Scope and usage

The MatterOfInterestObservation is used in Danish Municipalities, and may be instantiated whenever information about the citizen is recorded, under the headings defined by Areas (FSIII områder). For each heading, a new instance of MatterOfInterestObservation is used.

It is allowed to add a finding to represent the context at risk (tilstandskode) if this is documented as part of the matters of interest. Use the findingContextAtRisk extension for this.

Notice that the status-attribute is mandatory. For normal use, just set to “final”, if data is missing or another problem has occured, follow the FHIR guidance to populate the field correctly. In case of a correction use entered-in-error.

When a matter of interest is no longer in focus the values is set to B6 “Ikke relevant”, otherwise the value shall not be set.

Conversions between Danish information model and FHIR-profile

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 attributter der skal bruges til specifikation af indholdet

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
findingContextAtRisk		0..*	Coding	CareFindingContextAtRiskExtension URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-finding-context-at-risk-extension Binding: FSIIICareConditions (required)
identifier		0..0
basedOn		0..0
partOf		0..0
status		1..1	code	[DK] oplysningsstatus
category		0..0
code		1..1	CodeableConcept	[DK] oplysningskode
coding		1..1	Coding	Code defined by a terminology system Binding: FSIIICareMatterOfInterests (required)
subject		0..1	Reference(CareCitizen) {b}	[DK] oplysningssubjekt
focus		0..0
encounter		0..0
effective[x]		1..1	dateTime	[DK] oplysningstid
issued		0..0
performer		0..0
value[x]	S	0..1	CodeableConcept	Actual result Binding: KLGatewayCareMatterOfInterestValues (required)
dataAbsentReason		0..0
interpretation		0..0
note		0..0
bodySite		0..0
method		0..0
specimen		0..0
device		0..0
referenceRange		0..0
hasMember		0..0
derivedFrom		0..0
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.code.coding	required	FSIIICareMatterOfInterests
Observation.value[x]	required	KLGatewayCareMatterOfInterestValues

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	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
findingContextAtRisk		0..*	Coding	CareFindingContextAtRiskExtension URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-finding-context-at-risk-extension Binding: FSIIICareConditions (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] oplysningsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	[DK] oplysningskode Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: FSIIICareMatterOfInterests (required)
subject	Σ	0..1	Reference(CareCitizen) {b}	[DK] oplysningssubjekt
effective[x]	Σ	1..1	dateTime	[DK] oplysningstid
value[x]	SΣC	0..1	CodeableConcept	Actual result Binding: KLGatewayCareMatterOfInterestValues (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.status	required	ObservationStatus
Observation.code	example	LOINCCodes (a valid code from LOINC)
Observation.code.coding	required	FSIIICareMatterOfInterests
Observation.value[x]	required	KLGatewayCareMatterOfInterestValues
Observation.component.code	example	LOINCCodes (a valid code from LOINC)

Constraints

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..*	Observation	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. Additional Bindings Purpose AllLanguages Max Binding
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
findingContextAtRisk		0..*	Coding	CareFindingContextAtRiskExtension URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-finding-context-at-risk-extension Binding: FSIIICareConditions (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] oplysningsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	[DK] oplysningskode Binding: LOINCCodes (example): Codes identifying names of simple observations.
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	1..1	Coding	Code defined by a terminology system Binding: FSIIICareMatterOfInterests (required)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(CareCitizen) {b}	[DK] oplysningssubjekt
effective[x]	Σ	1..1	dateTime	[DK] oplysningstid
value[x]	SΣC	0..1	CodeableConcept	Actual result Binding: KLGatewayCareMatterOfInterestValues (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus
Observation.code	example	LOINCCodes (a valid code from LOINC)
Observation.code.coding	required	FSIIICareMatterOfInterests
Observation.value[x]	required	KLGatewayCareMatterOfInterestValues
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

Constraints

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()

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
findingContextAtRisk		0..*	Coding	CareFindingContextAtRiskExtension URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-finding-context-at-risk-extension Binding: FSIIICareConditions (required)
identifier		0..0
basedOn		0..0
partOf		0..0
status		1..1	code	[DK] oplysningsstatus
category		0..0
code		1..1	CodeableConcept	[DK] oplysningskode
coding		1..1	Coding	Code defined by a terminology system Binding: FSIIICareMatterOfInterests (required)
subject		0..1	Reference(CareCitizen) {b}	[DK] oplysningssubjekt
focus		0..0
encounter		0..0
effective[x]		1..1	dateTime	[DK] oplysningstid
issued		0..0
performer		0..0
value[x]	S	0..1	CodeableConcept	Actual result Binding: KLGatewayCareMatterOfInterestValues (required)
dataAbsentReason		0..0
interpretation		0..0
note		0..0
bodySite		0..0
method		0..0
specimen		0..0
device		0..0
referenceRange		0..0
hasMember		0..0
derivedFrom		0..0
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.code.coding	required	FSIIICareMatterOfInterests
Observation.value[x]	required	KLGatewayCareMatterOfInterestValues

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	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
findingContextAtRisk		0..*	Coding	CareFindingContextAtRiskExtension URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-finding-context-at-risk-extension Binding: FSIIICareConditions (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] oplysningsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	[DK] oplysningskode Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: FSIIICareMatterOfInterests (required)
subject	Σ	0..1	Reference(CareCitizen) {b}	[DK] oplysningssubjekt
effective[x]	Σ	1..1	dateTime	[DK] oplysningstid
value[x]	SΣC	0..1	CodeableConcept	Actual result Binding: KLGatewayCareMatterOfInterestValues (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.status	required	ObservationStatus
Observation.code	example	LOINCCodes (a valid code from LOINC)
Observation.code.coding	required	FSIIICareMatterOfInterests
Observation.value[x]	required	KLGatewayCareMatterOfInterestValues
Observation.component.code	example	LOINCCodes (a valid code from LOINC)

Constraints

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..*	Observation	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. Additional Bindings Purpose AllLanguages Max Binding
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
findingContextAtRisk		0..*	Coding	CareFindingContextAtRiskExtension URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-finding-context-at-risk-extension Binding: FSIIICareConditions (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] oplysningsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	[DK] oplysningskode Binding: LOINCCodes (example): Codes identifying names of simple observations.
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	1..1	Coding	Code defined by a terminology system Binding: FSIIICareMatterOfInterests (required)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(CareCitizen) {b}	[DK] oplysningssubjekt
effective[x]	Σ	1..1	dateTime	[DK] oplysningstid
value[x]	SΣC	0..1	CodeableConcept	Actual result Binding: KLGatewayCareMatterOfInterestValues (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus
Observation.code	example	LOINCCodes (a valid code from LOINC)
Observation.code.coding	required	FSIIICareMatterOfInterests
Observation.value[x]	required	KLGatewayCareMatterOfInterestValues
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

Constraints

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 Observation

Summary

Mandatory: 2 elements
Must-Support: 1 element
Prohibited: 19 elements

Structures

This structure refers to these other structures:

• CareCitizen (http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-citizen)

Extensions

This structure refers to these extensions:

• http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-finding-context-at-risk-extension