Implementation Guide for fælles faglige instrumenter (FFInst)
1.0.0 - release
Implementation Guide for fælles faglige instrumenter (FFInst)
1.0.0 - release
This page is part of the KLFFinst (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 
| Official URL: http://fhir.kl.dk/ffinst/StructureDefinition/KLToolsWHO5ObservationHappy1 | Version: 1.0.0 | |||
| Active as of 2023-08-27 | Computable Name: KLToolsWHO5ObservationHappy1 | |||
WHO5 observation, for the first question about feeling happy
WHO-5 happy is used to represent the result of the first question about being happy in an WHO-5 questionnaire.
Observation.code is fixed to a SNOMED CT code.
the value[x] is a valueCodeableConcept, which is bound to the answers from the questionaire, and a more generalized SNOMED CT ValueSet. The latter coding is included to allow for better data extraction.
To make explicite, who answered the questionnaire, a finding informer extension with a required value set is included.
Observation:extension.associatedCondition holds a reference to related municipality conditions. This is relevant when presenting observation results in municipality systems. In this profile, Observation.extension:associatedCondition is fixed to the SNOMED CT code 106126000 ‘Emotional state finding (finding)’
Observations.derivedFrom has a mandatory reference to the questionnaire response, that produced this observation.
Nedenstående tabel oversætter mellem de attributter der er defineret i værktøjsprojektet og den fælleskommunale informationsmodel, og definerer kort den enkelte attribut på dansk og specificerer, hvilke af FHIR-profilens atributter der skal bruges til specifikation af indholdet.
| Informationsmodel | Definition | FHIR |
|---|---|---|
| WHO5GladKode | Klasse som udtrykker, at der observeres på borgers følelse af glæde ifølge WHO-5. | Observation.code |
| WHO5GladResultat | Klasse, der udtrykker, svaret på spørgsmålet | Observation.valueCodeableConcept.coding |
| WHO5GladSubjekt | Den borger, som er genstand for observationen. | Observation.subject |
| WHO5Gladkontakt | Den kontakt, hvor observationen er foretaget. | Observation.encounter |
| WHO5GladAnsvarlig | Den fagperson der er ansvarlig for observationen. | Observation.performer |
| WHO5GladKilde | Den person der er kilde til resultatet | Observation:extension.findingInformer |
| WHO5GladAssocieretFund | Klasse, der udtrykker, hvilken kommunal tilstand denne observation er associeret med. | Observation:extension.associatedCondition |
| WHO5Gladtid | Tidspunkt for observationen. | Observation.effectiveDateTime |
| WHO5GladStatus | Klasse der udtrykker, hvor i sin proces, observationen er. | Observation.status |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from KLCommonCareSocialObservation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 0..* | KLCommonCareSocialObservation | Measurements and simple assertions | |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 findingInformer | 0..1 | CodeableConcept | FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required) | |
 associatedConditions | 0..* | CodeableConcept | AssociatedConditions URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions Binding: Condition/Problem/DiagnosisCodes (required) | |
   value[x] | 1..1 | CodeableConcept | Value of extension 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: 106126000 | |
| 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: 285854004 | |
 value[x] | 0..1 | CodeableConcept | [DK] observationsresultat | |
 Slices for coding | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
 coding:KLToolsCode | 1..1 | Coding | Code defined by a terminology system Binding: WHO5AnswerCodesHappy (required) | |
  system | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes | |
 coding:SCTCode | 1..1 | Coding | Code defined by a terminology system Binding: WHO5SCTfindingsHappy1 (required) | |
| system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
 derivedFrom | 1..1 | Reference(Questionnaire response) | Related measurements the observation is made from | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.value[x].coding:KLToolsCode | required | WHO5AnswerCodesHappy |
| Observation.value[x].coding:SCTCode | required | WHO5SCTfindingsHappy1 |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | KLCommonCareSocialObservation | 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 | |
| findingInformer | 0..1 | CodeableConcept | FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required) | |
| associatedConditions | 0..* | CodeableConcept | AssociatedConditions URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions Binding: Condition/Problem/DiagnosisCodes (required) | |
 extension | 0..0 | |||
| url | 1..1 | uri | "http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions" | |
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Condition/Problem/DiagnosisCodes (required) 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: 106126000 | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | [DK] observationsstatus Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: KLObservationskoder (extensible) 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: 285854004 | |
| value[x] | ΣC | 0..1 | CodeableConcept | [DK] observationsresultat |
| Slices for coding | Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:KLToolsCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: WHO5AnswerCodesHappy (required) |
| system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes |
| coding:SCTCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: WHO5SCTfindingsHappy1 (required) |
| system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| derivedFrom | Σ | 1..1 | Reference(Questionnaire response) | Related measurements the observation is made from |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.extension:associatedConditions.value[x] | required | Pattern: SNOMED CT code 106126000 |
| Observation.status | required | ObservationStatus |
| Observation.code | extensible | Pattern: SNOMED CT code 285854004 |
| Observation.value[x].coding:KLToolsCode | required | WHO5AnswerCodesHappy |
| Observation.value[x].coding:SCTCode | required | WHO5SCTfindingsHappy1 |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | 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 | Observation | 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 | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | 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() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | KLCommonCareSocialObservation | 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 | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| findingInformer | 0..1 | CodeableConcept | FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required) | |||||
| associatedConditions | 0..* | CodeableConcept | AssociatedConditions URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions Binding: Condition/Problem/DiagnosisCodes (required) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions" | |||||
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Condition/Problem/DiagnosisCodes (required) 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: 106126000 | |||||
| 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 | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(PlannedIntervention | ServiceRequest | CarePlan) | [DK] observationBaseretPå | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | [DK] observationsstatus 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: KLObservationskoder (extensible) 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: 285854004 | |||||
| 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] observationskode | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject | Σ | 0..1 | Reference(Citizen) | [DK] observationssubjekt | ||||
| 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] observationskontakt | ||||
 effective[x] | Σ | 0..1 | [DK] observationstid | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 0..* | Reference(Practioner) | [DK] observationsansvarlig | ||||
| value[x] | ΣC | 0..1 | CodeableConcept | [DK] observationsresultat | ||||
| 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 | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:KLToolsCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: WHO5AnswerCodesHappy (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/ffinst/CodeSystem/KLToolsCodes | ||||
| 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:SCTCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: WHO5SCTfindingsHappy1 (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 | ||||
| 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 | 1..1 | Reference(Questionnaire response) | 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.extension:associatedConditions.value[x] | required | Pattern: SNOMED CT code 106126000 | ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | extensible | Pattern: SNOMED CT code 285854004 | ||||
| Observation.value[x].coding:KLToolsCode | required | WHO5AnswerCodesHappy | ||||
| Observation.value[x].coding:SCTCode | required | WHO5SCTfindingsHappy1 | ||||
| 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 |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | 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 | Observation | 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 | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | 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() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from KLCommonCareSocialObservation
Summary
Mandatory: 1 element (4 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from KLCommonCareSocialObservation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 0..* | KLCommonCareSocialObservation | Measurements and simple assertions | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| findingInformer | 0..1 | CodeableConcept | FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required) | |
| associatedConditions | 0..* | CodeableConcept | AssociatedConditions URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions Binding: Condition/Problem/DiagnosisCodes (required) | |
| value[x] | 1..1 | CodeableConcept | Value of extension 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: 106126000 | |
| 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: 285854004 | |
| value[x] | 0..1 | CodeableConcept | [DK] observationsresultat | |
| Slices for coding | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
| coding:KLToolsCode | 1..1 | Coding | Code defined by a terminology system Binding: WHO5AnswerCodesHappy (required) | |
| system | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes | |
| coding:SCTCode | 1..1 | Coding | Code defined by a terminology system Binding: WHO5SCTfindingsHappy1 (required) | |
| system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
| derivedFrom | 1..1 | Reference(Questionnaire response) | Related measurements the observation is made from | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.value[x].coding:KLToolsCode | required | WHO5AnswerCodesHappy |
| Observation.value[x].coding:SCTCode | required | WHO5SCTfindingsHappy1 |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | KLCommonCareSocialObservation | 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 | |
| findingInformer | 0..1 | CodeableConcept | FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required) | |
| associatedConditions | 0..* | CodeableConcept | AssociatedConditions URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions Binding: Condition/Problem/DiagnosisCodes (required) | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions" | |
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Condition/Problem/DiagnosisCodes (required) 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: 106126000 | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | [DK] observationsstatus Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: KLObservationskoder (extensible) 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: 285854004 | |
| value[x] | ΣC | 0..1 | CodeableConcept | [DK] observationsresultat |
| Slices for coding | Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:KLToolsCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: WHO5AnswerCodesHappy (required) |
| system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes |
| coding:SCTCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: WHO5SCTfindingsHappy1 (required) |
| system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| derivedFrom | Σ | 1..1 | Reference(Questionnaire response) | Related measurements the observation is made from |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.extension:associatedConditions.value[x] | required | Pattern: SNOMED CT code 106126000 |
| Observation.status | required | ObservationStatus |
| Observation.code | extensible | Pattern: SNOMED CT code 285854004 |
| Observation.value[x].coding:KLToolsCode | required | WHO5AnswerCodesHappy |
| Observation.value[x].coding:SCTCode | required | WHO5SCTfindingsHappy1 |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | 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 | Observation | 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 | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | 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() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | KLCommonCareSocialObservation | 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 | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| findingInformer | 0..1 | CodeableConcept | FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required) | |||||
| associatedConditions | 0..* | CodeableConcept | AssociatedConditions URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions Binding: Condition/Problem/DiagnosisCodes (required) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions" | |||||
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Condition/Problem/DiagnosisCodes (required) 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: 106126000 | |||||
| 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 | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(PlannedIntervention | ServiceRequest | CarePlan) | [DK] observationBaseretPå | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | [DK] observationsstatus 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: KLObservationskoder (extensible) 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: 285854004 | |||||
| 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] observationskode | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject | Σ | 0..1 | Reference(Citizen) | [DK] observationssubjekt | ||||
| 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] observationskontakt | ||||
| effective[x] | Σ | 0..1 | [DK] observationstid | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 0..* | Reference(Practioner) | [DK] observationsansvarlig | ||||
| value[x] | ΣC | 0..1 | CodeableConcept | [DK] observationsresultat | ||||
| 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 | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:KLToolsCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: WHO5AnswerCodesHappy (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/ffinst/CodeSystem/KLToolsCodes | ||||
| 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:SCTCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: WHO5SCTfindingsHappy1 (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 | ||||
| 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 | 1..1 | Reference(Questionnaire response) | 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.extension:associatedConditions.value[x] | required | Pattern: SNOMED CT code 106126000 | ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | extensible | Pattern: SNOMED CT code 285854004 | ||||
| Observation.value[x].coding:KLToolsCode | required | WHO5AnswerCodesHappy | ||||
| Observation.value[x].coding:SCTCode | required | WHO5SCTfindingsHappy1 | ||||
| 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 |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | 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 | Observation | 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 | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | 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() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from KLCommonCareSocialObservation
Summary
Mandatory: 1 element (4 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ Kommunernes landsforening. Package kl.dk.fhir.ffinst#1.0.0 based on FHIR 4.0.1. Generated 2023-08-27
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QA Report