Scope and usage

CommonCareSocialEvaluation is used for documenting the result of an evaluation, typically being the last part of or following an information collection process. The different kinds of evaluations currently supported are defined by FSIII and FFB, and they are “FSIII helhedsvurdering”, “FFB vurdering af borgers situation”, “FFB støttebehovsvurdering”, “VUM Borgerens perspektiv på indsatsen”, “VUM Borgerens ressourcer i forhold til indsatsen”.

The Observation.code is mandatory, and fixed to a ValueSet specified by Local Govenment Denmark (KL), which may be suplemented with a SNOMED CT code.

This resource has a text-based results in Observation.valueCodeableConcept.text, but can have a coded result as well. The coded result is only defined for structured needs assessment (FFB støttebehovsvurdering), and is represented in Observation.codeableConcept.coding. This means that Observation.codeableConcept.coding is only allowed if the Observation.code is effe55c7-572c-4a99-8fb4-2a9dda2f6572”FFB støttebehovsvurdering”, and possibly the SNOMED CT code 225344000 “Assessment of degree of assistance required (procedure)”.

The Evaluation may reference a ServiceRequest, if the evaluation is percieved as an answer to that request.

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
basedOn		0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	[DK] vurderingBaseretPå
status		1..1	code	[DK] vurderingsstatus
code		1..1	CodeableConcept	[DK] vurderingskode
Slices for coding		1..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:klEvaluationCode		1..1	Coding	Code defined by a terminology system Binding: KLVurderingTypekoder (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
coding:sctEvaluationCode		0..1	Coding	Code defined by a terminology system Binding: KLVurderingTypekoderSCT (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
subject		0..1	Reference(Citizen)	[DK] vurderingssubjekt
encounter		0..1	Reference(Encounter)	[DK] vurderingskontakt
effective[x]		1..1	dateTime	[DK] vurderingstid
performer		0..*	Reference(Practioner)	[DK] vurderingsansvarlig
value[x]		0..1	CodeableConcept	Actual result
coding		0..*	Coding	[DK] struktureretVurdering Binding: KLStøttebehovsvurderingskoderFFB (required)
text		0..1	string	[DK] vurderingsresultat
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.code.coding:klEvaluationCode	required	KLEvaluationTypeCodes
Observation.code.coding:sctEvaluationCode	required	KLEvaluationTypeCodesSCT
Observation.value[x].coding	required	KLNeedsAssessmentCodesFFB

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
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	[DK] vurderingBaseretPå
status	?!Σ	1..1	code	[DK] vurderingsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	[DK] vurderingskode Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:klEvaluationCode	Σ	1..1	Coding	Code defined by a terminology system Binding: KLVurderingTypekoder (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
coding:sctEvaluationCode	Σ	0..1	Coding	Code defined by a terminology system Binding: KLVurderingTypekoderSCT (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
subject	Σ	0..1	Reference(Citizen)	[DK] vurderingssubjekt
encounter	Σ	0..1	Reference(Encounter)	[DK] vurderingskontakt
effective[x]	Σ	1..1	dateTime	[DK] vurderingstid
performer	Σ	0..*	Reference(Practioner)	[DK] vurderingsansvarlig
value[x]	ΣC	0..1	CodeableConcept	Actual result
coding	Σ	0..*	Coding	[DK] struktureretVurdering Binding: KLStøttebehovsvurderingskoderFFB (required)
text	Σ	0..1	string	[DK] vurderingsresultat
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.status	required	ObservationStatus
Observation.code	example	LOINCCodes (a valid code from LOINC)
Observation.code.coding:klEvaluationCode	required	KLEvaluationTypeCodes
Observation.code.coding:sctEvaluationCode	required	KLEvaluationTypeCodesSCT
Observation.value[x].coding	required	KLNeedsAssessmentCodesFFB

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)	[DK] vurderingBaseretPå
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	[DK] vurderingsstatus 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	[DK] vurderingskode Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:klEvaluationCode	Σ	1..1	Coding	Code defined by a terminology system Binding: KLVurderingTypekoder (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
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:sctEvaluationCode	Σ	0..1	Coding	Code defined by a terminology system Binding: KLVurderingTypekoderSCT (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
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Citizen)	[DK] vurderingssubjekt
focus	ΣTU	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	[DK] vurderingskontakt
effective[x]	Σ	1..1	dateTime	[DK] vurderingstid
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practioner)	[DK] vurderingsansvarlig
value[x]	ΣC	0..1	CodeableConcept	Actual result
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] struktureretVurdering Binding: KLStøttebehovsvurderingskoderFFB (required)
text	Σ	0..1	string	[DK] vurderingsresultat
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	example	LOINCCodes (a valid code from LOINC)
Observation.code.coding:klEvaluationCode	required	KLEvaluationTypeCodes
Observation.code.coding:sctEvaluationCode	required	KLEvaluationTypeCodesSCT
Observation.value[x].coding	required	KLNeedsAssessmentCodesFFB
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
basedOn		0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	[DK] vurderingBaseretPå
status		1..1	code	[DK] vurderingsstatus
code		1..1	CodeableConcept	[DK] vurderingskode
Slices for coding		1..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:klEvaluationCode		1..1	Coding	Code defined by a terminology system Binding: KLVurderingTypekoder (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
coding:sctEvaluationCode		0..1	Coding	Code defined by a terminology system Binding: KLVurderingTypekoderSCT (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
subject		0..1	Reference(Citizen)	[DK] vurderingssubjekt
encounter		0..1	Reference(Encounter)	[DK] vurderingskontakt
effective[x]		1..1	dateTime	[DK] vurderingstid
performer		0..*	Reference(Practioner)	[DK] vurderingsansvarlig
value[x]		0..1	CodeableConcept	Actual result
coding		0..*	Coding	[DK] struktureretVurdering Binding: KLStøttebehovsvurderingskoderFFB (required)
text		0..1	string	[DK] vurderingsresultat
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.code.coding:klEvaluationCode	required	KLEvaluationTypeCodes
Observation.code.coding:sctEvaluationCode	required	KLEvaluationTypeCodesSCT
Observation.value[x].coding	required	KLNeedsAssessmentCodesFFB

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
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	[DK] vurderingBaseretPå
status	?!Σ	1..1	code	[DK] vurderingsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	[DK] vurderingskode Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:klEvaluationCode	Σ	1..1	Coding	Code defined by a terminology system Binding: KLVurderingTypekoder (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
coding:sctEvaluationCode	Σ	0..1	Coding	Code defined by a terminology system Binding: KLVurderingTypekoderSCT (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
subject	Σ	0..1	Reference(Citizen)	[DK] vurderingssubjekt
encounter	Σ	0..1	Reference(Encounter)	[DK] vurderingskontakt
effective[x]	Σ	1..1	dateTime	[DK] vurderingstid
performer	Σ	0..*	Reference(Practioner)	[DK] vurderingsansvarlig
value[x]	ΣC	0..1	CodeableConcept	Actual result
coding	Σ	0..*	Coding	[DK] struktureretVurdering Binding: KLStøttebehovsvurderingskoderFFB (required)
text	Σ	0..1	string	[DK] vurderingsresultat
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.status	required	ObservationStatus
Observation.code	example	LOINCCodes (a valid code from LOINC)
Observation.code.coding:klEvaluationCode	required	KLEvaluationTypeCodes
Observation.code.coding:sctEvaluationCode	required	KLEvaluationTypeCodesSCT
Observation.value[x].coding	required	KLNeedsAssessmentCodesFFB

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)	[DK] vurderingBaseretPå
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	[DK] vurderingsstatus 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	[DK] vurderingskode Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:klEvaluationCode	Σ	1..1	Coding	Code defined by a terminology system Binding: KLVurderingTypekoder (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
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:sctEvaluationCode	Σ	0..1	Coding	Code defined by a terminology system Binding: KLVurderingTypekoderSCT (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
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Citizen)	[DK] vurderingssubjekt
focus	ΣTU	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	[DK] vurderingskontakt
effective[x]	Σ	1..1	dateTime	[DK] vurderingstid
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practioner)	[DK] vurderingsansvarlig
value[x]	ΣC	0..1	CodeableConcept	Actual result
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] struktureretVurdering Binding: KLStøttebehovsvurderingskoderFFB (required)
text	Σ	0..1	string	[DK] vurderingsresultat
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	example	LOINCCodes (a valid code from LOINC)
Observation.code.coding:klEvaluationCode	required	KLEvaluationTypeCodes
Observation.code.coding:sctEvaluationCode	required	KLEvaluationTypeCodesSCT
Observation.value[x].coding	required	KLNeedsAssessmentCodesFFB
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: 4 elements (1 nested mandatory element)

Structures

This structure refers to these other structures:

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

Slices

This structure defines the following Slices:

• The element Observation.code.coding is sliced based on the value of value:system