Scope and usage

The KLCommonCareSocialMatterOfInterest is used in Danish Municipalities, and may be instantiated whenever information about the citizen is recorded, under the headings defined by FFB Themes, Areas (FSIII områder), General Information (FSIII generelle oplysninger). For each heading, a new instance of CommonCareSocialInformation is used. If using the findingInformer extension, each of the matterOfInterest informers’ perspectives have their own instance. I.e. one FFB theme may be associated with three different instances, if all matter-of-interest informers are documented explicitly.

Observation.valueCodeableConcept holds the text-based result of the observation.

The documentation of the care-pathway may be supported using the Observation.encounter which tells in which encounter the KLCommonCareSocialMatterOfInterest has been recorded. Observation.basedOn may tell, which ServiceRequest resulted in the information gathering that this KLCommonCareSocialMatterOfInterest is part of.

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 specificere 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
matterOfInterestInformer		0..1	CodeableConcept	[DK] områdeInformant URL: http://fhir.kl.dk/core/StructureDefinition/MatterOfInterestInformer Binding: KLKildeTilOplysningFFB (required)
basedOn		0..1	Reference(ServiceRequest)	[DK] områdeOrdre
status		1..1	code	[DK] områdeStatus
code		1..1	CodeableConcept	[DK] områdeKode Binding: KLOplysningKoder (required)
subject		0..1	Reference(Citizen)	[DK] områdeSubjekt
encounter		0..1	Reference(Encounter)	[DK] områdeKontakt
effective[x]		1..1	dateTime	[DK] områdeTid
performer		0..1	Reference(Practioner)	[DK] områdeAnsvarlig
value[x]		0..1	CodeableConcept	Actual result
coding		0..*	Coding	Code defined by a terminology system Binding: KLOplysningKoder (required)
text		0..1	string	[DK] områdeTekst
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.code	required	KLInformationCodes
Observation.value[x].coding	required	KLMatterOfInterestValues

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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
matterOfInterestInformer		0..1	CodeableConcept	[DK] områdeInformant URL: http://fhir.kl.dk/core/StructureDefinition/MatterOfInterestInformer Binding: KLKildeTilOplysningFFB (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	Σ	0..1	Reference(ServiceRequest)	[DK] områdeOrdre
status	?!Σ	1..1	code	[DK] områdeStatus Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	[DK] områdeKode Binding: KLOplysningKoder (required)
subject	Σ	0..1	Reference(Citizen)	[DK] områdeSubjekt
encounter	Σ	0..1	Reference(Encounter)	[DK] områdeKontakt
effective[x]	Σ	1..1	dateTime	[DK] områdeTid
performer	Σ	0..1	Reference(Practioner)	[DK] områdeAnsvarlig
value[x]	ΣC	0..1	CodeableConcept	Actual result
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: KLOplysningKoder (required)
text	Σ	0..1	string	[DK] områdeTekst
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.status	required	ObservationStatus
Observation.code	required	KLInformationCodes
Observation.value[x].coding	required	KLMatterOfInterestValues

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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
matterOfInterestInformer		0..1	CodeableConcept	[DK] områdeInformant URL: http://fhir.kl.dk/core/StructureDefinition/MatterOfInterestInformer Binding: KLKildeTilOplysningFFB (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..1	Reference(ServiceRequest)	[DK] områdeOrdre
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	[DK] områdeStatus 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] områdeKode Binding: KLOplysningKoder (required)
subject	Σ	0..1	Reference(Citizen)	[DK] områdeSubjekt
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] områdeKontakt
effective[x]	Σ	1..1	dateTime	[DK] områdeTid
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..1	Reference(Practioner)	[DK] områdeAnsvarlig
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	Code defined by a terminology system Binding: KLOplysningKoder (required)
text	Σ	0..1	string	[DK] områdeTekst
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	KLInformationCodes
Observation.value[x].coding	required	KLMatterOfInterestValues
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
matterOfInterestInformer		0..1	CodeableConcept	[DK] områdeInformant URL: http://fhir.kl.dk/core/StructureDefinition/MatterOfInterestInformer Binding: KLKildeTilOplysningFFB (required)
basedOn		0..1	Reference(ServiceRequest)	[DK] områdeOrdre
status		1..1	code	[DK] områdeStatus
code		1..1	CodeableConcept	[DK] områdeKode Binding: KLOplysningKoder (required)
subject		0..1	Reference(Citizen)	[DK] områdeSubjekt
encounter		0..1	Reference(Encounter)	[DK] områdeKontakt
effective[x]		1..1	dateTime	[DK] områdeTid
performer		0..1	Reference(Practioner)	[DK] områdeAnsvarlig
value[x]		0..1	CodeableConcept	Actual result
coding		0..*	Coding	Code defined by a terminology system Binding: KLOplysningKoder (required)
text		0..1	string	[DK] områdeTekst
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.code	required	KLInformationCodes
Observation.value[x].coding	required	KLMatterOfInterestValues

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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
matterOfInterestInformer		0..1	CodeableConcept	[DK] områdeInformant URL: http://fhir.kl.dk/core/StructureDefinition/MatterOfInterestInformer Binding: KLKildeTilOplysningFFB (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	Σ	0..1	Reference(ServiceRequest)	[DK] områdeOrdre
status	?!Σ	1..1	code	[DK] områdeStatus Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	[DK] områdeKode Binding: KLOplysningKoder (required)
subject	Σ	0..1	Reference(Citizen)	[DK] områdeSubjekt
encounter	Σ	0..1	Reference(Encounter)	[DK] områdeKontakt
effective[x]	Σ	1..1	dateTime	[DK] områdeTid
performer	Σ	0..1	Reference(Practioner)	[DK] områdeAnsvarlig
value[x]	ΣC	0..1	CodeableConcept	Actual result
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: KLOplysningKoder (required)
text	Σ	0..1	string	[DK] områdeTekst
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.status	required	ObservationStatus
Observation.code	required	KLInformationCodes
Observation.value[x].coding	required	KLMatterOfInterestValues

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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
matterOfInterestInformer		0..1	CodeableConcept	[DK] områdeInformant URL: http://fhir.kl.dk/core/StructureDefinition/MatterOfInterestInformer Binding: KLKildeTilOplysningFFB (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..1	Reference(ServiceRequest)	[DK] områdeOrdre
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	[DK] områdeStatus 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] områdeKode Binding: KLOplysningKoder (required)
subject	Σ	0..1	Reference(Citizen)	[DK] områdeSubjekt
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] områdeKontakt
effective[x]	Σ	1..1	dateTime	[DK] områdeTid
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..1	Reference(Practioner)	[DK] områdeAnsvarlig
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	Code defined by a terminology system Binding: KLOplysningKoder (required)
text	Σ	0..1	string	[DK] områdeTekst
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	KLInformationCodes
Observation.value[x].coding	required	KLMatterOfInterestValues
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:

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

Extensions

This structure refers to these extensions:

• http://fhir.kl.dk/core/StructureDefinition/MatterOfInterestInformer