Implementation Guide for FFB messaging (FFB udvekslingsdatasæt)
1.0.0 - release
This page is part of the KLFFBMessaging (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
Official URL: http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-informationGathering | Version: 1.0.0 | |||
Active as of 2023-08-27 | Computable Name: KLMessagingFFBInformationGathering |
Assessment of the citizen
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from KLCommonCareSocialInformationGathering
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ClinicalImpression | 0..* | KLCommonCareSocialInformationGathering | A clinical assessment performed when planning treatments and management strategies for a patient | |
subject | S | 1..1 | Reference(Citizen) | [DK] oplysningsaktivitetsubjekt |
investigation | S | 0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) |
item | S | 0..* | Reference(Evaluation | MatterOfInterest) | [DK] oplysningsaktivitetsKonklusion |
finding | S | 0..* | BackboneElement | Possible or likely findings and diagnoses |
itemReference | S | 0..1 | Reference(Condition | Diagnosis) | [DK] oplysningsaktivitetsTilstand |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ClinicalImpression | 0..* | KLCommonCareSocialInformationGathering | A clinical assessment performed when planning treatments and management strategies for a patient | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
basedOnServiceRequest | 0..1 | Reference(ServiceRequest) | [DK] oplysningsaktivitetsordre URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest | |
extension | 0..0 | |||
url | 1..1 | uri | "http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest" | |
value[x] | 1..1 | Reference(ServiceRequest) | Value of extension | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | [DK] oplysningsaktivitetsstatus Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression. |
subject | SΣ | 1..1 | Reference(Citizen) | [DK] oplysningsaktivitetsubjekt |
investigation | S | 0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 1..1 | CodeableConcept | A name/code for the set Binding: KLOplysningsaktivitetsOgVurderingskoder (required) | |
item | S | 0..* | Reference(Evaluation | MatterOfInterest) | [DK] oplysningsaktivitetsKonklusion |
finding | S | 0..* | BackboneElement | Possible or likely findings and diagnoses |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
itemReference | S | 0..1 | Reference(Condition | Diagnosis) | [DK] oplysningsaktivitetsTilstand |
Documentation for this format |
Path | Conformance | ValueSet |
ClinicalImpression.status | required | ClinicalImpressionStatus |
ClinicalImpression.investigation.code | required | KLInformationGatheringInvestigationCodes |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | ClinicalImpression | 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 | ClinicalImpression | 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 | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | ClinicalImpression | 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 | ||||
---|---|---|---|---|---|---|---|---|
ClinicalImpression | 0..* | KLCommonCareSocialInformationGathering | A clinical assessment performed when planning treatments and management strategies for 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 | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
basedOnServiceRequest | 0..1 | Reference(ServiceRequest) | [DK] oplysningsaktivitetsordre URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest" | |||||
value[x] | 1..1 | Reference(ServiceRequest) | Value of extension | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business identifier | ||||
status | ?!Σ | 1..1 | code | [DK] oplysningsaktivitetsstatus Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression. | ||||
statusReason | 0..1 | CodeableConcept | Reason for current status Binding: (unbound) (example): Codes identifying the reason for the current state of a clinical impression. | |||||
code | Σ | 0..1 | CodeableConcept | Kind of assessment performed Binding: KLOplysningsaktivitetsTypeKoder (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 | |||||
coding | Σ | 0..* | Coding | [DK] oplysningsaktivitetstype | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
description | Σ | 0..1 | string | Why/how the assessment was performed | ||||
subject | SΣ | 1..1 | Reference(Citizen) | [DK] oplysningsaktivitetsubjekt | ||||
encounter | Σ | 0..1 | Reference(Encounter) | [DK] oplysningsaktivitetskontakt | ||||
effective[x] | Σ | 0..1 | dateTime | [DK] oplysningsaktivitetstid | ||||
date | Σ | 0..1 | dateTime | When the assessment was documented | ||||
assessor | Σ | 0..1 | Reference(Practioner) | [DK] oplysningsaktivitetsudfører | ||||
previous | 0..1 | Reference(ClinicalImpression) | Reference to last assessment | |||||
problem | Σ | 0..* | Reference(Condition | AllergyIntolerance) | Relevant impressions of patient state | ||||
investigation | S | 0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 1..1 | CodeableConcept | A name/code for the set Binding: KLOplysningsaktivitetsOgVurderingskoder (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 | |||||
coding | Σ | 0..* | Coding | [DK] oplysningsaktivitetsObservationstype | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
item | S | 0..* | Reference(Evaluation | MatterOfInterest) | [DK] oplysningsaktivitetsKonklusion | ||||
protocol | 0..* | uri | Clinical Protocol followed | |||||
summary | 0..1 | string | Summary of the assessment | |||||
finding | S | 0..* | BackboneElement | Possible or likely findings and diagnoses | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
itemCodeableConcept | 0..1 | CodeableConcept | What was found Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis. | |||||
itemReference | S | 0..1 | Reference(Condition | Diagnosis) | [DK] oplysningsaktivitetsTilstand | ||||
basis | 0..1 | string | Which investigations support finding | |||||
prognosisCodeableConcept | 0..* | CodeableConcept | Estimate of likely outcome Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings. | |||||
prognosisReference | 0..* | Reference(RiskAssessment) | RiskAssessment expressing likely outcome | |||||
supportingInfo | 0..* | Reference(Resource) | Information supporting the clinical impression | |||||
note | 0..* | Annotation | Comments made about the ClinicalImpression | |||||
Documentation for this format |
Path | Conformance | ValueSet | ||||
ClinicalImpression.language | preferred | CommonLanguages
| ||||
ClinicalImpression.status | required | ClinicalImpressionStatus | ||||
ClinicalImpression.statusReason | example | |||||
ClinicalImpression.code | required | KLInformationGatheringTypeCodes | ||||
ClinicalImpression.investigation.code | required | KLInformationGatheringInvestigationCodes | ||||
ClinicalImpression.finding.itemCodeableConcept | example | Condition/Problem/DiagnosisCodes | ||||
ClinicalImpression.prognosisCodeableConcept | example | ClinicalImpressionPrognosis |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | ClinicalImpression | 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 | ClinicalImpression | 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 | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | ClinicalImpression | 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() |
This structure is derived from KLCommonCareSocialInformationGathering
Summary
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from KLCommonCareSocialInformationGathering
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ClinicalImpression | 0..* | KLCommonCareSocialInformationGathering | A clinical assessment performed when planning treatments and management strategies for a patient | |
subject | S | 1..1 | Reference(Citizen) | [DK] oplysningsaktivitetsubjekt |
investigation | S | 0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) |
item | S | 0..* | Reference(Evaluation | MatterOfInterest) | [DK] oplysningsaktivitetsKonklusion |
finding | S | 0..* | BackboneElement | Possible or likely findings and diagnoses |
itemReference | S | 0..1 | Reference(Condition | Diagnosis) | [DK] oplysningsaktivitetsTilstand |
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ClinicalImpression | 0..* | KLCommonCareSocialInformationGathering | A clinical assessment performed when planning treatments and management strategies for a patient | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
basedOnServiceRequest | 0..1 | Reference(ServiceRequest) | [DK] oplysningsaktivitetsordre URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest | |
extension | 0..0 | |||
url | 1..1 | uri | "http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest" | |
value[x] | 1..1 | Reference(ServiceRequest) | Value of extension | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | [DK] oplysningsaktivitetsstatus Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression. |
subject | SΣ | 1..1 | Reference(Citizen) | [DK] oplysningsaktivitetsubjekt |
investigation | S | 0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 1..1 | CodeableConcept | A name/code for the set Binding: KLOplysningsaktivitetsOgVurderingskoder (required) | |
item | S | 0..* | Reference(Evaluation | MatterOfInterest) | [DK] oplysningsaktivitetsKonklusion |
finding | S | 0..* | BackboneElement | Possible or likely findings and diagnoses |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
itemReference | S | 0..1 | Reference(Condition | Diagnosis) | [DK] oplysningsaktivitetsTilstand |
Documentation for this format |
Path | Conformance | ValueSet |
ClinicalImpression.status | required | ClinicalImpressionStatus |
ClinicalImpression.investigation.code | required | KLInformationGatheringInvestigationCodes |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | ClinicalImpression | 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 | ClinicalImpression | 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 | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | ClinicalImpression | 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 | ||||
---|---|---|---|---|---|---|---|---|
ClinicalImpression | 0..* | KLCommonCareSocialInformationGathering | A clinical assessment performed when planning treatments and management strategies for 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 | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
basedOnServiceRequest | 0..1 | Reference(ServiceRequest) | [DK] oplysningsaktivitetsordre URL: http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest" | |||||
value[x] | 1..1 | Reference(ServiceRequest) | Value of extension | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business identifier | ||||
status | ?!Σ | 1..1 | code | [DK] oplysningsaktivitetsstatus Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression. | ||||
statusReason | 0..1 | CodeableConcept | Reason for current status Binding: (unbound) (example): Codes identifying the reason for the current state of a clinical impression. | |||||
code | Σ | 0..1 | CodeableConcept | Kind of assessment performed Binding: KLOplysningsaktivitetsTypeKoder (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 | |||||
coding | Σ | 0..* | Coding | [DK] oplysningsaktivitetstype | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
description | Σ | 0..1 | string | Why/how the assessment was performed | ||||
subject | SΣ | 1..1 | Reference(Citizen) | [DK] oplysningsaktivitetsubjekt | ||||
encounter | Σ | 0..1 | Reference(Encounter) | [DK] oplysningsaktivitetskontakt | ||||
effective[x] | Σ | 0..1 | dateTime | [DK] oplysningsaktivitetstid | ||||
date | Σ | 0..1 | dateTime | When the assessment was documented | ||||
assessor | Σ | 0..1 | Reference(Practioner) | [DK] oplysningsaktivitetsudfører | ||||
previous | 0..1 | Reference(ClinicalImpression) | Reference to last assessment | |||||
problem | Σ | 0..* | Reference(Condition | AllergyIntolerance) | Relevant impressions of patient state | ||||
investigation | S | 0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 1..1 | CodeableConcept | A name/code for the set Binding: KLOplysningsaktivitetsOgVurderingskoder (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 | |||||
coding | Σ | 0..* | Coding | [DK] oplysningsaktivitetsObservationstype | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
item | S | 0..* | Reference(Evaluation | MatterOfInterest) | [DK] oplysningsaktivitetsKonklusion | ||||
protocol | 0..* | uri | Clinical Protocol followed | |||||
summary | 0..1 | string | Summary of the assessment | |||||
finding | S | 0..* | BackboneElement | Possible or likely findings and diagnoses | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
itemCodeableConcept | 0..1 | CodeableConcept | What was found Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis. | |||||
itemReference | S | 0..1 | Reference(Condition | Diagnosis) | [DK] oplysningsaktivitetsTilstand | ||||
basis | 0..1 | string | Which investigations support finding | |||||
prognosisCodeableConcept | 0..* | CodeableConcept | Estimate of likely outcome Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings. | |||||
prognosisReference | 0..* | Reference(RiskAssessment) | RiskAssessment expressing likely outcome | |||||
supportingInfo | 0..* | Reference(Resource) | Information supporting the clinical impression | |||||
note | 0..* | Annotation | Comments made about the ClinicalImpression | |||||
Documentation for this format |
Path | Conformance | ValueSet | ||||
ClinicalImpression.language | preferred | CommonLanguages
| ||||
ClinicalImpression.status | required | ClinicalImpressionStatus | ||||
ClinicalImpression.statusReason | example | |||||
ClinicalImpression.code | required | KLInformationGatheringTypeCodes | ||||
ClinicalImpression.investigation.code | required | KLInformationGatheringInvestigationCodes | ||||
ClinicalImpression.finding.itemCodeableConcept | example | Condition/Problem/DiagnosisCodes | ||||
ClinicalImpression.prognosisCodeableConcept | example | ClinicalImpressionPrognosis |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | ClinicalImpression | 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 | ClinicalImpression | 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 | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | ClinicalImpression | 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() |
This structure is derived from KLCommonCareSocialInformationGathering
Summary
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron