Implementation Guide for fælles faglige instrumenter (FFInst)
1.0.0 - release
This page is part of the KLFFinst (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/ffinst/StructureDefinition/KLToolsCareEQ5DObservationHygiene | Version: 1.0.0 | |||
Active as of 2023-08-27 | Computable Name: KLToolsCareEQ5DObservationHygiene |
EQ5D Hygiene observation, as performed in Danish municipalities
EQ-5D hygiene is used to represent the result of the question about hygiene in an EQ-5D questionnaire.
Observation.code is fixed to the SNOMED CT code 284773001 ‘Ability to perform personal care activity (observable entity)’
the value[x] is a valueCodeableConcept, which is bound to the answers from the questionaire, and a more generalized SNOMED CT ValueSet. The latter coding is included to allow for better data extraction.
To make explicite, who answered the questionnaire, a finding informer extension with a required value set is included.
Observation:extension.associatedCondition holds a reference to related municipality conditions. This is relevant when presenting observation results in municipality systems. In this profile, Observation.extension:associatedCondition is fixed to the SNOMED CT code 365179009 ‘Finding related to ability to perform personal hygiene activity (finding)’.
Observations.derivedFrom has a mandatory reference to the questionnaire response, that produced this observation.
Nedenstående tabel oversætter mellem de attributter der er defineret i værktøjsprojektet og den fælleskommunale informationsmodel, og definerer kort den enkelte attribut på dansk og specificerer, hvilke af FHIR-profilens atributter der skal bruges til specifikation af indholdet.
Informationsmodel | Definition | FHIR |
---|---|---|
EQ5DHygiejneKode | Klasse som udtrykker, at der observeres på borgers EQ-5D hygiejne. | Observation.code |
EQ5DHygiejneResultat | Klasse, der udtrykker, svaret på spørgsmålet vedrørende hygiejne | Observation.valueCodeableConcept.coding |
EQ5DHygiejnesubjekt | Den borger, som er genstand for observationen. | Observation.subject |
EQ5DHygiejnekontakt | Den kontakt, hvor observationen er foretaget. | Observation.encounter |
EQ5DHygiejneansvarlig | Den fagperson der er ansvarlig for observationen. | Observation.performer |
EQ5DHygiejneKilde | Den person der er kilde til resultatet | Observation:extension.findingInformer |
EQ5DHygiejneAssocieretFund | Klasse, der udtrykker, hvilken kommunal tilstand denne observation er associeret med. | Observation:extension.associatedCondition |
EQ5DHygiejnetid | Tidspunkt for observationen. | Observation.effectiveDateTime |
EQ5DHygiejneStatus | Klasse der udtrykker, hvor i sin proces, observationen er. | Observation.status |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from KLCommonCareSocialObservation
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | 0..* | KLCommonCareSocialObservation | Measurements and simple assertions | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
findingInformer | 0..1 | CodeableConcept | FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required) | |
associatedConditions | 0..* | CodeableConcept | AssociatedConditions URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions Binding: Condition/Problem/DiagnosisCodes (required) | |
value[x] | 1..1 | CodeableConcept | Value of extension Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 365179009 | |
code | 1..1 | CodeableConcept | Type of observation (code / type) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 284773001 | |
value[x] | 0..1 | CodeableConcept | [DK] observationsresultat | |
Slices for coding | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
coding:KLToolsCode | 1..1 | Coding | Code defined by a terminology system Binding: EQ5Dhygiene (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes | |
coding:SCTCode | 1..1 | Coding | Code defined by a terminology system Binding: EQ5DSCTfindingsHygiene (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
derivedFrom | 1..1 | Reference(Questionnaire response) | Related measurements the observation is made from | |
Documentation for this format |
Path | Conformance | ValueSet |
Observation.value[x].coding:KLToolsCode | required | EQ5Dhygiene |
Observation.value[x].coding:SCTCode | required | EQ5DSCTfindingsHygiene |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | KLCommonCareSocialObservation | 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 | |
findingInformer | 0..1 | CodeableConcept | FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required) | |
associatedConditions | 0..* | CodeableConcept | AssociatedConditions URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions Binding: Condition/Problem/DiagnosisCodes (required) | |
extension | 0..0 | |||
url | 1..1 | uri | "http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Condition/Problem/DiagnosisCodes (required) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 365179009 | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | [DK] observationsstatus Binding: ObservationStatus (required): Codes providing the status of an observation. |
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: KLObservationskoder (extensible) Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 284773001 | |
value[x] | ΣC | 0..1 | CodeableConcept | [DK] observationsresultat |
Slices for coding | Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
coding:KLToolsCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: EQ5Dhygiene (required) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes |
coding:SCTCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: EQ5DSCTfindingsHygiene (required) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
derivedFrom | Σ | 1..1 | Reference(Questionnaire response) | Related measurements the observation is made from |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Observation.extension:associatedConditions.value[x] | required | Pattern: SNOMED CT code 365179009 |
Observation.status | required | ObservationStatus |
Observation.code | extensible | Pattern: SNOMED CT code 284773001 |
Observation.value[x].coding:KLToolsCode | required | EQ5Dhygiene |
Observation.value[x].coding:SCTCode | required | EQ5DSCTfindingsHygiene |
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..* | KLCommonCareSocialObservation | 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.
| |||||
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 | |||||
findingInformer | 0..1 | CodeableConcept | FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required) | |||||
associatedConditions | 0..* | CodeableConcept | AssociatedConditions URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions Binding: Condition/Problem/DiagnosisCodes (required) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions" | |||||
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Condition/Problem/DiagnosisCodes (required) Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 365179009 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
basedOn | Σ | 0..* | Reference(PlannedIntervention | ServiceRequest | CarePlan) | [DK] observationBaseretPå | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
status | ?!Σ | 1..1 | code | [DK] observationsstatus Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
category | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: KLObservationskoder (extensible) Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 284773001 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
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] observationskode | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
subject | Σ | 0..1 | Reference(Citizen) | [DK] observationssubjekt | ||||
focus | ΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
encounter | Σ | 0..1 | Reference(Encounter) | [DK] observationskontakt | ||||
effective[x] | Σ | 0..1 | [DK] observationstid | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
effectiveTiming | Timing | |||||||
effectiveInstant | instant | |||||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
performer | Σ | 0..* | Reference(Practioner) | [DK] observationsansvarlig | ||||
value[x] | ΣC | 0..1 | CodeableConcept | [DK] observationsresultat | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
coding:KLToolsCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: EQ5Dhygiene (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:SCTCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: EQ5DSCTfindingsHygiene (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
note | 0..* | Annotation | Comments about the observation | |||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
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 | ||||
low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
age | 0..1 | Range | Applicable age range, if relevant | |||||
text | 0..1 | string | Text based reference range in an observation | |||||
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
derivedFrom | Σ | 1..1 | Reference(Questionnaire response) | Related measurements the observation is made from | ||||
component | Σ | 0..* | BackboneElement | Component results | ||||
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 | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
value[x] | Σ | 0..1 | Actual component result | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | ||||
Observation.language | preferred | CommonLanguages
| ||||
Observation.extension:associatedConditions.value[x] | required | Pattern: SNOMED CT code 365179009 | ||||
Observation.status | required | ObservationStatus | ||||
Observation.category | preferred | ObservationCategoryCodes | ||||
Observation.code | extensible | Pattern: SNOMED CT code 284773001 | ||||
Observation.value[x].coding:KLToolsCode | required | EQ5Dhygiene | ||||
Observation.value[x].coding:SCTCode | required | EQ5DSCTfindingsHygiene | ||||
Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
Observation.method | example | ObservationMethods | ||||
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 |
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-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.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() |
This structure is derived from KLCommonCareSocialObservation
Summary
Mandatory: 1 element (4 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from KLCommonCareSocialObservation
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | 0..* | KLCommonCareSocialObservation | Measurements and simple assertions | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
findingInformer | 0..1 | CodeableConcept | FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required) | |
associatedConditions | 0..* | CodeableConcept | AssociatedConditions URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions Binding: Condition/Problem/DiagnosisCodes (required) | |
value[x] | 1..1 | CodeableConcept | Value of extension Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 365179009 | |
code | 1..1 | CodeableConcept | Type of observation (code / type) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 284773001 | |
value[x] | 0..1 | CodeableConcept | [DK] observationsresultat | |
Slices for coding | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
coding:KLToolsCode | 1..1 | Coding | Code defined by a terminology system Binding: EQ5Dhygiene (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes | |
coding:SCTCode | 1..1 | Coding | Code defined by a terminology system Binding: EQ5DSCTfindingsHygiene (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
derivedFrom | 1..1 | Reference(Questionnaire response) | Related measurements the observation is made from | |
Documentation for this format |
Path | Conformance | ValueSet |
Observation.value[x].coding:KLToolsCode | required | EQ5Dhygiene |
Observation.value[x].coding:SCTCode | required | EQ5DSCTfindingsHygiene |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | KLCommonCareSocialObservation | 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 | |
findingInformer | 0..1 | CodeableConcept | FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required) | |
associatedConditions | 0..* | CodeableConcept | AssociatedConditions URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions Binding: Condition/Problem/DiagnosisCodes (required) | |
extension | 0..0 | |||
url | 1..1 | uri | "http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Condition/Problem/DiagnosisCodes (required) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 365179009 | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | [DK] observationsstatus Binding: ObservationStatus (required): Codes providing the status of an observation. |
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: KLObservationskoder (extensible) Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 284773001 | |
value[x] | ΣC | 0..1 | CodeableConcept | [DK] observationsresultat |
Slices for coding | Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
coding:KLToolsCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: EQ5Dhygiene (required) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes |
coding:SCTCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: EQ5DSCTfindingsHygiene (required) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
derivedFrom | Σ | 1..1 | Reference(Questionnaire response) | Related measurements the observation is made from |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Observation.extension:associatedConditions.value[x] | required | Pattern: SNOMED CT code 365179009 |
Observation.status | required | ObservationStatus |
Observation.code | extensible | Pattern: SNOMED CT code 284773001 |
Observation.value[x].coding:KLToolsCode | required | EQ5Dhygiene |
Observation.value[x].coding:SCTCode | required | EQ5DSCTfindingsHygiene |
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..* | KLCommonCareSocialObservation | 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.
| |||||
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 | |||||
findingInformer | 0..1 | CodeableConcept | FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required) | |||||
associatedConditions | 0..* | CodeableConcept | AssociatedConditions URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions Binding: Condition/Problem/DiagnosisCodes (required) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions" | |||||
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Condition/Problem/DiagnosisCodes (required) Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 365179009 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
basedOn | Σ | 0..* | Reference(PlannedIntervention | ServiceRequest | CarePlan) | [DK] observationBaseretPå | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
status | ?!Σ | 1..1 | code | [DK] observationsstatus Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
category | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: KLObservationskoder (extensible) Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 284773001 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
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] observationskode | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
subject | Σ | 0..1 | Reference(Citizen) | [DK] observationssubjekt | ||||
focus | ΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
encounter | Σ | 0..1 | Reference(Encounter) | [DK] observationskontakt | ||||
effective[x] | Σ | 0..1 | [DK] observationstid | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
effectiveTiming | Timing | |||||||
effectiveInstant | instant | |||||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
performer | Σ | 0..* | Reference(Practioner) | [DK] observationsansvarlig | ||||
value[x] | ΣC | 0..1 | CodeableConcept | [DK] observationsresultat | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
coding:KLToolsCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: EQ5Dhygiene (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:SCTCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: EQ5DSCTfindingsHygiene (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
note | 0..* | Annotation | Comments about the observation | |||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
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 | ||||
low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
age | 0..1 | Range | Applicable age range, if relevant | |||||
text | 0..1 | string | Text based reference range in an observation | |||||
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
derivedFrom | Σ | 1..1 | Reference(Questionnaire response) | Related measurements the observation is made from | ||||
component | Σ | 0..* | BackboneElement | Component results | ||||
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 | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
value[x] | Σ | 0..1 | Actual component result | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | ||||
Observation.language | preferred | CommonLanguages
| ||||
Observation.extension:associatedConditions.value[x] | required | Pattern: SNOMED CT code 365179009 | ||||
Observation.status | required | ObservationStatus | ||||
Observation.category | preferred | ObservationCategoryCodes | ||||
Observation.code | extensible | Pattern: SNOMED CT code 284773001 | ||||
Observation.value[x].coding:KLToolsCode | required | EQ5Dhygiene | ||||
Observation.value[x].coding:SCTCode | required | EQ5DSCTfindingsHygiene | ||||
Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
Observation.method | example | ObservationMethods | ||||
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 |
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-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.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() |
This structure is derived from KLCommonCareSocialObservation
Summary
Mandatory: 1 element (4 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron