Implementation Guide for fælleskommunal informationsmodel
1.2.0 - release
Implementation Guide for fælleskommunal informationsmodel
1.2.0 - release
This page is part of the KLCore (v1.2.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
| Official URL: http://fhir.kl.dk/core/StructureDefinition/KLCommonCareSocialFollowUp | Version: 1.2.0 | |||
| Active as of 2023-06-07 | Computable Name: KLCommonCareSocialFollowUp | |||
Follow-up results used in Danish municipalities
KLCommonCareSocialFollowUp is used for documenting the result of a follow-up procedure, as documented by both FSIII and FFB. Follow-ups are documented using this profile, whether they are documented by suppliers during an intervention, or documented by autorities, at planned follow-ups.
The profile has a text-based follow-up results in Observation.valueCodeableConcept.text, and a structured Follow-up result in Observation.valueCodeableConcept.coding
The ObservationCode is mandatory, and fixed to a specific SNOMED CT code that signifies that this is an evaluation of a care plan (evaluering af indsats i bred forstand).
Note that this ressource may reference an Encounter. Use this opportunity only if the follow-up takes place in an actual meeting between a practitioner and citizen.
The focus of the follow-up can be documented in Observation.focus, so that it becomes explicite which conditions and interventions this follow-up result pertains to.
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.
| FKI-attribut | Definition | FHIR |
|---|---|---|
| opfølgningsresultatKode | Klasse, der udtrykker at der evalueres på den indsats der er igangsat. | Observation.code.coding |
| opfølgningsresultat | Tekst der udtrykker hvad resultatet af opfølgningen er. | Observation.valueCodeableConcept.text |
| opfølgningsresultatStruktureret | Struktureret resultat af en opfølgningen | Observation.valueCodeableConcept.coding |
| opfølgningsresultatSubjekt | Den borger, der er genstand for opfølgningen | Observation.subject |
| opfølgningsresultatKontakt | Den kontakt hvor opfølgningen er foretaget | Observation.encounter |
| opfølgningsresultatAnsvarlig | Den fagperson der har ansvaret for opfølgningen | Observation.performer |
| opfølgningsresultatTid | Det tidspunkt, hvor opfølgningen er foretaget | Observation.effectiveDateTime |
| opfølgningsresultatStatus | Kode der udtrykker, hvor i sin proces, opfølgningen er | Observation.status |
| opfølgningsresultatFokus | Den eller de tilstande og indsatser der er fokus for opfølgningen. | Observation.focus |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 0..* | Observation | Measurements and simple assertions | |
  status | 1..1 | code | [DK] opfølgningsresultatStatus | |
 code | 1..1 | CodeableConcept | Type of observation (code / type) Required Pattern: At least the following | |
  coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 712744002 | |
| coding | 0..* | Coding | [DK] opfølgningsresultatkode | |
 subject | 0..1 | Reference(Citizen) | [DK] opfølgningsresultatSubjekt | |
| focus | 0..* | Reference(PlannedIntervention | Condition | CarePlan) | [DK] opfølgningsresultatFokus | |
| encounter | 0..1 | Reference(Encounter) | [DK] opfølgningsresultatKontakt | |
 effective[x] | 1..1 | dateTime | [DK] opfølgningsresultatTid | |
| performer | 0..* | Reference(Practioner) | [DK] opfølgningsresultatAnsvarlig | |
  value[x] | 0..1 | CodeableConcept | Actual result Binding: KLOpfølgningKodes (required) | |
 coding | 0..* | Coding | [DK] struktureretOpfølgningsresultat | |
| text | 0..1 | string | [DK] opfølgningsresultat | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.value[x] | required | KLFollowUpCodes |
| 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] opfølgningsresultatStatus Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 712744002 | |
| coding | Σ | 0..* | Coding | [DK] opfølgningsresultatkode |
| subject | Σ | 0..1 | Reference(Citizen) | [DK] opfølgningsresultatSubjekt |
| focus | Σ | 0..* | Reference(PlannedIntervention | Condition | CarePlan) | [DK] opfølgningsresultatFokus |
| encounter | Σ | 0..1 | Reference(Encounter) | [DK] opfølgningsresultatKontakt |
| effective[x] | Σ | 1..1 | dateTime | [DK] opfølgningsresultatTid |
| performer | Σ | 0..* | Reference(Practioner) | [DK] opfølgningsresultatAnsvarlig |
| value[x] | ΣC | 0..1 | CodeableConcept | Actual result Binding: KLOpfølgningKodes (required) |
| coding | Σ | 0..* | Coding | [DK] struktureretOpfølgningsresultat |
| text | Σ | 0..1 | string | [DK] opfølgningsresultat |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.status | required | ObservationStatus |
| Observation.code | example | Pattern: SNOMED CT code 712744002 |
| Observation.value[x] | required | KLFollowUpCodes |
| 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.
| |||||
| 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] opfølgningsresultatStatus 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: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: 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 Fixed Value: 712744002 | |||||
| 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 | |||||
| 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] opfølgningsresultatkode | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject | Σ | 0..1 | Reference(Citizen) | [DK] opfølgningsresultatSubjekt | ||||
| focus | Σ | 0..* | Reference(PlannedIntervention | Condition | CarePlan) | [DK] opfølgningsresultatFokus | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | [DK] opfølgningsresultatKontakt | ||||
| effective[x] | Σ | 1..1 | dateTime | [DK] opfølgningsresultatTid | ||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 0..* | Reference(Practioner) | [DK] opfølgningsresultatAnsvarlig | ||||
| value[x] | ΣC | 0..1 | CodeableConcept | Actual result Binding: KLOpfølgningKodes (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] struktureretOpfølgningsresultat | ||||
| text | Σ | 0..1 | string | [DK] opfølgningsresultat | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | example | Pattern: SNOMED CT code 712744002 | ||||
| Observation.value[x] | required | KLFollowUpCodes | ||||
| 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: 1 element
Structures
This structure refers to these other structures:
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] opfølgningsresultatStatus | |
| code | 1..1 | CodeableConcept | Type of observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 712744002 | |
| coding | 0..* | Coding | [DK] opfølgningsresultatkode | |
| subject | 0..1 | Reference(Citizen) | [DK] opfølgningsresultatSubjekt | |
| focus | 0..* | Reference(PlannedIntervention | Condition | CarePlan) | [DK] opfølgningsresultatFokus | |
| encounter | 0..1 | Reference(Encounter) | [DK] opfølgningsresultatKontakt | |
| effective[x] | 1..1 | dateTime | [DK] opfølgningsresultatTid | |
| performer | 0..* | Reference(Practioner) | [DK] opfølgningsresultatAnsvarlig | |
| value[x] | 0..1 | CodeableConcept | Actual result Binding: KLOpfølgningKodes (required) | |
| coding | 0..* | Coding | [DK] struktureretOpfølgningsresultat | |
| text | 0..1 | string | [DK] opfølgningsresultat | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.value[x] | required | KLFollowUpCodes |
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] opfølgningsresultatStatus Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 712744002 | |
| coding | Σ | 0..* | Coding | [DK] opfølgningsresultatkode |
| subject | Σ | 0..1 | Reference(Citizen) | [DK] opfølgningsresultatSubjekt |
| focus | Σ | 0..* | Reference(PlannedIntervention | Condition | CarePlan) | [DK] opfølgningsresultatFokus |
| encounter | Σ | 0..1 | Reference(Encounter) | [DK] opfølgningsresultatKontakt |
| effective[x] | Σ | 1..1 | dateTime | [DK] opfølgningsresultatTid |
| performer | Σ | 0..* | Reference(Practioner) | [DK] opfølgningsresultatAnsvarlig |
| value[x] | ΣC | 0..1 | CodeableConcept | Actual result Binding: KLOpfølgningKodes (required) |
| coding | Σ | 0..* | Coding | [DK] struktureretOpfølgningsresultat |
| text | Σ | 0..1 | string | [DK] opfølgningsresultat |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.status | required | ObservationStatus |
| Observation.code | example | Pattern: SNOMED CT code 712744002 |
| Observation.value[x] | required | KLFollowUpCodes |
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.
| |||||
| 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] opfølgningsresultatStatus 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: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: 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 Fixed Value: 712744002 | |||||
| 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 | |||||
| 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] opfølgningsresultatkode | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject | Σ | 0..1 | Reference(Citizen) | [DK] opfølgningsresultatSubjekt | ||||
| focus | Σ | 0..* | Reference(PlannedIntervention | Condition | CarePlan) | [DK] opfølgningsresultatFokus | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | [DK] opfølgningsresultatKontakt | ||||
| effective[x] | Σ | 1..1 | dateTime | [DK] opfølgningsresultatTid | ||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 0..* | Reference(Practioner) | [DK] opfølgningsresultatAnsvarlig | ||||
| value[x] | ΣC | 0..1 | CodeableConcept | Actual result Binding: KLOpfølgningKodes (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] struktureretOpfølgningsresultat | ||||
| text | Σ | 0..1 | string | [DK] opfølgningsresultat | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | example | Pattern: SNOMED CT code 712744002 | ||||
| Observation.value[x] | required | KLFollowUpCodes | ||||
| 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: 1 element
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron