Implementation Guide for fælles faglige instrumenter (FFInst)
1.0.0 - release Denmark flag

This page is part of the KLFFinst (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

Resource Profile: Pain VRS

Official URL: http://fhir.kl.dk/ffinst/StructureDefinition/KLToolsCarePainVRS Version: 1.0.0
Active as of 2023-08-27 Computable Name: KLToolsCarePainVRS

Pain intensity evaluation using a verbal rating scale, as performed in Danish municipalities

Scope and usage

PainVAS is an observation of pain intensity using a verbal rating scale. Please note that this implementation guide also include a visual rating scale for pain, and use the two profiles according the context.

Using the model

The Observation.code is fixed to the SNOMED CT code 225908003 ‘Pain score (observable entity’

Observation.value[x] is a valueCodeableConcept, which is bound to a five-level rating scale for pain. The rating scale is expressed using the Danish original rating scale with local codes, and with an equivalent SNOMED CT ValueSet.

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 SCT#22253000 ‘Pain (finding)’.

Observation.note.text may be used to hold remarks about the observation. Observation.status is typically ‘final’.

Conversions between Danish information model and FHIR-profile

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
SmerteVRSKode Klasse som udtrykker, at der observeres på borgers Smerte målt vha. VRS. Observation.code
SmerteVRSResultat Klasse som udtrykker smerteintensiteten Observation.value[x]
SmerteVRSSubjekt Den borger, som er genstand for observationen. Observation.subject
SmerteVRSKontakt Den kontakt, hvor observationen er foretaget. Observation.encounter
SmerteVRSAnsvarlig Den fagperson, der er ansvarlig for observationen. Observation.performer
SmerteVRSKilde Den person der er kilde til resultatet Observation:extension.findingInformer
SmerteVRSTid Tidspunkt for observationen. Observation.effectiveDateTime
SmerteVRSAssocieretTilstand Klasse, der udtrykker, hvilken kommunal tilstand denne observation er associeret med. Observation:extension.associatedCondition
SmerteVRSBemærkning Bemærkning vedr. observationen Observation.note.text
SmerteVRSStatus Klasse der udtrykker, hvor i sin proces, observationen er. Observation.status

Usage:

Formal Views of Profile Content

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

This structure is derived from KLCommonCareSocialObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*KLCommonCareSocialObservationMeasurements and simple assertions
... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... associatedConditions 1..1CodeableConceptAssociatedConditions
URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions
Binding: Condition/Problem/DiagnosisCodes (required)
.... value[x] 1..1CodeableConceptValue of extension
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 22253000
... findingInformer 1..1CodeableConceptFindingInformer
URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer
Binding: FindingInformerCodes (required)
.... coding 0..*Coding[DK] observationskode
Required Pattern: At least the following
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1144798005
... value[x] 0..1CodeableConcept[DK] observationsresultat
.... Slices for coding 2..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:KLToolsCode 1..1CodingCode defined by a terminology system
Binding: VRSpain (required)
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes
..... coding:SCTCode 1..1CodingCode defined by a terminology system
Binding: VRSSCTfindingsPain (required)
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.value[x].coding:KLToolsCoderequiredVRSpain
Observation.value[x].coding:SCTCoderequiredVRSSCTfindingsPain
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*KLCommonCareSocialObservationMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... associatedConditions 1..1CodeableConceptAssociatedConditions
URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions
Binding: Condition/Problem/DiagnosisCodes (required)
.... extension 0..0
.... url 1..1uri"http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions"
.... value[x] 1..1CodeableConceptValue of extension
Binding: Condition/Problem/DiagnosisCodes (required)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 22253000
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1code[DK] observationsstatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

... code Σ1..1CodeableConceptType of observation (code / type)
Binding: KLObservationskoder (extensible)
.... coding Σ0..*Coding[DK] observationskode

Required Pattern: At least the following
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1144798005
... value[x] ΣC0..1CodeableConcept[DK] observationsresultat
.... Slices for coding Σ2..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:KLToolsCode Σ1..1CodingCode defined by a terminology system
Binding: VRSpain (required)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes
..... coding:SCTCode Σ1..1CodingCode defined by a terminology system
Binding: VRSSCTfindingsPain (required)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.extension:associatedConditions.value[x]requiredPattern: SNOMED CT code 22253000
Observation.statusrequiredObservationStatus
Observation.codeextensibleKLObservationCodes
Observation.value[x].coding:KLToolsCoderequiredVRSpain
Observation.value[x].coding:SCTCoderequiredVRSSCTfindingsPain

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA 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()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*KLCommonCareSocialObservationMeasurements and simple assertions
... 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 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... associatedConditions 1..1CodeableConceptAssociatedConditions
URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions
Binding: Condition/Problem/DiagnosisCodes (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions"
.... value[x] 1..1CodeableConceptValue of extension
Binding: Condition/Problem/DiagnosisCodes (required)
Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 22253000
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... findingInformer 1..1CodeableConceptFindingInformer
URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer
Binding: FindingInformerCodes (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(PlannedIntervention | ServiceRequest | CarePlan)[DK] observationBaseretPå
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1code[DK] observationsstatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code Σ1..1CodeableConceptType of observation (code / type)
Binding: KLObservationskoder (extensible)
.... 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] observationskode

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1144798005
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ0..1Reference(Citizen)[DK] observationssubjekt
... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)[DK] observationskontakt
... effective[x] Σ0..1[DK] observationstid
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practioner)[DK] observationsansvarlig
... value[x] ΣC0..1CodeableConcept[DK] observationsresultat
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ2..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:KLToolsCode Σ1..1CodingCode defined by a terminology system
Binding: VRSpain (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:SCTCode Σ1..1CodingCode defined by a terminology system
Binding: VRSSCTfindingsPain (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... 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
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... component Σ0..*BackboneElementComponent results
.... 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 Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... value[x] Σ0..1Actual component result
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.extension:associatedConditions.value[x]requiredPattern: SNOMED CT code 22253000
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.codeextensibleKLObservationCodes
Observation.value[x].coding:KLToolsCoderequiredVRSpain
Observation.value[x].coding:SCTCoderequiredVRSSCTfindingsPain
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA 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()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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: 2 elements (4 nested mandatory elements)

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.value[x].coding is sliced based on the value of value:system

Differential View

This structure is derived from KLCommonCareSocialObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*KLCommonCareSocialObservationMeasurements and simple assertions
... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... associatedConditions 1..1CodeableConceptAssociatedConditions
URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions
Binding: Condition/Problem/DiagnosisCodes (required)
.... value[x] 1..1CodeableConceptValue of extension
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 22253000
... findingInformer 1..1CodeableConceptFindingInformer
URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer
Binding: FindingInformerCodes (required)
.... coding 0..*Coding[DK] observationskode
Required Pattern: At least the following
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1144798005
... value[x] 0..1CodeableConcept[DK] observationsresultat
.... Slices for coding 2..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:KLToolsCode 1..1CodingCode defined by a terminology system
Binding: VRSpain (required)
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes
..... coding:SCTCode 1..1CodingCode defined by a terminology system
Binding: VRSSCTfindingsPain (required)
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.value[x].coding:KLToolsCoderequiredVRSpain
Observation.value[x].coding:SCTCoderequiredVRSSCTfindingsPain

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*KLCommonCareSocialObservationMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... associatedConditions 1..1CodeableConceptAssociatedConditions
URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions
Binding: Condition/Problem/DiagnosisCodes (required)
.... extension 0..0
.... url 1..1uri"http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions"
.... value[x] 1..1CodeableConceptValue of extension
Binding: Condition/Problem/DiagnosisCodes (required)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 22253000
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1code[DK] observationsstatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

... code Σ1..1CodeableConceptType of observation (code / type)
Binding: KLObservationskoder (extensible)
.... coding Σ0..*Coding[DK] observationskode

Required Pattern: At least the following
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1144798005
... value[x] ΣC0..1CodeableConcept[DK] observationsresultat
.... Slices for coding Σ2..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:KLToolsCode Σ1..1CodingCode defined by a terminology system
Binding: VRSpain (required)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes
..... coding:SCTCode Σ1..1CodingCode defined by a terminology system
Binding: VRSSCTfindingsPain (required)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.extension:associatedConditions.value[x]requiredPattern: SNOMED CT code 22253000
Observation.statusrequiredObservationStatus
Observation.codeextensibleKLObservationCodes
Observation.value[x].coding:KLToolsCoderequiredVRSpain
Observation.value[x].coding:SCTCoderequiredVRSSCTfindingsPain

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA 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()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*KLCommonCareSocialObservationMeasurements and simple assertions
... 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 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... associatedConditions 1..1CodeableConceptAssociatedConditions
URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions
Binding: Condition/Problem/DiagnosisCodes (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions"
.... value[x] 1..1CodeableConceptValue of extension
Binding: Condition/Problem/DiagnosisCodes (required)
Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 22253000
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... findingInformer 1..1CodeableConceptFindingInformer
URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer
Binding: FindingInformerCodes (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(PlannedIntervention | ServiceRequest | CarePlan)[DK] observationBaseretPå
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1code[DK] observationsstatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code Σ1..1CodeableConceptType of observation (code / type)
Binding: KLObservationskoder (extensible)
.... 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] observationskode

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1144798005
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ0..1Reference(Citizen)[DK] observationssubjekt
... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)[DK] observationskontakt
... effective[x] Σ0..1[DK] observationstid
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practioner)[DK] observationsansvarlig
... value[x] ΣC0..1CodeableConcept[DK] observationsresultat
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ2..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:KLToolsCode Σ1..1CodingCode defined by a terminology system
Binding: VRSpain (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:SCTCode Σ1..1CodingCode defined by a terminology system
Binding: VRSSCTfindingsPain (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... 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
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... component Σ0..*BackboneElementComponent results
.... 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 Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... value[x] Σ0..1Actual component result
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.extension:associatedConditions.value[x]requiredPattern: SNOMED CT code 22253000
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.codeextensibleKLObservationCodes
Observation.value[x].coding:KLToolsCoderequiredVRSpain
Observation.value[x].coding:SCTCoderequiredVRSSCTfindingsPain
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA 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()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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: 2 elements (4 nested mandatory elements)

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.value[x].coding is sliced based on the value of value:system

 

Other representations of profile: CSV, Excel, Schematron