Implementation Guide for FFB messaging (FFB udvekslingsdatasæt)
1.0.0 - release Denmark flag

This page is part of the KLFFBMessaging (v1.0.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: InformationGathering

Official URL: http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-informationGathering Version: 1.0.0
Active as of 2023-08-27 Computable Name: KLMessagingFFBInformationGathering

Assessment of the citizen

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from KLCommonCareSocialInformationGathering

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..*KLCommonCareSocialInformationGatheringA clinical assessment performed when planning treatments and management strategies for a patient
... subject S1..1Reference(Citizen)[DK] oplysningsaktivitetsubjekt
... investigation S0..*BackboneElementOne or more sets of investigations (signs, symptoms, etc.)
.... item S0..*Reference(Evaluation | MatterOfInterest)[DK] oplysningsaktivitetsKonklusion
... finding S0..*BackboneElementPossible or likely findings and diagnoses
.... itemReference S0..1Reference(Condition | Diagnosis)[DK] oplysningsaktivitetsTilstand

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..*KLCommonCareSocialInformationGatheringA clinical assessment performed when planning treatments and management strategies for a patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... basedOnServiceRequest 0..1Reference(ServiceRequest)[DK] oplysningsaktivitetsordre
URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest
.... extension 0..0
.... url 1..1uri"http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest"
.... value[x] 1..1Reference(ServiceRequest)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... subject SΣ1..1Reference(Citizen)[DK] oplysningsaktivitetsubjekt
... investigation S0..*BackboneElementOne or more sets of investigations (signs, symptoms, etc.)
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1CodeableConceptA name/code for the set
Binding: KLOplysningsaktivitetsOgVurderingskoder (required)
.... item S0..*Reference(Evaluation | MatterOfInterest)[DK] oplysningsaktivitetsKonklusion
... finding S0..*BackboneElementPossible or likely findings and diagnoses
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... itemReference S0..1Reference(Condition | Diagnosis)[DK] oplysningsaktivitetsTilstand

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ClinicalImpression.statusrequiredClinicalImpressionStatus
ClinicalImpression.investigation.coderequiredKLInformationGatheringInvestigationCodes

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorClinicalImpressionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorClinicalImpressionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorClinicalImpressionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorClinicalImpressionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceClinicalImpressionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..*KLCommonCareSocialInformationGatheringA clinical assessment performed when planning treatments and management strategies for a patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... basedOnServiceRequest 0..1Reference(ServiceRequest)[DK] oplysningsaktivitetsordre
URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest"
.... value[x] 1..1Reference(ServiceRequest)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness identifier
... status ?!Σ1..1code[DK] oplysningsaktivitetsstatus
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.

... statusReason 0..1CodeableConceptReason for current status
Binding: (unbound) (example): Codes identifying the reason for the current state of a clinical impression.

... code Σ0..1CodeableConceptKind of assessment performed
Binding: KLOplysningsaktivitetsTypeKoder (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*Coding[DK] oplysningsaktivitetstype
.... text Σ0..1stringPlain text representation of the concept
... description Σ0..1stringWhy/how the assessment was performed
... subject SΣ1..1Reference(Citizen)[DK] oplysningsaktivitetsubjekt
... encounter Σ0..1Reference(Encounter)[DK] oplysningsaktivitetskontakt
... effective[x] Σ0..1dateTime[DK] oplysningsaktivitetstid
... date Σ0..1dateTimeWhen the assessment was documented
... assessor Σ0..1Reference(Practioner)[DK] oplysningsaktivitetsudfører
... previous 0..1Reference(ClinicalImpression)Reference to last assessment
... problem Σ0..*Reference(Condition | AllergyIntolerance)Relevant impressions of patient state
... investigation S0..*BackboneElementOne or more sets of investigations (signs, symptoms, etc.)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1CodeableConceptA name/code for the set
Binding: KLOplysningsaktivitetsOgVurderingskoder (required)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*Coding[DK] oplysningsaktivitetsObservationstype
..... text Σ0..1stringPlain text representation of the concept
.... item S0..*Reference(Evaluation | MatterOfInterest)[DK] oplysningsaktivitetsKonklusion
... protocol 0..*uriClinical Protocol followed
... summary 0..1stringSummary of the assessment
... finding S0..*BackboneElementPossible or likely findings and diagnoses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... itemCodeableConcept 0..1CodeableConceptWhat was found
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.

.... itemReference S0..1Reference(Condition | Diagnosis)[DK] oplysningsaktivitetsTilstand
.... basis 0..1stringWhich investigations support finding
... prognosisCodeableConcept 0..*CodeableConceptEstimate of likely outcome
Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.


... prognosisReference 0..*Reference(RiskAssessment)RiskAssessment expressing likely outcome
... supportingInfo 0..*Reference(Resource)Information supporting the clinical impression
... note 0..*AnnotationComments made about the ClinicalImpression

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ClinicalImpression.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
ClinicalImpression.statusrequiredClinicalImpressionStatus
ClinicalImpression.statusReasonexample
ClinicalImpression.coderequiredKLInformationGatheringTypeCodes
ClinicalImpression.investigation.coderequiredKLInformationGatheringInvestigationCodes
ClinicalImpression.finding.itemCodeableConceptexampleCondition/Problem/DiagnosisCodes
ClinicalImpression.prognosisCodeableConceptexampleClinicalImpressionPrognosis

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorClinicalImpressionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorClinicalImpressionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorClinicalImpressionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorClinicalImpressionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceClinicalImpressionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from KLCommonCareSocialInformationGathering

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..*KLCommonCareSocialInformationGatheringA clinical assessment performed when planning treatments and management strategies for a patient
... subject S1..1Reference(Citizen)[DK] oplysningsaktivitetsubjekt
... investigation S0..*BackboneElementOne or more sets of investigations (signs, symptoms, etc.)
.... item S0..*Reference(Evaluation | MatterOfInterest)[DK] oplysningsaktivitetsKonklusion
... finding S0..*BackboneElementPossible or likely findings and diagnoses
.... itemReference S0..1Reference(Condition | Diagnosis)[DK] oplysningsaktivitetsTilstand

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..*KLCommonCareSocialInformationGatheringA clinical assessment performed when planning treatments and management strategies for a patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... basedOnServiceRequest 0..1Reference(ServiceRequest)[DK] oplysningsaktivitetsordre
URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest
.... extension 0..0
.... url 1..1uri"http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest"
.... value[x] 1..1Reference(ServiceRequest)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... subject SΣ1..1Reference(Citizen)[DK] oplysningsaktivitetsubjekt
... investigation S0..*BackboneElementOne or more sets of investigations (signs, symptoms, etc.)
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1CodeableConceptA name/code for the set
Binding: KLOplysningsaktivitetsOgVurderingskoder (required)
.... item S0..*Reference(Evaluation | MatterOfInterest)[DK] oplysningsaktivitetsKonklusion
... finding S0..*BackboneElementPossible or likely findings and diagnoses
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... itemReference S0..1Reference(Condition | Diagnosis)[DK] oplysningsaktivitetsTilstand

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ClinicalImpression.statusrequiredClinicalImpressionStatus
ClinicalImpression.investigation.coderequiredKLInformationGatheringInvestigationCodes

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorClinicalImpressionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorClinicalImpressionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorClinicalImpressionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorClinicalImpressionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceClinicalImpressionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..*KLCommonCareSocialInformationGatheringA clinical assessment performed when planning treatments and management strategies for a patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... basedOnServiceRequest 0..1Reference(ServiceRequest)[DK] oplysningsaktivitetsordre
URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest"
.... value[x] 1..1Reference(ServiceRequest)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness identifier
... status ?!Σ1..1code[DK] oplysningsaktivitetsstatus
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.

... statusReason 0..1CodeableConceptReason for current status
Binding: (unbound) (example): Codes identifying the reason for the current state of a clinical impression.

... code Σ0..1CodeableConceptKind of assessment performed
Binding: KLOplysningsaktivitetsTypeKoder (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*Coding[DK] oplysningsaktivitetstype
.... text Σ0..1stringPlain text representation of the concept
... description Σ0..1stringWhy/how the assessment was performed
... subject SΣ1..1Reference(Citizen)[DK] oplysningsaktivitetsubjekt
... encounter Σ0..1Reference(Encounter)[DK] oplysningsaktivitetskontakt
... effective[x] Σ0..1dateTime[DK] oplysningsaktivitetstid
... date Σ0..1dateTimeWhen the assessment was documented
... assessor Σ0..1Reference(Practioner)[DK] oplysningsaktivitetsudfører
... previous 0..1Reference(ClinicalImpression)Reference to last assessment
... problem Σ0..*Reference(Condition | AllergyIntolerance)Relevant impressions of patient state
... investigation S0..*BackboneElementOne or more sets of investigations (signs, symptoms, etc.)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1CodeableConceptA name/code for the set
Binding: KLOplysningsaktivitetsOgVurderingskoder (required)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*Coding[DK] oplysningsaktivitetsObservationstype
..... text Σ0..1stringPlain text representation of the concept
.... item S0..*Reference(Evaluation | MatterOfInterest)[DK] oplysningsaktivitetsKonklusion
... protocol 0..*uriClinical Protocol followed
... summary 0..1stringSummary of the assessment
... finding S0..*BackboneElementPossible or likely findings and diagnoses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... itemCodeableConcept 0..1CodeableConceptWhat was found
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.

.... itemReference S0..1Reference(Condition | Diagnosis)[DK] oplysningsaktivitetsTilstand
.... basis 0..1stringWhich investigations support finding
... prognosisCodeableConcept 0..*CodeableConceptEstimate of likely outcome
Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.


... prognosisReference 0..*Reference(RiskAssessment)RiskAssessment expressing likely outcome
... supportingInfo 0..*Reference(Resource)Information supporting the clinical impression
... note 0..*AnnotationComments made about the ClinicalImpression

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ClinicalImpression.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
ClinicalImpression.statusrequiredClinicalImpressionStatus
ClinicalImpression.statusReasonexample
ClinicalImpression.coderequiredKLInformationGatheringTypeCodes
ClinicalImpression.investigation.coderequiredKLInformationGatheringInvestigationCodes
ClinicalImpression.finding.itemCodeableConceptexampleCondition/Problem/DiagnosisCodes
ClinicalImpression.prognosisCodeableConceptexampleClinicalImpressionPrognosis

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorClinicalImpressionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorClinicalImpressionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorClinicalImpressionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorClinicalImpressionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceClinicalImpressionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron