
      "path": "Observation.specimen",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Specimen", "https://fhir.healthdata.be/StructureDefinition/HdBe-LaboratoryTestResult.Specimen" ]
      } ],
      "comment": "The Specimen concept of the CCB defines either the collected source material without further processing, or a microorganism, optionally including the source material from which it whas isolated.\r\n\r\n* If the Specimen pertains a material (CCB concept SpecimenMaterial), the `Specimen.type` of the resource referenced here should contain a coding indicating a specimen material.\r\n* If the Specimen pertains a microorganism (CCB concept Microorganism), the `Specimen.type` of the resource referenced here should contain a coding indicating the microorganims. If required, the sample material from which the microorganism was isolated can be referenced using `Specimen.parent` on that resource, but it is not referenced here.",
      "mapping": [ {
        "map": "specimen",
        "identity": "HdBe-LaboratoryTestResult"
      } ]
    }, {
      "id": "Observation.referenceRange.low",
      "path": "Observation.referenceRange.low",
      "alias": [ "ReferentieOndergrens" ],
      "short": "ReferenceRangeLowerLimit",
      "mapping": [ {
        "map": "NL-CM:13.1.12",
        "comment": "ReferenceRangeLowerLimit",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "laboratory_test.reference_range_lower_limit",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "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": "ReferenceRangeUpperLimit",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "laboratory_test.reference_range_upper_limit",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "definition": "The upper reference limit for the patient of the value measured in the test."
    }, {
      "id": "Observation.hasMember",
      "path": "Observation.hasMember",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "http://hl7.org/fhir/StructureDefinition/MolecularSequence", "https://fhir.healthdata.be/StructureDefinition/HdBe-LaboratoryTestResult" ]
      } ],
      "comment": "When this resource is used to represent the overall result of a panel/cluster of laboratory tests, the individual test results SHOULD be referenced here. See the root of this profile for guidance."
    }, {
      "id": "Observation.derivedFrom",
      "path": "Observation.derivedFrom",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DocumentReference", "http://hl7.org/fhir/StructureDefinition/ImagingStudy", "http://hl7.org/fhir/StructureDefinition/Media", "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/MolecularSequence", "https://fhir.healthdata.be/StructureDefinition/HdBe-LaboratoryTestResult" ]
      } ],
      "alias": [ "GerelateerdeUitslag" ],
      "short": "RelatedResult",
      "mapping": [ {
        "map": "NL-CM:13.1.33",
        "comment": "RelatedResult",
        "identity": "zib-laboratorytestresult-v4.6-2020EN"
      }, {
        "map": "related_result",
        "identity": "HdBe-LaboratoryTestResult"
      } ],
      "definition": "Reference to related tests, e.g. paired tests or sequential tests like gram staining and microbiological cultures"
    } ]
  },
  "contact": [ {
    "name": "Service Portal - Sciensano",
    "telecom": [ {
      "use": "work",
      "value": "https://sciensano.service-now.com/sp",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}