Implementation Guide for FFB reporting (FFB uddatasæt)
1.0.0 - release
Implementation Guide for FFB reporting (FFB uddatasæt)
1.0.0 - release
This page is part of the KLFFBReporting (v1.0.0: 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/ffbreporting/StructureDefinition/kl-reporting-ffb-informationGathering | Version: 1.0.0 | |||
| Active as of 2023-08-27 | Computable Name: KLReportingFFBInformationGathering | |||
Assessment of the citizen
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ClinicalImpression
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ClinicalImpression | 0..* | ClinicalImpression | A clinical assessment performed when planning treatments and management strategies for a patient | |
  implicitRules | 0..0 | |||
| language | 0..0 | |||
| contained | 0..0 | |||
  Slices for extension | 1..* | Extension | Extension Slice: Unordered, Closed by value:url | |
   basedOnServiceRequest | S | 1..1 | Reference(ServiceRequest) | [DK] oplysningsaktivitetsordre URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest |
   value[x] | 1..1 | Reference(ServiceRequest) {b} | Value of extension | |
 modifierExtension | 0..0 | |||
| identifier | 0..0 | |||
| status | S | 1..1 | code | [DK] oplysningsaktivitetsstatus |
| statusReason | 0..0 | |||
| code | 0..0 | |||
| description | 0..0 | |||
| subject | S | 1..1 | Reference(Citizen) {b} | [DK] oplysningsaktivitetsubjekt |
| encounter | 0..0 | |||
 effective[x] | S | 1..1 | dateTime | [DK] oplysningsaktivitetstid |
| date | 0..0 | |||
| assessor | 0..0 | |||
| previous | 0..0 | |||
| problem | 0..0 | |||
| investigation | S | 0..1 | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) |
| code | ||||
 coding | 0..* | Coding | [DK] oplysningsaktivitetsObservationstype | |
| item | S | 0..* | Reference(CareEvaluation) | [DK] oplysningsaktivitetsKonklusion |
| protocol | 0..0 | |||
| summary | 0..0 | |||
 finding | S | 0..* | BackboneElement | Possible or likely findings and diagnoses |
 extension | 0..0 | |||
| modifierExtension | 0..0 | |||
| itemCodeableConcept | 0..0 | |||
| itemReference | S | 0..1 | Reference(Condition) {b} | [DK] oplysningsaktivitetsTilstand |
| basis | 0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ClinicalImpression | 0..* | ClinicalImpression | A clinical assessment performed when planning treatments and management strategies for a patient | |
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Closed by value:url | |
| basedOnServiceRequest | S | 1..1 | Reference(ServiceRequest) | [DK] oplysningsaktivitetsordre URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest |
 extension | 0..0 | |||
| url | 1..1 | uri | "http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest" | |
| value[x] | 1..1 | Reference(ServiceRequest) {b} | Value of extension | |
| status | ?!SΣ | 1..1 | code | [DK] oplysningsaktivitetsstatus Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression. |
| subject | SΣ | 1..1 | Reference(Citizen) {b} | [DK] oplysningsaktivitetsubjekt |
| effective[x] | SΣ | 1..1 | dateTime | [DK] oplysningsaktivitetstid |
 investigation | S | 0..1 | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 1..1 | CodeableConcept | A name/code for the set Binding: InvestigationType (example): A name/code for a set of investigations. | |
| coding | Σ | 0..* | Coding | [DK] oplysningsaktivitetsObservationstype |
| item | S | 0..* | Reference(CareEvaluation) | [DK] oplysningsaktivitetsKonklusion |
| finding | S | 0..* | BackboneElement | Possible or likely findings and diagnoses |
| itemReference | S | 0..1 | Reference(Condition) {b} | [DK] oplysningsaktivitetsTilstand |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ClinicalImpression.status | required | ClinicalImpressionStatus |
| ClinicalImpression.investigation.code | example | InvestigationType |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | ClinicalImpression | If 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-4 | error | ClinicalImpression | If 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-5 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | ClinicalImpression | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ClinicalImpression | 0..* | ClinicalImpression | A clinical assessment performed when planning treatments and management strategies for a patient | |
| id | Σ | 0..1 | id | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Closed by value:url | |
| basedOnServiceRequest | S | 1..1 | Reference(ServiceRequest) | [DK] oplysningsaktivitetsordre URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest" | |
| value[x] | 1..1 | Reference(ServiceRequest) {b} | Value of extension | |
| status | ?!SΣ | 1..1 | code | [DK] oplysningsaktivitetsstatus Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression. |
| subject | SΣ | 1..1 | Reference(Citizen) {b} | [DK] oplysningsaktivitetsubjekt |
| effective[x] | SΣ | 1..1 | dateTime | [DK] oplysningsaktivitetstid |
| investigation | S | 0..1 | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) |
| 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 | 1..1 | CodeableConcept | A name/code for the set Binding: InvestigationType (example): A name/code for a set of investigations. | |
| 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] oplysningsaktivitetsObservationstype |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| item | S | 0..* | Reference(CareEvaluation) | [DK] oplysningsaktivitetsKonklusion |
| finding | S | 0..* | BackboneElement | Possible or likely findings and diagnoses |
| id | 0..1 | string | Unique id for inter-element referencing | |
| itemReference | S | 0..1 | Reference(Condition) {b} | [DK] oplysningsaktivitetsTilstand |
| prognosisCodeableConcept | 0..* | CodeableConcept | Estimate 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..* | Annotation | Comments made about the ClinicalImpression | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ClinicalImpression.status | required | ClinicalImpressionStatus |
| ClinicalImpression.investigation.code | example | InvestigationType |
| ClinicalImpression.prognosisCodeableConcept | example | ClinicalImpressionPrognosis |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | ClinicalImpression | If 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-4 | error | ClinicalImpression | If 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-5 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | ClinicalImpression | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from ClinicalImpression
Summary
Mandatory: 3 elements
Must-Support: 8 elements
Prohibited: 19 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from ClinicalImpression
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ClinicalImpression | 0..* | ClinicalImpression | A clinical assessment performed when planning treatments and management strategies for a patient | |
| implicitRules | 0..0 | |||
| language | 0..0 | |||
| contained | 0..0 | |||
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Closed by value:url | |
| basedOnServiceRequest | S | 1..1 | Reference(ServiceRequest) | [DK] oplysningsaktivitetsordre URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest |
| value[x] | 1..1 | Reference(ServiceRequest) {b} | Value of extension | |
| modifierExtension | 0..0 | |||
| identifier | 0..0 | |||
| status | S | 1..1 | code | [DK] oplysningsaktivitetsstatus |
| statusReason | 0..0 | |||
| code | 0..0 | |||
| description | 0..0 | |||
| subject | S | 1..1 | Reference(Citizen) {b} | [DK] oplysningsaktivitetsubjekt |
| encounter | 0..0 | |||
| effective[x] | S | 1..1 | dateTime | [DK] oplysningsaktivitetstid |
| date | 0..0 | |||
| assessor | 0..0 | |||
| previous | 0..0 | |||
| problem | 0..0 | |||
| investigation | S | 0..1 | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) |
| code | ||||
| coding | 0..* | Coding | [DK] oplysningsaktivitetsObservationstype | |
| item | S | 0..* | Reference(CareEvaluation) | [DK] oplysningsaktivitetsKonklusion |
| protocol | 0..0 | |||
| summary | 0..0 | |||
| finding | S | 0..* | BackboneElement | Possible or likely findings and diagnoses |
| extension | 0..0 | |||
| modifierExtension | 0..0 | |||
| itemCodeableConcept | 0..0 | |||
| itemReference | S | 0..1 | Reference(Condition) {b} | [DK] oplysningsaktivitetsTilstand |
| basis | 0..0 | |||
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ClinicalImpression | 0..* | ClinicalImpression | A clinical assessment performed when planning treatments and management strategies for a patient | |
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Closed by value:url | |
| basedOnServiceRequest | S | 1..1 | Reference(ServiceRequest) | [DK] oplysningsaktivitetsordre URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest" | |
| value[x] | 1..1 | Reference(ServiceRequest) {b} | Value of extension | |
| status | ?!SΣ | 1..1 | code | [DK] oplysningsaktivitetsstatus Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression. |
| subject | SΣ | 1..1 | Reference(Citizen) {b} | [DK] oplysningsaktivitetsubjekt |
| effective[x] | SΣ | 1..1 | dateTime | [DK] oplysningsaktivitetstid |
| investigation | S | 0..1 | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 1..1 | CodeableConcept | A name/code for the set Binding: InvestigationType (example): A name/code for a set of investigations. | |
| coding | Σ | 0..* | Coding | [DK] oplysningsaktivitetsObservationstype |
| item | S | 0..* | Reference(CareEvaluation) | [DK] oplysningsaktivitetsKonklusion |
| finding | S | 0..* | BackboneElement | Possible or likely findings and diagnoses |
| itemReference | S | 0..1 | Reference(Condition) {b} | [DK] oplysningsaktivitetsTilstand |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ClinicalImpression.status | required | ClinicalImpressionStatus |
| ClinicalImpression.investigation.code | example | InvestigationType |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | ClinicalImpression | If 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-4 | error | ClinicalImpression | If 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-5 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | ClinicalImpression | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ClinicalImpression | 0..* | ClinicalImpression | A clinical assessment performed when planning treatments and management strategies for a patient | |
| id | Σ | 0..1 | id | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Closed by value:url | |
| basedOnServiceRequest | S | 1..1 | Reference(ServiceRequest) | [DK] oplysningsaktivitetsordre URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest" | |
| value[x] | 1..1 | Reference(ServiceRequest) {b} | Value of extension | |
| status | ?!SΣ | 1..1 | code | [DK] oplysningsaktivitetsstatus Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression. |
| subject | SΣ | 1..1 | Reference(Citizen) {b} | [DK] oplysningsaktivitetsubjekt |
| effective[x] | SΣ | 1..1 | dateTime | [DK] oplysningsaktivitetstid |
| investigation | S | 0..1 | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) |
| 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 | 1..1 | CodeableConcept | A name/code for the set Binding: InvestigationType (example): A name/code for a set of investigations. | |
| 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] oplysningsaktivitetsObservationstype |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| item | S | 0..* | Reference(CareEvaluation) | [DK] oplysningsaktivitetsKonklusion |
| finding | S | 0..* | BackboneElement | Possible or likely findings and diagnoses |
| id | 0..1 | string | Unique id for inter-element referencing | |
| itemReference | S | 0..1 | Reference(Condition) {b} | [DK] oplysningsaktivitetsTilstand |
| prognosisCodeableConcept | 0..* | CodeableConcept | Estimate 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..* | Annotation | Comments made about the ClinicalImpression | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ClinicalImpression.status | required | ClinicalImpressionStatus |
| ClinicalImpression.investigation.code | example | InvestigationType |
| ClinicalImpression.prognosisCodeableConcept | example | ClinicalImpressionPrognosis |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | ClinicalImpression | If 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-4 | error | ClinicalImpression | If 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-5 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | ClinicalImpression | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from ClinicalImpression
Summary
Mandatory: 3 elements
Must-Support: 8 elements
Prohibited: 19 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron