1.1.0 - release
This page is part of the KL Gateway (v1.1.0: 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/gateway/StructureDefinition/klgateway-care-completed-intervention | Version: 1.1.0 | |||
Active as of 2023-06-21 | Computable Name: KLGatewayCareCompletedIntervention |
Documentation for completed interventions (activities related to one and only one encounter) in Danish municipalities
In a Danish municipality setting, CompletedIntervention is used to describe what activities has been delivered (e.g. a visit from a nurse to a citizen home where wound care is delivered). A CompletedIntervention always describes actual activities of one encounter. It should not be confused with PlannedIntervention, which describes the intention of activities, typically for several encounters.
In this implementation guide it is only used for interventions delivered acute or otherwise not planned at the time of delivery. The completed intervention is still considered unplanned if the intervention is planned after the fact.
Nedenstående tabel oversætter mellem de attributter der er defineret i den fælleskommunale informationsmodel (FKI), definerer kort den enkelte attribut på dansk og specificerer hvilke af FHIR-profilens atributter der skal bruges til specifikation af indholdet
FKI-attribut | Definition | FHIR |
---|---|---|
leveretIndsatsstatus | Indikation af hvor i det kliniske forløb indsatsen er. | Procedure.status |
leveretIndsatsSubjekt | Den borger som indsatsen er leveret til. | Procedure.subject |
leveretIndsatsKode | Klasse, der udtrykker hvad den leverede indsats omhandler. | Procedure.code.coding |
leveretIndsatsStart | Starttidspunkt for levering af indsatsen. | Procedure.performedDateTime |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Procedure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
identifier | 0..0 | |||
instantiatesCanonical | 0..0 | |||
instantiatesUri | 0..0 | |||
basedOn | 0..0 | |||
partOf | 0..0 | |||
status | 1..1 | code | [DK] leveretIndsatsstatus (completed | entered-in-error) | |
statusReason | 0..0 | |||
category | 0..0 | |||
code | 1..1 | CodeableConcept | Identification of the procedure | |
Slices for coding | 1..* | Coding | [DK] leveretIndsatsKode Slice: Unordered, Closed by value:system | |
coding:level2 | 1..1 | Coding | Code defined by a terminology system Binding: FSIIICareInterventions (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21 | |
coding:level3 | S | 0..1 | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
subject | 1..1 | Reference(CareCitizen) {b} | [DK] leveretIndsatsSubjekt | |
encounter | 0..0 | |||
performed[x] | 1..1 | dateTime | [DK] leveretIndsatsStart | |
recorder | 0..0 | |||
asserter | 0..0 | |||
performer | 0..0 | |||
location | 0..0 | |||
reasonCode | 0..0 | |||
reasonReference | S | 0..* | Reference(CareCondition) {b} | The justification that the procedure was performed |
bodySite | 0..0 | |||
outcome | 0..0 | |||
report | 0..0 | |||
complication | 0..0 | |||
complicationDetail | 0..0 | |||
followUp | 0..0 | |||
note | 0..0 | |||
focalDevice | 0..0 | |||
usedReference | 0..0 | |||
usedCode | 0..0 | |||
Documentation for this format |
Path | Conformance | ValueSet |
Procedure.code.coding:level2 | required | FSIIICareInterventions |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | [DK] leveretIndsatsstatus (completed | entered-in-error) Binding: EventStatus (required): A code specifying the state of the procedure. |
code | Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . |
Slices for coding | Σ | 1..* | Coding | [DK] leveretIndsatsKode Slice: Unordered, Closed by value:system |
coding:level2 | Σ | 1..1 | Coding | Code defined by a terminology system Binding: FSIIICareInterventions (required) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21 |
coding:level3 | SΣ | 0..1 | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
subject | Σ | 1..1 | Reference(CareCitizen) {b} | [DK] leveretIndsatsSubjekt |
performed[x] | Σ | 1..1 | dateTime | [DK] leveretIndsatsStart |
reasonReference | SΣ | 0..* | Reference(CareCondition) {b} | The justification that the procedure was performed |
Documentation for this format |
Path | Conformance | ValueSet |
Procedure.status | required | EventStatus |
Procedure.code | example | ProcedureCodes(SNOMEDCT) |
Procedure.code.coding:level2 | required | FSIIICareInterventions |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Procedure | 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 | Procedure | 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 | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Procedure | 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 | ||||
---|---|---|---|---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |||||
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 | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
status | ?!Σ | 1..1 | code | [DK] leveretIndsatsstatus (completed | entered-in-error) Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
code | Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . | ||||
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 | 1..* | Coding | [DK] leveretIndsatsKode Slice: Unordered, Closed by value:system | ||||
coding:level2 | Σ | 1..1 | Coding | Code defined by a terminology system Binding: FSIIICareInterventions (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: urn:oid:1.2.208.176.2.21 | ||||
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:level3 | SΣ | 0..1 | Coding | Code defined by a terminology system | ||||
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/gateway/CodeSystem/LocallyDefinedInterventions | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..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 | ||||
subject | Σ | 1..1 | Reference(CareCitizen) {b} | [DK] leveretIndsatsSubjekt | ||||
performed[x] | Σ | 1..1 | dateTime | [DK] leveretIndsatsStart | ||||
reasonReference | SΣ | 0..* | Reference(CareCondition) {b} | The justification that the procedure was performed | ||||
Documentation for this format |
Path | Conformance | ValueSet | ||||
Procedure.language | preferred | CommonLanguages
| ||||
Procedure.status | required | EventStatus | ||||
Procedure.code | example | ProcedureCodes(SNOMEDCT) | ||||
Procedure.code.coding:level2 | required | FSIIICareInterventions | ||||
Procedure.performer.function | example | ProcedurePerformerRoleCodes | ||||
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes |
Id | Grade | Path(s) | Details | Requirements |
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 Procedure
Summary
Mandatory: 5 elements (3 nested mandatory elements)
Must-Support: 2 elements
Prohibited: 23 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Procedure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
identifier | 0..0 | |||
instantiatesCanonical | 0..0 | |||
instantiatesUri | 0..0 | |||
basedOn | 0..0 | |||
partOf | 0..0 | |||
status | 1..1 | code | [DK] leveretIndsatsstatus (completed | entered-in-error) | |
statusReason | 0..0 | |||
category | 0..0 | |||
code | 1..1 | CodeableConcept | Identification of the procedure | |
Slices for coding | 1..* | Coding | [DK] leveretIndsatsKode Slice: Unordered, Closed by value:system | |
coding:level2 | 1..1 | Coding | Code defined by a terminology system Binding: FSIIICareInterventions (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21 | |
coding:level3 | S | 0..1 | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
subject | 1..1 | Reference(CareCitizen) {b} | [DK] leveretIndsatsSubjekt | |
encounter | 0..0 | |||
performed[x] | 1..1 | dateTime | [DK] leveretIndsatsStart | |
recorder | 0..0 | |||
asserter | 0..0 | |||
performer | 0..0 | |||
location | 0..0 | |||
reasonCode | 0..0 | |||
reasonReference | S | 0..* | Reference(CareCondition) {b} | The justification that the procedure was performed |
bodySite | 0..0 | |||
outcome | 0..0 | |||
report | 0..0 | |||
complication | 0..0 | |||
complicationDetail | 0..0 | |||
followUp | 0..0 | |||
note | 0..0 | |||
focalDevice | 0..0 | |||
usedReference | 0..0 | |||
usedCode | 0..0 | |||
Documentation for this format |
Path | Conformance | ValueSet |
Procedure.code.coding:level2 | required | FSIIICareInterventions |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | [DK] leveretIndsatsstatus (completed | entered-in-error) Binding: EventStatus (required): A code specifying the state of the procedure. |
code | Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . |
Slices for coding | Σ | 1..* | Coding | [DK] leveretIndsatsKode Slice: Unordered, Closed by value:system |
coding:level2 | Σ | 1..1 | Coding | Code defined by a terminology system Binding: FSIIICareInterventions (required) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21 |
coding:level3 | SΣ | 0..1 | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
subject | Σ | 1..1 | Reference(CareCitizen) {b} | [DK] leveretIndsatsSubjekt |
performed[x] | Σ | 1..1 | dateTime | [DK] leveretIndsatsStart |
reasonReference | SΣ | 0..* | Reference(CareCondition) {b} | The justification that the procedure was performed |
Documentation for this format |
Path | Conformance | ValueSet |
Procedure.status | required | EventStatus |
Procedure.code | example | ProcedureCodes(SNOMEDCT) |
Procedure.code.coding:level2 | required | FSIIICareInterventions |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Procedure | 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 | Procedure | 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 | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Procedure | 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 | ||||
---|---|---|---|---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |||||
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 | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
status | ?!Σ | 1..1 | code | [DK] leveretIndsatsstatus (completed | entered-in-error) Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
code | Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . | ||||
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 | 1..* | Coding | [DK] leveretIndsatsKode Slice: Unordered, Closed by value:system | ||||
coding:level2 | Σ | 1..1 | Coding | Code defined by a terminology system Binding: FSIIICareInterventions (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: urn:oid:1.2.208.176.2.21 | ||||
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:level3 | SΣ | 0..1 | Coding | Code defined by a terminology system | ||||
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/gateway/CodeSystem/LocallyDefinedInterventions | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..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 | ||||
subject | Σ | 1..1 | Reference(CareCitizen) {b} | [DK] leveretIndsatsSubjekt | ||||
performed[x] | Σ | 1..1 | dateTime | [DK] leveretIndsatsStart | ||||
reasonReference | SΣ | 0..* | Reference(CareCondition) {b} | The justification that the procedure was performed | ||||
Documentation for this format |
Path | Conformance | ValueSet | ||||
Procedure.language | preferred | CommonLanguages
| ||||
Procedure.status | required | EventStatus | ||||
Procedure.code | example | ProcedureCodes(SNOMEDCT) | ||||
Procedure.code.coding:level2 | required | FSIIICareInterventions | ||||
Procedure.performer.function | example | ProcedurePerformerRoleCodes | ||||
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes |
Id | Grade | Path(s) | Details | Requirements |
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 Procedure
Summary
Mandatory: 5 elements (3 nested mandatory elements)
Must-Support: 2 elements
Prohibited: 23 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron