1.0.0 - Release

This page is part of the KLChildren (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

Resource Profile: KLGatewayChildrenTobaccoObservation

Official URL: http://fhir.kl.dk/children/StructureDefinition/klgateway-children-tobacco-observation Version: 1.0.0
Active as of 2023-09-30 Computable Name: KLGatewayChildrenTobaccoObservation

Tobacco observation profile used in the children database

Scope and usage

KLGatewayChildrenTobaccoObservation is used to document small childrens exposue to tobacco, and teenagers tocacco use.

Observation.code.coding, holds the valid value for the types of observations allowed. It is bound to a fixed SNOMED CT code ‘Tobacco use and exposure’.

Observation.value[x] is a coded value Observation.valueCodeableConcept, which should be drawn from the required ValueSet. The valid values are:

  • ‘Exposed to tobacco smoke at home’ (is registered when a child is exposed to tobaco. Exposure to tobacco smoke is defined by the national childrens database indicator as explained here)
  • ‘Tobacco user’ (is registered when a child reports tobacco use in the school take-off examination/udskolingsundersøgelse)
  • ‘No current problems or disability’ (is registered when the child does not have problems with tobacco exposure or use)

The time of the observation is documented in Observation.effective[x].

Observation.subject holds the reference to the child, who is obsesrved. Observation.encounter holds the reference to the encounter in which the observation is performed.

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. To indicate missing data, Observation.dataAbsentReason can be used as well. E.g when citizens are asked, but decline to answer, the dataAbsentReason should be populated with ‘asked-declined’.

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 atributter der skal bruges til specifikation af indholdet.

FKI-attribut Definition FHIR
tobaksobservationKode Klasse som udtrykker, hvad der observeres. Observation.code.coding
tobaksobservationResultat Resultatet af observationen. Observation.value[x]
tobaksobservationTid Tidspunkt for observationen. Observation.effective
tobaksobservationSubjekt Den borger, for hvem der er foretaget en observation. Observation.subject
tobaksobservationKontakt Den kontakt, hvor observationen er foretaget. Observation.encounter
tobaksobservationStatus Klasse der udtrykker, hvor i sin proces, observationen er. Observation.status
tobaksobservationMangler Klasse, der udtrykker hvorfor data mangler Observation.dataAbsentReason

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
obs-2: If the value is not given, then explain why using dataAbsentReason
... identifier 0..0
... basedOn 0..0
... partOf 0..0
... code 1..1CodeableConcept[DK] tobaksobservationsKode
Binding: TobaccoobservablesChildren (required)
... subject 1..1Reference(KLGatewayChildrenCitizen) {b}[DK] tobaksobservationSubjekt
... focus 0..0
... encounter 0..1Reference(KLGatewayChildrenEncounter) {b}[DK] tobaksobservationKontakt
... effective[x] 1..1dateTime[DK] tobaksobservationTid
... issued 0..0
... performer 0..0
... value[x] 0..1CodeableConcept[DK] tobaksobservationsResultat
Binding: TobaccoResultsChildren (required)
... dataAbsentReason 0..1CodeableConcept[DK] tobaksobservationMangler
... interpretation 0..0
... note 0..0
... bodySite 0..0
... method 0..0
... specimen 0..0
... device 0..0
... hasMember 0..0
... derivedFrom 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.coderequiredTobaccoObservablesChildren
Observation.value[x]requiredTobaccoResultsChildren

Constraints

IdGradePath(s)DetailsRequirements
obs-2errorObservationIf the value is not given, then explain why using dataAbsentReason
: value.empty() implies dataAbsentReason.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
obs-2: If the value is not given, then explain why using dataAbsentReason
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1code[DK] tobaksobservationStatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

... subject Σ1..1Reference(KLGatewayChildrenCitizen) {b}[DK] tobaksobservationSubjekt
... encounter Σ0..1Reference(KLGatewayChildrenEncounter) {b}[DK] tobaksobservationKontakt
... effective[x] Σ1..1dateTime[DK] tobaksobservationTid
... value[x] ΣC0..1CodeableConcept[DK] tobaksobservationsResultat
Binding: TobaccoResultsChildren (required)
... dataAbsentReason C0..1CodeableConcept[DK] tobaksobservationMangler
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.statusrequiredObservationStatus
Observation.coderequiredTobaccoObservablesChildren
Observation.value[x]requiredTobaccoResultsChildren
Observation.dataAbsentReasonextensibleDataAbsentReason

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-2errorObservationIf the value is not given, then explain why using dataAbsentReason
: value.empty() implies dataAbsentReason.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..*ObservationMeasurements and simple assertions
obs-2: If the value is not given, then explain why using dataAbsentReason
... 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
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1code[DK] tobaksobservationStatus
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..1CodeableConcept[DK] tobaksobservationsKode
Binding: TobaccoobservablesChildren (required)
... subject Σ1..1Reference(KLGatewayChildrenCitizen) {b}[DK] tobaksobservationSubjekt
... encounter Σ0..1Reference(KLGatewayChildrenEncounter) {b}[DK] tobaksobservationKontakt
... effective[x] Σ1..1dateTime[DK] tobaksobservationTid
... value[x] ΣC0..1CodeableConcept[DK] tobaksobservationsResultat
Binding: TobaccoResultsChildren (required)
... dataAbsentReason C0..1CodeableConcept[DK] tobaksobservationMangler
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... 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
... 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
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.coderequiredTobaccoObservablesChildren
Observation.value[x]requiredTobaccoResultsChildren
Observation.dataAbsentReasonextensibleDataAbsentReason
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-2errorObservationIf the value is not given, then explain why using dataAbsentReason
: value.empty() implies dataAbsentReason.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 Observation

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
obs-2: If the value is not given, then explain why using dataAbsentReason
... identifier 0..0
... basedOn 0..0
... partOf 0..0
... code 1..1CodeableConcept[DK] tobaksobservationsKode
Binding: TobaccoobservablesChildren (required)
... subject 1..1Reference(KLGatewayChildrenCitizen) {b}[DK] tobaksobservationSubjekt
... focus 0..0
... encounter 0..1Reference(KLGatewayChildrenEncounter) {b}[DK] tobaksobservationKontakt
... effective[x] 1..1dateTime[DK] tobaksobservationTid
... issued 0..0
... performer 0..0
... value[x] 0..1CodeableConcept[DK] tobaksobservationsResultat
Binding: TobaccoResultsChildren (required)
... dataAbsentReason 0..1CodeableConcept[DK] tobaksobservationMangler
... interpretation 0..0
... note 0..0
... bodySite 0..0
... method 0..0
... specimen 0..0
... device 0..0
... hasMember 0..0
... derivedFrom 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.coderequiredTobaccoObservablesChildren
Observation.value[x]requiredTobaccoResultsChildren

Constraints

IdGradePath(s)DetailsRequirements
obs-2errorObservationIf the value is not given, then explain why using dataAbsentReason
: value.empty() implies dataAbsentReason.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
obs-2: If the value is not given, then explain why using dataAbsentReason
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1code[DK] tobaksobservationStatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

... subject Σ1..1Reference(KLGatewayChildrenCitizen) {b}[DK] tobaksobservationSubjekt
... encounter Σ0..1Reference(KLGatewayChildrenEncounter) {b}[DK] tobaksobservationKontakt
... effective[x] Σ1..1dateTime[DK] tobaksobservationTid
... value[x] ΣC0..1CodeableConcept[DK] tobaksobservationsResultat
Binding: TobaccoResultsChildren (required)
... dataAbsentReason C0..1CodeableConcept[DK] tobaksobservationMangler
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.statusrequiredObservationStatus
Observation.coderequiredTobaccoObservablesChildren
Observation.value[x]requiredTobaccoResultsChildren
Observation.dataAbsentReasonextensibleDataAbsentReason

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-2errorObservationIf the value is not given, then explain why using dataAbsentReason
: value.empty() implies dataAbsentReason.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..*ObservationMeasurements and simple assertions
obs-2: If the value is not given, then explain why using dataAbsentReason
... 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
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1code[DK] tobaksobservationStatus
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..1CodeableConcept[DK] tobaksobservationsKode
Binding: TobaccoobservablesChildren (required)
... subject Σ1..1Reference(KLGatewayChildrenCitizen) {b}[DK] tobaksobservationSubjekt
... encounter Σ0..1Reference(KLGatewayChildrenEncounter) {b}[DK] tobaksobservationKontakt
... effective[x] Σ1..1dateTime[DK] tobaksobservationTid
... value[x] ΣC0..1CodeableConcept[DK] tobaksobservationsResultat
Binding: TobaccoResultsChildren (required)
... dataAbsentReason C0..1CodeableConcept[DK] tobaksobservationMangler
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... 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
... 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
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.coderequiredTobaccoObservablesChildren
Observation.value[x]requiredTobaccoResultsChildren
Observation.dataAbsentReasonextensibleDataAbsentReason
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-2errorObservationIf the value is not given, then explain why using dataAbsentReason
: value.empty() implies dataAbsentReason.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 Observation

 

Other representations of profile: CSV, Excel, Schematron