IKNL PZP STU3
0.1.3-beta3 - consultation International flag

IKNL PZP STU3 - Local Development build (v0.1.3-beta3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Position Regarding Euthanasia

Official URL: https://fhir.iknl.nl/fhir/StructureDefinition/ACP-PositionRegardingEuthanasia Version: 0.1.3-beta3
Draft as of 2025-08-28 Computable Name: ACPPositionRegardingEuthanasia

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.

The patient's position regarding euthanasia. Based on Observation resource.

Usages:

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.

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Observation C 0..* Zib GeneralMeasurement(2.0.4) GeneralMeasurement
Constraints: obs-7, obs-6
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... Slices voor extension Content/regels voor alle slices
..... extension:ResultStatusCodelist 0..1 (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
Url: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
...... Slices voor value[x] 1..1 CodeableConcept Value of extension
Slice: Zonder volgorde, Gesloten op type:$this
....... value[x]:valueCodeableConcept 1..1 CodeableConcept ResultaatStatusCodelijst
Binding: ResultaatStatusCodelijst (2017-12-31T00:00:00) (extensible): ResultaatStatusCodelijst
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 340171000146104
..... 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
... subject Σ 1..1 Reference(Patient(0.1.3-beta3)) Who and/or what this is about
... context 0..1 Reference(Encounter(0.1.3-beta3)) Healthcare event during which this observation is made
... effective[x] Σ 0..1 ResultDateTime
.... effectiveDateTime dateTime
.... effectivePeriod Period
... value[x] ΣC 0..1 CodeableConcept ResultValue
Binding: ACPEuthanasiaStatementVS (0.1.3-beta3) (required)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... comment 0..1 string Comment

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|3.0.2
From the FHIR Standard
Observation.status.extension:ResultStatusCodelist.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1--20171231000000|2017-12-31T00:00:00
Observation.codeextensiblePattern Value: SNOMED CT code 340171000146104
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2--20171231000000|2017-12-31T00:00:00
Observation.value[x]requiredACPEuthanasiaStatementVS
https://fhir.iknl.nl/fhir/ValueSet/ACP-EuthanasiaStatement|0.1.3-beta3
From this IG
Observation.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
From the FHIR Standard

Constrains

IdGradePad(en)DetailsRequirements
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorObservationIf 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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

This structure is derived from Zib GeneralMeasurement

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Observation 0..* Zib GeneralMeasurement(2.0.4) GeneralMeasurement
... code 1..1 CodeableConcept Investigation or MeasurementName
Verplicht patroon: Tenminste de volgende
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 340171000146104
... subject 1..1 Reference(Patient(0.1.3-beta3)) Who and/or what this is about
... context 0..1 Reference(Encounter(0.1.3-beta3)) Healthcare event during which this observation is made
... value[x] 0..1 CodeableConcept ResultValue
Binding: ACPEuthanasiaStatementVS (0.1.3-beta3) (required)
... dataAbsentReason 0..1 CodeableConcept Why the result is missing
... comment 0..1 string Comment

doco Documentatie voor dit formaat

Terminologiebindings (differential)

PadConformanceValueSetUri
Observation.value[x]requiredACPEuthanasiaStatementVS
https://fhir.iknl.nl/fhir/ValueSet/ACP-EuthanasiaStatement|0.1.3-beta3
From this IG
NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Observation C 0..* Zib GeneralMeasurement(2.0.4) GeneralMeasurement
Constraints: obs-7, obs-6
... 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: Common Languages (extensible): A human language.
Additionele bindingsDoel
All Languages 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
... extension 0..* Extension Additional Content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
..... extension:ResultStatusCodelist 0..1 (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
Url: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Zonder volgorde, Open op value:url
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
...... Slices voor value[x] 1..1 CodeableConcept Value of extension
Slice: Zonder volgorde, Gesloten op type:$this
....... value[x]:valueCodeableConcept 1..1 CodeableConcept ResultaatStatusCodelijst
Binding: ResultaatStatusCodelijst (2017-12-31T00:00:00) (extensible): ResultaatStatusCodelijst
.... value 0..1 code Primitive value for code
... category 0..* CodeableConcept Classification of type of observation
Binding: Observation Category Codes (preferred): Codes for high level observation categories.
... code Σ 1..1 CodeableConcept Investigation or MeasurementName
Binding: MetingNaamCodelijst (2017-12-31T00:00:00) (extensible): OnderzoekCodelijst or MetingNaamCodelijst
Verplicht patroon: Tenminste de volgende
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 340171000146104
..... 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
... subject Σ 1..1 Reference(Patient(0.1.3-beta3)) Who and/or what this is about
... context 0..1 Reference(Encounter(0.1.3-beta3)) Healthcare event during which this observation is made
... effective[x] Σ 0..1 ResultDateTime
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this was made available
... performer Σ 0..* Reference(nl-core-organization(2.0.6) | nl-core-patient(2.2.4) | nl-core-practitioner(2.0.7) | nl-core-relatedperson(2.0.5)) Who is responsible for the observation
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... value[x] ΣC 0..1 CodeableConcept ResultValue
Binding: ACPEuthanasiaStatementVS (0.1.3-beta3) (required)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
... comment 0..1 string Comment
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept MeasuringMethod
Binding: MeetmethodeCodelijst (2017-12-31T00:00:00) (extensible): SNOMED CT - all concepts
... specimen 0..1 Reference(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 xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes (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
... related Σ 0..* BackboneElement MeasurementResult
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... type 0..1 code has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.
.... target 1..1 Reference(HCIM General Measurement(2.0.4)) Resource that is related to this one
... component Σ 0..* BackboneElement Component results
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueAttachment Attachment
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* Zie referenceRange (Observation) Provides guide for interpretation of component result

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Observation.languageextensibleCommon Languages
http://hl7.org/fhir/ValueSet/languages|3.0.2
From the FHIR Standard
Additionele bindings Doel
All Languages Max binding
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|3.0.2
From the FHIR Standard
Observation.status.extension:ResultStatusCodelist.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1--20171231000000|2017-12-31T00:00:00
Observation.categorypreferredObservation Category Codes
http://hl7.org/fhir/ValueSet/observation-category|3.0.2
From the FHIR Standard
Observation.codeextensiblePattern Value: SNOMED CT code 340171000146104
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2--20171231000000|2017-12-31T00:00:00
Observation.value[x]requiredACPEuthanasiaStatementVS
https://fhir.iknl.nl/fhir/ValueSet/ACP-EuthanasiaStatement|0.1.3-beta3
From this IG
Observation.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
From the FHIR Standard
Observation.interpretationextensibleObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2
From the FHIR Standard
Observation.bodySiteexampleSNOMED CT Body Structures
http://hl7.org/fhir/ValueSet/body-site|3.0.2
From the FHIR Standard
Observation.methodextensibleMeetmethodeCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.4--20171231000000|2017-12-31T00:00:00
Observation.referenceRange.typeextensibleObservation Reference Range Meaning Codes
http://hl7.org/fhir/ValueSet/referencerange-meaning|3.0.2
From the FHIR Standard
Observation.referenceRange.appliesToexampleObservation Reference Range Applies To Codes
http://hl7.org/fhir/ValueSet/referencerange-appliesto|3.0.2
From the FHIR Standard
Observation.related.typerequiredObservationRelationshipType
http://hl7.org/fhir/ValueSet/observation-relationshiptypes|3.0.2
From the FHIR Standard
Observation.component.codeexampleLOINC Codes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes|3.0.2
From the FHIR Standard
Observation.component.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
From the FHIR Standard
Observation.component.interpretationextensibleObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2
From the FHIR Standard

Constrains

IdGradePad(en)DetailsRequirements
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorObservationIf 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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

Key Elements View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Observation C 0..* Zib GeneralMeasurement(2.0.4) GeneralMeasurement
Constraints: obs-7, obs-6
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... Slices voor extension Content/regels voor alle slices
..... extension:ResultStatusCodelist 0..1 (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
Url: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
...... Slices voor value[x] 1..1 CodeableConcept Value of extension
Slice: Zonder volgorde, Gesloten op type:$this
....... value[x]:valueCodeableConcept 1..1 CodeableConcept ResultaatStatusCodelijst
Binding: ResultaatStatusCodelijst (2017-12-31T00:00:00) (extensible): ResultaatStatusCodelijst
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 340171000146104
..... 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
... subject Σ 1..1 Reference(Patient(0.1.3-beta3)) Who and/or what this is about
... context 0..1 Reference(Encounter(0.1.3-beta3)) Healthcare event during which this observation is made
... effective[x] Σ 0..1 ResultDateTime
.... effectiveDateTime dateTime
.... effectivePeriod Period
... value[x] ΣC 0..1 CodeableConcept ResultValue
Binding: ACPEuthanasiaStatementVS (0.1.3-beta3) (required)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... comment 0..1 string Comment

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|3.0.2
From the FHIR Standard
Observation.status.extension:ResultStatusCodelist.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1--20171231000000|2017-12-31T00:00:00
Observation.codeextensiblePattern Value: SNOMED CT code 340171000146104
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2--20171231000000|2017-12-31T00:00:00
Observation.value[x]requiredACPEuthanasiaStatementVS
https://fhir.iknl.nl/fhir/ValueSet/ACP-EuthanasiaStatement|0.1.3-beta3
From this IG
Observation.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
From the FHIR Standard

Constrains

IdGradePad(en)DetailsRequirements
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorObservationIf 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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

Differential View

This structure is derived from Zib GeneralMeasurement

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Observation 0..* Zib GeneralMeasurement(2.0.4) GeneralMeasurement
... code 1..1 CodeableConcept Investigation or MeasurementName
Verplicht patroon: Tenminste de volgende
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 340171000146104
... subject 1..1 Reference(Patient(0.1.3-beta3)) Who and/or what this is about
... context 0..1 Reference(Encounter(0.1.3-beta3)) Healthcare event during which this observation is made
... value[x] 0..1 CodeableConcept ResultValue
Binding: ACPEuthanasiaStatementVS (0.1.3-beta3) (required)
... dataAbsentReason 0..1 CodeableConcept Why the result is missing
... comment 0..1 string Comment

doco Documentatie voor dit formaat

Terminologiebindings (differential)

PadConformanceValueSetUri
Observation.value[x]requiredACPEuthanasiaStatementVS
https://fhir.iknl.nl/fhir/ValueSet/ACP-EuthanasiaStatement|0.1.3-beta3
From this IG

Snapshot View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Observation C 0..* Zib GeneralMeasurement(2.0.4) GeneralMeasurement
Constraints: obs-7, obs-6
... 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: Common Languages (extensible): A human language.
Additionele bindingsDoel
All Languages 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
... extension 0..* Extension Additional Content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
..... extension:ResultStatusCodelist 0..1 (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
Url: http://nictiz.nl/fhir/StructureDefinition/code-specification
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Zonder volgorde, Open op value:url
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
...... Slices voor value[x] 1..1 CodeableConcept Value of extension
Slice: Zonder volgorde, Gesloten op type:$this
....... value[x]:valueCodeableConcept 1..1 CodeableConcept ResultaatStatusCodelijst
Binding: ResultaatStatusCodelijst (2017-12-31T00:00:00) (extensible): ResultaatStatusCodelijst
.... value 0..1 code Primitive value for code
... category 0..* CodeableConcept Classification of type of observation
Binding: Observation Category Codes (preferred): Codes for high level observation categories.
... code Σ 1..1 CodeableConcept Investigation or MeasurementName
Binding: MetingNaamCodelijst (2017-12-31T00:00:00) (extensible): OnderzoekCodelijst or MetingNaamCodelijst
Verplicht patroon: Tenminste de volgende
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 340171000146104
..... 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
... subject Σ 1..1 Reference(Patient(0.1.3-beta3)) Who and/or what this is about
... context 0..1 Reference(Encounter(0.1.3-beta3)) Healthcare event during which this observation is made
... effective[x] Σ 0..1 ResultDateTime
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this was made available
... performer Σ 0..* Reference(nl-core-organization(2.0.6) | nl-core-patient(2.2.4) | nl-core-practitioner(2.0.7) | nl-core-relatedperson(2.0.5)) Who is responsible for the observation
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... value[x] ΣC 0..1 CodeableConcept ResultValue
Binding: ACPEuthanasiaStatementVS (0.1.3-beta3) (required)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
... comment 0..1 string Comment
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept MeasuringMethod
Binding: MeetmethodeCodelijst (2017-12-31T00:00:00) (extensible): SNOMED CT - all concepts
... specimen 0..1 Reference(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 xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes (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
... related Σ 0..* BackboneElement MeasurementResult
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... type 0..1 code has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.
.... target 1..1 Reference(HCIM General Measurement(2.0.4)) Resource that is related to this one
... component Σ 0..* BackboneElement Component results
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueAttachment Attachment
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* Zie referenceRange (Observation) Provides guide for interpretation of component result

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Observation.languageextensibleCommon Languages
http://hl7.org/fhir/ValueSet/languages|3.0.2
From the FHIR Standard
Additionele bindings Doel
All Languages Max binding
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|3.0.2
From the FHIR Standard
Observation.status.extension:ResultStatusCodelist.value[x]:valueCodeableConceptextensibleResultaatStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1--20171231000000|2017-12-31T00:00:00
Observation.categorypreferredObservation Category Codes
http://hl7.org/fhir/ValueSet/observation-category|3.0.2
From the FHIR Standard
Observation.codeextensiblePattern Value: SNOMED CT code 340171000146104
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2--20171231000000|2017-12-31T00:00:00
Observation.value[x]requiredACPEuthanasiaStatementVS
https://fhir.iknl.nl/fhir/ValueSet/ACP-EuthanasiaStatement|0.1.3-beta3
From this IG
Observation.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
From the FHIR Standard
Observation.interpretationextensibleObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2
From the FHIR Standard
Observation.bodySiteexampleSNOMED CT Body Structures
http://hl7.org/fhir/ValueSet/body-site|3.0.2
From the FHIR Standard
Observation.methodextensibleMeetmethodeCodelijst(a valid code from SNOMED CT)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.3.4--20171231000000|2017-12-31T00:00:00
Observation.referenceRange.typeextensibleObservation Reference Range Meaning Codes
http://hl7.org/fhir/ValueSet/referencerange-meaning|3.0.2
From the FHIR Standard
Observation.referenceRange.appliesToexampleObservation Reference Range Applies To Codes
http://hl7.org/fhir/ValueSet/referencerange-appliesto|3.0.2
From the FHIR Standard
Observation.related.typerequiredObservationRelationshipType
http://hl7.org/fhir/ValueSet/observation-relationshiptypes|3.0.2
From the FHIR Standard
Observation.component.codeexampleLOINC Codes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes|3.0.2
From the FHIR Standard
Observation.component.dataAbsentReasonextensibleObservation Value Absent Reason
http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2
From the FHIR Standard
Observation.component.interpretationextensibleObservation Interpretation Codes
http://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2
From the FHIR Standard

Constrains

IdGradePad(en)DetailsRequirements
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorObservationIf 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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

 

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