Implementation Guide for fælleskommunal informationsmodel
1.2.0 - release

This page is part of the KLCore (v1.2.0: 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: Evaluation

Official URL: http://fhir.kl.dk/core/StructureDefinition/KLCommonCareSocialEvaluation Version: 1.2.0
Active as of 2023-06-07 Computable Name: KLCommonCareSocialEvaluation

Professional evaluation on citizen status based on gathered information, conditions, observations and citizen preferences used in Danish municipalities

Scope and usage

CommonCareSocialEvaluation is used for documenting the result of an evaluation, typically being the last part of or following an information collection process. The different kinds of evaluations currently supported are defined by FSIII and FFB, and they are “FSIII helhedsvurdering”, “FFB vurdering af borgers situation”, “FFB støttebehovsvurdering”, “VUM Borgerens perspektiv på indsatsen”, “VUM Borgerens ressourcer i forhold til indsatsen”.

The Observation.code is mandatory, and fixed to a ValueSet specified by Local Govenment Denmark (KL), which may be suplemented with a SNOMED CT code.

This resource has a text-based results in Observation.valueCodeableConcept.text, but can have a coded result as well. The coded result is only defined for structured needs assessment (FFB støttebehovsvurdering), and is represented in Observation.codeableConcept.coding. This means that Observation.codeableConcept.coding is only allowed if the Observation.code is effe55c7-572c-4a99-8fb4-2a9dda2f6572”FFB støttebehovsvurdering”, and possibly the SNOMED CT code 225344000 “Assessment of degree of assistance required (procedure)”.

The Evaluation may reference a ServiceRequest, if the evaluation is percieved as an answer to that request.

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
vurderingskode Klasse der udtrykker typen af vurdering. Observation.code
vurderingsresultat Tekst der udgør vurderingsresultatet. Observation.valueCodeableConcept.text
struktureretVurdering En struktureret støttebehovsvurdering. Observation.valueCodeableConcept.coding
vurderingssubjekt Den borger der vurderes. Observation.subject
vurderingskontakt Den kontakt, hvor vurderingen gennemføres. Observation.encounter
vurderingsansvarlig Den fagperson der er ansvarlig for vurderingen. Observation.performer
vurderingBaseretPå Den henvendelse/henvisning som vurderingen er opsummering/svar på. Observation.basedOn
vurderingstid Det tidspunkt hvor vurderingen er foretaget. Observation.effectiveDateTime
vurderingsstatus Klasse der udtrykker, hvor i sin proces, vurderingen 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 Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationMeasurements and simple assertions
... basedOn 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)[DK] vurderingBaseretPå
... status 1..1code[DK] vurderingsstatus
... code 1..1CodeableConcept[DK] vurderingskode
.... Slices for coding 1..2CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:klEvaluationCode 1..1CodingCode defined by a terminology system
Binding: KLVurderingTypekoder (required)
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
..... coding:sctEvaluationCode 0..1CodingCode defined by a terminology system
Binding: KLVurderingTypekoderSCT (required)
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
... encounter 0..1Reference(Encounter)[DK] vurderingskontakt
... effective[x] 1..1dateTime[DK] vurderingstid
... performer 0..*Reference(Practioner)[DK] vurderingsansvarlig
... value[x] 0..1CodeableConceptActual result
.... coding 0..*Coding[DK] struktureretVurdering
Binding: KLStøttebehovsvurderingskoderFFB (required)
.... text 0..1string[DK] vurderingsresultat

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.code.coding:klEvaluationCoderequiredKLEvaluationTypeCodes
Observation.code.coding:sctEvaluationCoderequiredKLEvaluationTypeCodesSCT
Observation.value[x].codingrequiredKLNeedsAssessmentCodesFFB
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)[DK] vurderingBaseretPå
... code Σ1..1CodeableConcept[DK] vurderingskode
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... Slices for coding Σ1..2CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:klEvaluationCode Σ1..1CodingCode defined by a terminology system
Binding: KLVurderingTypekoder (required)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
..... coding:sctEvaluationCode Σ0..1CodingCode defined by a terminology system
Binding: KLVurderingTypekoderSCT (required)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
... subject Σ0..1Reference(Citizen)[DK] vurderingssubjekt
... encounter Σ0..1Reference(Encounter)[DK] vurderingskontakt
... effective[x] Σ1..1dateTime[DK] vurderingstid
... performer Σ0..*Reference(Practioner)[DK] vurderingsansvarlig
... value[x] ΣC0..1CodeableConceptActual result
.... coding Σ0..*Coding[DK] struktureretVurdering
Binding: KLStøttebehovsvurderingskoderFFB (required)
.... text Σ0..1string[DK] vurderingsresultat

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.statusrequiredObservationStatus
Observation.codeexampleLOINCCodes (a valid code from LOINC)
Observation.code.coding:klEvaluationCoderequiredKLEvaluationTypeCodes
Observation.code.coding:sctEvaluationCoderequiredKLEvaluationTypeCodesSCT
Observation.value[x].codingrequiredKLNeedsAssessmentCodesFFB
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements 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
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)[DK] vurderingBaseretPå
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1code[DK] vurderingsstatus
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] vurderingskode
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..2CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:klEvaluationCode Σ1..1CodingCode defined by a terminology system
Binding: KLVurderingTypekoder (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/term/CodeSystem/CareSocialCodes
...... 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:sctEvaluationCode Σ0..1CodingCode defined by a terminology system
Binding: KLVurderingTypekoderSCT (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
... subject Σ0..1Reference(Citizen)[DK] vurderingssubjekt
... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)[DK] vurderingskontakt
... effective[x] Σ1..1dateTime[DK] vurderingstid
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practioner)[DK] vurderingsansvarlig
... value[x] ΣC0..1CodeableConceptActual result
.... 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] struktureretVurdering
Binding: KLStøttebehovsvurderingskoderFFB (required)
.... text Σ0..1string[DK] vurderingsresultat
... 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
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.codeexampleLOINCCodes (a valid code from LOINC)
Observation.code.coding:klEvaluationCoderequiredKLEvaluationTypeCodes
Observation.code.coding:sctEvaluationCoderequiredKLEvaluationTypeCodesSCT
Observation.value[x].codingrequiredKLNeedsAssessmentCodesFFB
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

This structure is derived from Observation

Summary

Mandatory: 4 elements (1 nested mandatory element)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.code.coding is sliced based on the value of value:system

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationMeasurements and simple assertions
... basedOn 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)[DK] vurderingBaseretPå
... status 1..1code[DK] vurderingsstatus
... code 1..1CodeableConcept[DK] vurderingskode
.... Slices for coding 1..2CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:klEvaluationCode 1..1CodingCode defined by a terminology system
Binding: KLVurderingTypekoder (required)
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
..... coding:sctEvaluationCode 0..1CodingCode defined by a terminology system
Binding: KLVurderingTypekoderSCT (required)
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
... encounter 0..1Reference(Encounter)[DK] vurderingskontakt
... effective[x] 1..1dateTime[DK] vurderingstid
... performer 0..*Reference(Practioner)[DK] vurderingsansvarlig
... value[x] 0..1CodeableConceptActual result
.... coding 0..*Coding[DK] struktureretVurdering
Binding: KLStøttebehovsvurderingskoderFFB (required)
.... text 0..1string[DK] vurderingsresultat

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.code.coding:klEvaluationCoderequiredKLEvaluationTypeCodes
Observation.code.coding:sctEvaluationCoderequiredKLEvaluationTypeCodesSCT
Observation.value[x].codingrequiredKLNeedsAssessmentCodesFFB

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)[DK] vurderingBaseretPå
... code Σ1..1CodeableConcept[DK] vurderingskode
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... Slices for coding Σ1..2CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:klEvaluationCode Σ1..1CodingCode defined by a terminology system
Binding: KLVurderingTypekoder (required)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
..... coding:sctEvaluationCode Σ0..1CodingCode defined by a terminology system
Binding: KLVurderingTypekoderSCT (required)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
... subject Σ0..1Reference(Citizen)[DK] vurderingssubjekt
... encounter Σ0..1Reference(Encounter)[DK] vurderingskontakt
... effective[x] Σ1..1dateTime[DK] vurderingstid
... performer Σ0..*Reference(Practioner)[DK] vurderingsansvarlig
... value[x] ΣC0..1CodeableConceptActual result
.... coding Σ0..*Coding[DK] struktureretVurdering
Binding: KLStøttebehovsvurderingskoderFFB (required)
.... text Σ0..1string[DK] vurderingsresultat

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.statusrequiredObservationStatus
Observation.codeexampleLOINCCodes (a valid code from LOINC)
Observation.code.coding:klEvaluationCoderequiredKLEvaluationTypeCodes
Observation.code.coding:sctEvaluationCoderequiredKLEvaluationTypeCodesSCT
Observation.value[x].codingrequiredKLNeedsAssessmentCodesFFB

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements 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
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)[DK] vurderingBaseretPå
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1code[DK] vurderingsstatus
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] vurderingskode
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..2CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:klEvaluationCode Σ1..1CodingCode defined by a terminology system
Binding: KLVurderingTypekoder (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/term/CodeSystem/CareSocialCodes
...... 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:sctEvaluationCode Σ0..1CodingCode defined by a terminology system
Binding: KLVurderingTypekoderSCT (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
... subject Σ0..1Reference(Citizen)[DK] vurderingssubjekt
... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)[DK] vurderingskontakt
... effective[x] Σ1..1dateTime[DK] vurderingstid
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practioner)[DK] vurderingsansvarlig
... value[x] ΣC0..1CodeableConceptActual result
.... 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] struktureretVurdering
Binding: KLStøttebehovsvurderingskoderFFB (required)
.... text Σ0..1string[DK] vurderingsresultat
... 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
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.codeexampleLOINCCodes (a valid code from LOINC)
Observation.code.coding:klEvaluationCoderequiredKLEvaluationTypeCodes
Observation.code.coding:sctEvaluationCoderequiredKLEvaluationTypeCodesSCT
Observation.value[x].codingrequiredKLNeedsAssessmentCodesFFB
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

This structure is derived from Observation

Summary

Mandatory: 4 elements (1 nested mandatory element)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.code.coding is sliced based on the value of value:system

 

Other representations of profile: CSV, Excel, Schematron