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/KLToolsCareOxygenSaturation | Version: 1.0.0 | |||
Active as of 2023-08-27 | Computable Name: KLToolsCareOxygenSaturation |
Oxygen saturation profile as used in Danish Municipalities, derived from HL7 oxygen saturation profile
KLToolsCareOxygenSaturation is an observation of oxygen saturation. Its intended use is Danish municipalities.
The oxygen saturation of the citizen is meassured using an appropriate device, and a prope appropriate for the place where the oxygen saturation is meassured. The device is not subjected to bright light e.g. direct sunlight during the meassurment. The place of meassurment have no articifial colouring i.e. nail polish, henna or tatoos.
The citizen is at rest, and holds steady.
The Observation.code is fixed to a single LOINC code 2708-6 ‘Oxygen saturation in Arterial blood’ and a ValueSet with a single SNOMED CT codes for oxygen saturation: 431314004 |Peripheral oxygen saturation (observable entity)|, which is appropriate for all use cases.
Observation.value[x] is of type Observation.valueQuantity. It should contain a positive decimal in Observation.valueQuantity.value, and use the UCUM unit for percent.
Observation.method holds information about whether the “Test-setup” and “Citizen performance” have met the procedure-standards as described by KL, which are summarized above in English. In addition, use the SNOMED CT code 761996005 ‘Estimation technique (qualifier value)’ if the procedure standard has not been followed, and 272391002’ Measurement technique (qualifier value)’ otherwise.
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 106048009 “Respiratory finding (finding)”.
Observation.note.text may be used to hold remarks about the observation. Observation.status is typically ‘final’.
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 |
---|---|---|
IltmætningKode | Klasse som udtrykker, at der observeres på borgers iltmætning. | Observation.code |
IltmætningResultat | Decimaltal, der udtrykker, iltmætningen procentvis. | Observation.valueQuantity.value |
IltmætningEnhed | Klasse, der udtrykker, at den enhed der anvendes er /min. | Observation.valueQuantity.system and Observation.valueQuantity.code |
IltmætningSubjekt | Den borger, som er genstand for observationen. | Observation.subject |
IltmætningKontakt | Den kontakt, hvor observationen er foretaget. | Observation.encounter |
IltmætningAnsvarlig | Den fagperson, der er ansvarlig for observationen. | Observation.performer |
IltmætningProcedure | Information vedr. den procedure, der er brugt ifm. udførelsen ift. om test-setup og borgers udførelse har været i overensstemmelse med det beskrevne. | Observation.method |
IltmætningTid | Tidspunkt for observationen. | Observation.effectiveDateTime |
IltmætningAssocieretTilstand | Klasse, der udtrykker, hvilken kommunal tilstand denne observation er associeret med. | Observation:extension.associatedCondition |
IltmætningBemærkning | Bemærkning vedr. observationen | Observation.note.text |
IltmætningStatus | 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 observation-oxygensat
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | 0..* | observation-oxygensat | FHIR Oxygen Saturation Profile | |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
associatedConditions | 1..* | CodeableConcept | [DK] IltmætningAssocieretTilstand 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: 106048009 | |
status | 1..1 | code | [DK] IltmætningStatus | |
code | 1..1 | CodeableConcept | [DK] IltmætningKode | |
coding | 2..* | Coding | Code defined by a terminology system | |
coding:snomedSlice | 1..1 | Coding | Code defined by a terminology system Binding: OxygenSaturationSCTobservables (extensible) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
subject | 1..1 | Reference(Patient) | [DK] IltmætningSubjekt | |
encounter | 0..1 | Reference(Encounter) | [DK] IltmætningKontakt | |
Slices for effective[x] | 1..1 | dateTime, Period | Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this | |
effective[x]:effectiveDateTime | 0..1 | dateTime | [DK] IltmætningTid | |
performer | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | [DK] IltmætningAnsvarlig | |
value[x]:valueQuantity | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. | |
value | 1..1 | decimal | [DK] IltmætningResultat | |
system | 1..1 | uri | [DK] IltmætningEnhed | |
code | 1..1 | code | [DK] IltmætningEnhed | |
note | ||||
text | 1..1 | markdown | [DK] IltmætningBemærkning | |
method | 1..1 | CodeableConcept | [DK] IltmætningProcedure | |
Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
coding:KLCode | 1..1 | Coding | Code defined by a terminology system Binding: KLtechniquesCodes (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes | |
coding:SCTCode | 0..1 | Coding | Code defined by a terminology system Binding: TechniqesSCTCodes (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
Documentation for this format |
Path | Conformance | ValueSet |
Observation.code.coding:snomedSlice | extensible | OxygenSaturationSCTobservables |
Observation.method.coding:KLCode | required | KLtechniquesCodes |
Observation.method.coding:SCTCode | required | TechniqesSCTCodes |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | observation-oxygensat | FHIR Oxygen Saturation Profile |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
associatedConditions | 1..* | CodeableConcept | [DK] IltmætningAssocieretTilstand 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: 106048009 | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | [DK] IltmætningStatus Binding: ObservationStatus (required) |
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
coding | SΣ | 1..* | Coding | Code defined by a terminology system |
system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs |
code | SΣ | 1..1 | CodeableConcept | [DK] IltmætningKode Binding: VitalSigns (extensible): This identifies the vital sign result type. |
Slices for coding | Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system |
coding:OxygenSatCode | Σ | 1..1 | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 2708-6 |
coding:snomedSlice | Σ | 1..1 | Coding | Code defined by a terminology system Binding: OxygenSaturationSCTobservables (extensible) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
subject | SΣ | 1..1 | Reference(Patient) | [DK] IltmætningSubjekt |
encounter | Σ | 0..1 | Reference(Encounter) | [DK] IltmætningKontakt |
Slices for effective[x] | SΣC | 1..1 | Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
effective[x]:effectiveDateTime | SΣC | 0..1 | dateTime | [DK] IltmætningTid |
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | [DK] IltmætningAnsvarlig |
Slices for value[x] | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this |
value[x]:valueQuantity | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. |
value | SΣ | 1..1 | decimal | [DK] IltmætningResultat |
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
unit | SΣ | 1..1 | string | Unit representation |
system | SΣC | 1..1 | uri | [DK] IltmætningEnhed Fixed Value: http://unitsofmeasure.org |
code | SΣ | 1..1 | code | [DK] IltmætningEnhed Fixed Value: % |
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
method | 1..1 | CodeableConcept | [DK] IltmætningProcedure Binding: ObservationMethods (example): Methods for simple observations. | |
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
coding:KLCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: KLtechniquesCodes (required) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes |
coding:SCTCode | Σ | 0..1 | Coding | Code defined by a terminology system Binding: TechniqesSCTCodes (required) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
component | SΣC | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. |
value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs. | |
valueQuantity | Quantity | |||
valueCodeableConcept | CodeableConcept | |||
valueString | string | |||
valueBoolean | boolean | |||
valueInteger | integer | |||
valueRange | Range | |||
valueRatio | Ratio | |||
valueSampledData | SampledData | |||
valueTime | time | |||
valueDateTime | dateTime | |||
valuePeriod | Period | |||
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Observation.extension:associatedConditions.value[x] | required | Pattern: SNOMED CT code 106048009 |
Observation.status | required | ObservationStatus |
Observation.category | preferred | ObservationCategoryCodes |
Observation.category:VSCat | preferred | ObservationCategoryCodes |
Observation.code | extensible | VitalSigns |
Observation.code.coding:snomedSlice | extensible | OxygenSaturationSCTobservables |
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator |
Observation.dataAbsentReason | extensible | DataAbsentReason |
Observation.method | example | ObservationMethods |
Observation.method.coding:KLCode | required | KLtechniquesCodes |
Observation.method.coding:SCTCode | required | TechniqesSCTCodes |
Observation.component.code | extensible | VitalSigns |
Observation.component.value[x] | required | VitalSignsUnits |
Observation.component.dataAbsentReason | extensible | DataAbsentReason |
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() | |
vs-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : ($this as dateTime).toString().length() >= 8 | |
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
vs-3 | error | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | observation-oxygensat | FHIR Oxygen Saturation Profile | ||||
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 | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
associatedConditions | 1..* | CodeableConcept | [DK] IltmætningAssocieretTilstand 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: 106048009 | |||||
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(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
status | ?!SΣ | 1..1 | code | [DK] IltmætningStatus Binding: ObservationStatus (required) | ||||
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
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 | SΣ | 1..* | Coding | Code defined by a terminology system | ||||
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 | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
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 | ||||
code | SΣ | 1..1 | CodeableConcept | [DK] IltmætningKode Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
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:code, value:system | ||||
coding:OxygenSatCode | Σ | 1..1 | Coding | Code defined by a terminology system | ||||
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 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 2708-6 | ||||
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:snomedSlice | Σ | 1..1 | Coding | Code defined by a terminology system Binding: OxygenSaturationSCTobservables (extensible) | ||||
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 | ||||
subject | SΣ | 1..1 | Reference(Patient) | [DK] IltmætningSubjekt | ||||
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] IltmætningKontakt | ||||
Slices for effective[x] | SΣC | 1..1 | Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
effective[x]:effectiveDateTime | SΣC | 0..1 | dateTime | [DK] IltmætningTid | ||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | [DK] IltmætningAnsvarlig | ||||
Slices for value[x] | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this | ||||
value[x]:valueQuantity | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
value | SΣ | 1..1 | decimal | [DK] IltmætningResultat | ||||
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
unit | SΣ | 1..1 | string | Unit representation | ||||
system | SΣC | 1..1 | uri | [DK] IltmætningEnhed Fixed Value: http://unitsofmeasure.org | ||||
code | SΣ | 1..1 | code | [DK] IltmætningEnhed Fixed Value: % | ||||
dataAbsentReason | SC | 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 | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
author[x] | Σ | 0..1 | Individual responsible for the annotation | |||||
authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
authorString | string | |||||||
time | Σ | 0..1 | dateTime | When the annotation was made | ||||
text | Σ | 1..1 | markdown | [DK] IltmætningBemærkning | ||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
method | 1..1 | CodeableConcept | [DK] IltmætningProcedure Binding: ObservationMethods (example): Methods for simple observations. | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
coding:KLCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: KLtechniquesCodes (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 | 0..1 | Coding | Code defined by a terminology system Binding: TechniqesSCTCodes (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 | ||||
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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
component | SΣC | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. | ||||
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 | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs. | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
dataAbsentReason | SC | 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 106048009 | ||||
Observation.status | required | ObservationStatus | ||||
Observation.category | preferred | ObservationCategoryCodes | ||||
Observation.category:VSCat | preferred | ObservationCategoryCodes | ||||
Observation.code | extensible | VitalSigns | ||||
Observation.code.coding:snomedSlice | extensible | OxygenSaturationSCTobservables | ||||
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator | ||||
Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
Observation.method | example | ObservationMethods | ||||
Observation.method.coding:KLCode | required | KLtechniquesCodes | ||||
Observation.method.coding:SCTCode | required | TechniqesSCTCodes | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
Observation.component.code | extensible | VitalSigns | ||||
Observation.component.value[x] | required | VitalSignsUnits | ||||
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() | |
vs-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : ($this as dateTime).toString().length() >= 8 | |
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
vs-3 | error | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
This structure is derived from observation-oxygensat
Summary
Mandatory: 8 elements (1 nested mandatory element)
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from observation-oxygensat
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | 0..* | observation-oxygensat | FHIR Oxygen Saturation Profile | |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
associatedConditions | 1..* | CodeableConcept | [DK] IltmætningAssocieretTilstand 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: 106048009 | |
status | 1..1 | code | [DK] IltmætningStatus | |
code | 1..1 | CodeableConcept | [DK] IltmætningKode | |
coding | 2..* | Coding | Code defined by a terminology system | |
coding:snomedSlice | 1..1 | Coding | Code defined by a terminology system Binding: OxygenSaturationSCTobservables (extensible) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
subject | 1..1 | Reference(Patient) | [DK] IltmætningSubjekt | |
encounter | 0..1 | Reference(Encounter) | [DK] IltmætningKontakt | |
Slices for effective[x] | 1..1 | dateTime, Period | Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this | |
effective[x]:effectiveDateTime | 0..1 | dateTime | [DK] IltmætningTid | |
performer | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | [DK] IltmætningAnsvarlig | |
value[x]:valueQuantity | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. | |
value | 1..1 | decimal | [DK] IltmætningResultat | |
system | 1..1 | uri | [DK] IltmætningEnhed | |
code | 1..1 | code | [DK] IltmætningEnhed | |
note | ||||
text | 1..1 | markdown | [DK] IltmætningBemærkning | |
method | 1..1 | CodeableConcept | [DK] IltmætningProcedure | |
Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
coding:KLCode | 1..1 | Coding | Code defined by a terminology system Binding: KLtechniquesCodes (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes | |
coding:SCTCode | 0..1 | Coding | Code defined by a terminology system Binding: TechniqesSCTCodes (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
Documentation for this format |
Path | Conformance | ValueSet |
Observation.code.coding:snomedSlice | extensible | OxygenSaturationSCTobservables |
Observation.method.coding:KLCode | required | KLtechniquesCodes |
Observation.method.coding:SCTCode | required | TechniqesSCTCodes |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | observation-oxygensat | FHIR Oxygen Saturation Profile |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
associatedConditions | 1..* | CodeableConcept | [DK] IltmætningAssocieretTilstand 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: 106048009 | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | [DK] IltmætningStatus Binding: ObservationStatus (required) |
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
coding | SΣ | 1..* | Coding | Code defined by a terminology system |
system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs |
code | SΣ | 1..1 | CodeableConcept | [DK] IltmætningKode Binding: VitalSigns (extensible): This identifies the vital sign result type. |
Slices for coding | Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system |
coding:OxygenSatCode | Σ | 1..1 | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 2708-6 |
coding:snomedSlice | Σ | 1..1 | Coding | Code defined by a terminology system Binding: OxygenSaturationSCTobservables (extensible) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
subject | SΣ | 1..1 | Reference(Patient) | [DK] IltmætningSubjekt |
encounter | Σ | 0..1 | Reference(Encounter) | [DK] IltmætningKontakt |
Slices for effective[x] | SΣC | 1..1 | Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
effective[x]:effectiveDateTime | SΣC | 0..1 | dateTime | [DK] IltmætningTid |
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | [DK] IltmætningAnsvarlig |
Slices for value[x] | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this |
value[x]:valueQuantity | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. |
value | SΣ | 1..1 | decimal | [DK] IltmætningResultat |
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
unit | SΣ | 1..1 | string | Unit representation |
system | SΣC | 1..1 | uri | [DK] IltmætningEnhed Fixed Value: http://unitsofmeasure.org |
code | SΣ | 1..1 | code | [DK] IltmætningEnhed Fixed Value: % |
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
method | 1..1 | CodeableConcept | [DK] IltmætningProcedure Binding: ObservationMethods (example): Methods for simple observations. | |
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
coding:KLCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: KLtechniquesCodes (required) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes |
coding:SCTCode | Σ | 0..1 | Coding | Code defined by a terminology system Binding: TechniqesSCTCodes (required) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
component | SΣC | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. |
value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs. | |
valueQuantity | Quantity | |||
valueCodeableConcept | CodeableConcept | |||
valueString | string | |||
valueBoolean | boolean | |||
valueInteger | integer | |||
valueRange | Range | |||
valueRatio | Ratio | |||
valueSampledData | SampledData | |||
valueTime | time | |||
valueDateTime | dateTime | |||
valuePeriod | Period | |||
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Observation.extension:associatedConditions.value[x] | required | Pattern: SNOMED CT code 106048009 |
Observation.status | required | ObservationStatus |
Observation.category | preferred | ObservationCategoryCodes |
Observation.category:VSCat | preferred | ObservationCategoryCodes |
Observation.code | extensible | VitalSigns |
Observation.code.coding:snomedSlice | extensible | OxygenSaturationSCTobservables |
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator |
Observation.dataAbsentReason | extensible | DataAbsentReason |
Observation.method | example | ObservationMethods |
Observation.method.coding:KLCode | required | KLtechniquesCodes |
Observation.method.coding:SCTCode | required | TechniqesSCTCodes |
Observation.component.code | extensible | VitalSigns |
Observation.component.value[x] | required | VitalSignsUnits |
Observation.component.dataAbsentReason | extensible | DataAbsentReason |
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() | |
vs-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : ($this as dateTime).toString().length() >= 8 | |
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
vs-3 | error | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | observation-oxygensat | FHIR Oxygen Saturation Profile | ||||
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 | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
associatedConditions | 1..* | CodeableConcept | [DK] IltmætningAssocieretTilstand 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: 106048009 | |||||
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(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
status | ?!SΣ | 1..1 | code | [DK] IltmætningStatus Binding: ObservationStatus (required) | ||||
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
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 | SΣ | 1..* | Coding | Code defined by a terminology system | ||||
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 | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
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 | ||||
code | SΣ | 1..1 | CodeableConcept | [DK] IltmætningKode Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
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:code, value:system | ||||
coding:OxygenSatCode | Σ | 1..1 | Coding | Code defined by a terminology system | ||||
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 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 2708-6 | ||||
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:snomedSlice | Σ | 1..1 | Coding | Code defined by a terminology system Binding: OxygenSaturationSCTobservables (extensible) | ||||
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 | ||||
subject | SΣ | 1..1 | Reference(Patient) | [DK] IltmætningSubjekt | ||||
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] IltmætningKontakt | ||||
Slices for effective[x] | SΣC | 1..1 | Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
effective[x]:effectiveDateTime | SΣC | 0..1 | dateTime | [DK] IltmætningTid | ||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | [DK] IltmætningAnsvarlig | ||||
Slices for value[x] | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this | ||||
value[x]:valueQuantity | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
value | SΣ | 1..1 | decimal | [DK] IltmætningResultat | ||||
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
unit | SΣ | 1..1 | string | Unit representation | ||||
system | SΣC | 1..1 | uri | [DK] IltmætningEnhed Fixed Value: http://unitsofmeasure.org | ||||
code | SΣ | 1..1 | code | [DK] IltmætningEnhed Fixed Value: % | ||||
dataAbsentReason | SC | 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 | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
author[x] | Σ | 0..1 | Individual responsible for the annotation | |||||
authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
authorString | string | |||||||
time | Σ | 0..1 | dateTime | When the annotation was made | ||||
text | Σ | 1..1 | markdown | [DK] IltmætningBemærkning | ||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
method | 1..1 | CodeableConcept | [DK] IltmætningProcedure Binding: ObservationMethods (example): Methods for simple observations. | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
coding:KLCode | Σ | 1..1 | Coding | Code defined by a terminology system Binding: KLtechniquesCodes (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 | 0..1 | Coding | Code defined by a terminology system Binding: TechniqesSCTCodes (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 | ||||
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 | ||||