Scope and usage

CommonCareSocialCitizensOwnObservation is used to document, performance level (udførelse) or importance level (betydning) as defined by FSIII. Note that each of the observations require its own instance of this model. The observation only makes sense linked to an already defined Condition or MatterOfInterest. Consequently, the focus-attribute is mandatory.

The code-attribute refers to either performance level or importance level using a required ValueSet, and the result is expressed in valueCodeableConcept, which is also bound to a required FSIII valueSet. Observation and value codes should be correctly matched, so that a performance-result is not used with a importance observation-code.

Note that the profile does not specify explicitely, which role the citizen had in evaluating his or her own performance/importance level. The model just presumes that the citizen (refered in Observation.subject) has been asked about their own evaluation of the matter, and that is has been documented by a municipality practitioner (refered in Observation.performer). However, if further specification of roles in the documentation proces is required for a specific use case, please use Provenance.

The encounter in which the citizen make the observation can be refered to in Observation.encounter. Notice that the status-attribute is mandatory. For normal use, just set to “final”. If data is missing or another problem has occured, follow the FHIR guidance to populate the field correctly.

Conversions between Danish information model and FHIR-profile

Nedenstående tabel oversætter mellem de attributter, der er defineret i den fælleskommunale informationsmodel (FKI), definerer kort den enkelte attribut på dansk og specificerer, hvilke af FHIR-profilens atributter der skal bruges til specifikation af indholdet.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
status		1..1	code	[DK] borgervurderingsstatus
code		1..1	CodeableConcept	Type of observation (code / type) Binding: KLBorgervurderingsObservationskoderFSIII (required)
coding		0..*	Coding	[DK] borgervurderingskode
subject		0..1	Reference(Citizen)	[DK] borgervurderingssubjekt
focus		1..1	Reference(Condition | MatterOfInterest)	[DK] borgervurderingsfokus
encounter		0..1	Reference(Encounter)	[DK] borgervurderingskontakt
effective[x]		1..1	dateTime	[DK] borgervurderingstid
performer		0..*	Reference(Practioner)	[DK] observationsansvarlig
value[x]		0..1	CodeableConcept	Actual result Binding: KLBorgervurderingsResultatkoderFSIII (required)
coding		0..*	Coding	[DK] borgervurderingsresultat
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.code	required	KLCitizenObservationCodesFSIII
Observation.value[x]	required	KLCitizenObservationResultCodesFSIII

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
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	[DK] borgervurderingsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: KLBorgervurderingsObservationskoderFSIII (required)
coding	Σ	0..*	Coding	[DK] borgervurderingskode
subject	Σ	0..1	Reference(Citizen)	[DK] borgervurderingssubjekt
focus	Σ	1..1	Reference(Condition | MatterOfInterest)	[DK] borgervurderingsfokus
encounter	Σ	0..1	Reference(Encounter)	[DK] borgervurderingskontakt
effective[x]	Σ	1..1	dateTime	[DK] borgervurderingstid
performer	Σ	0..*	Reference(Practioner)	[DK] observationsansvarlig
value[x]	ΣC	0..1	CodeableConcept	Actual result Binding: KLBorgervurderingsResultatkoderFSIII (required)
coding	Σ	0..*	Coding	[DK] borgervurderingsresultat
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.status	required	ObservationStatus
Observation.code	required	KLCitizenObservationCodesFSIII
Observation.value[x]	required	KLCitizenObservationResultCodesFSIII

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
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 | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	[DK] borgervurderingsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: KLBorgervurderingsObservationskoderFSIII (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	[DK] borgervurderingskode
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Citizen)	[DK] borgervurderingssubjekt
focus	Σ	1..1	Reference(Condition | MatterOfInterest)	[DK] borgervurderingsfokus
encounter	Σ	0..1	Reference(Encounter)	[DK] borgervurderingskontakt
effective[x]	Σ	1..1	dateTime	[DK] borgervurderingstid
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practioner)	[DK] observationsansvarlig
value[x]	ΣC	0..1	CodeableConcept	Actual result Binding: KLBorgervurderingsResultatkoderFSIII (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	[DK] borgervurderingsresultat
text	Σ	0..1	string	Plain text representation of the concept
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus
Observation.category	preferred	ObservationCategoryCodes
Observation.code	required	KLCitizenObservationCodesFSIII
Observation.value[x]	required	KLCitizenObservationResultCodesFSIII
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	extensible	ObservationInterpretationCodes
Observation.bodySite	example	SNOMEDCTBodyStructures
Observation.method	example	ObservationMethods
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReason	extensible	DataAbsentReason
Observation.component.interpretation	extensible	ObservationInterpretationCodes

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
status		1..1	code	[DK] borgervurderingsstatus
code		1..1	CodeableConcept	Type of observation (code / type) Binding: KLBorgervurderingsObservationskoderFSIII (required)
coding		0..*	Coding	[DK] borgervurderingskode
subject		0..1	Reference(Citizen)	[DK] borgervurderingssubjekt
focus		1..1	Reference(Condition | MatterOfInterest)	[DK] borgervurderingsfokus
encounter		0..1	Reference(Encounter)	[DK] borgervurderingskontakt
effective[x]		1..1	dateTime	[DK] borgervurderingstid
performer		0..*	Reference(Practioner)	[DK] observationsansvarlig
value[x]		0..1	CodeableConcept	Actual result Binding: KLBorgervurderingsResultatkoderFSIII (required)
coding		0..*	Coding	[DK] borgervurderingsresultat
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.code	required	KLCitizenObservationCodesFSIII
Observation.value[x]	required	KLCitizenObservationResultCodesFSIII

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
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	[DK] borgervurderingsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: KLBorgervurderingsObservationskoderFSIII (required)
coding	Σ	0..*	Coding	[DK] borgervurderingskode
subject	Σ	0..1	Reference(Citizen)	[DK] borgervurderingssubjekt
focus	Σ	1..1	Reference(Condition | MatterOfInterest)	[DK] borgervurderingsfokus
encounter	Σ	0..1	Reference(Encounter)	[DK] borgervurderingskontakt
effective[x]	Σ	1..1	dateTime	[DK] borgervurderingstid
performer	Σ	0..*	Reference(Practioner)	[DK] observationsansvarlig
value[x]	ΣC	0..1	CodeableConcept	Actual result Binding: KLBorgervurderingsResultatkoderFSIII (required)
coding	Σ	0..*	Coding	[DK] borgervurderingsresultat
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.status	required	ObservationStatus
Observation.code	required	KLCitizenObservationCodesFSIII
Observation.value[x]	required	KLCitizenObservationResultCodesFSIII

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
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 | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	[DK] borgervurderingsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: KLBorgervurderingsObservationskoderFSIII (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	[DK] borgervurderingskode
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Citizen)	[DK] borgervurderingssubjekt
focus	Σ	1..1	Reference(Condition | MatterOfInterest)	[DK] borgervurderingsfokus
encounter	Σ	0..1	Reference(Encounter)	[DK] borgervurderingskontakt
effective[x]	Σ	1..1	dateTime	[DK] borgervurderingstid
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practioner)	[DK] observationsansvarlig
value[x]	ΣC	0..1	CodeableConcept	Actual result Binding: KLBorgervurderingsResultatkoderFSIII (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	[DK] borgervurderingsresultat
text	Σ	0..1	string	Plain text representation of the concept
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus
Observation.category	preferred	ObservationCategoryCodes
Observation.code	required	KLCitizenObservationCodesFSIII
Observation.value[x]	required	KLCitizenObservationResultCodesFSIII
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	extensible	ObservationInterpretationCodes
Observation.bodySite	example	SNOMEDCTBodyStructures
Observation.method	example	ObservationMethods
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReason	extensible	DataAbsentReason
Observation.component.interpretation	extensible	ObservationInterpretationCodes

This structure is derived from Observation

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Citizen (http://fhir.kl.dk/core/StructureDefinition/KLCommonCitizen)
• Condition (http://fhir.kl.dk/core/StructureDefinition/KLCommonCareSocialCondition)
• MatterOfInterest (http://fhir.kl.dk/core/StructureDefinition/KLCommonCareSocialMatterOfInterest)
• Encounter (http://fhir.kl.dk/core/StructureDefinition/KLCommonCareSocialEncounter)
• Practioner (http://fhir.kl.dk/core/StructureDefinition/KLCommonPractitioner)