Scope and usage

PainVAS is an observation of pain intensity using a verbal rating scale. Please note that this implementation guide also include a visual rating scale for pain, and use the two profiles according the context.

Using the model

The Observation.code is fixed to the SNOMED CT code 225908003 ‘Pain score (observable entity’

Observation.value[x] is a valueCodeableConcept, which is bound to a five-level rating scale for pain. The rating scale is expressed using the Danish original rating scale with local codes, and with an equivalent SNOMED CT ValueSet.

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 SCT#22253000 ‘Pain (finding)’.

Observation.note.text may be used to hold remarks about the observation. Observation.status is typically ‘final’.

Conversions between Danish information model and FHIR-profile

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.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from KLCommonCareSocialObservation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	KLCommonCareSocialObservation	Measurements and simple assertions
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
associatedConditions		1..1	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: 22253000
findingInformer		1..1	CodeableConcept	FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required)
code
coding		0..*	Coding	[DK] observationskode Required Pattern: At least the following
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: 1144798005
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: VRSpain (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: VRSSCTfindingsPain (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.value[x].coding:KLToolsCode	required	VRSpain
Observation.value[x].coding:SCTCode	required	VRSSCTfindingsPain

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		2..*	Extension	Extension Slice: Unordered, Open by value:url
associatedConditions		1..1	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: 22253000
findingInformer		1..1	CodeableConcept	FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required)
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)
coding	Σ	0..*	Coding	[DK] observationskode Required Pattern: At least the following
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: 1144798005
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: VRSpain (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: VRSSCTfindingsPain (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.extension:associatedConditions.value[x]	required	Pattern: SNOMED CT code 22253000
Observation.status	required	ObservationStatus
Observation.code	extensible	KLObservationCodes
Observation.value[x].coding:KLToolsCode	required	VRSpain
Observation.value[x].coding:SCTCode	required	VRSSCTfindingsPain

Constraints

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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
associatedConditions		1..1	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: 22253000
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
findingInformer		1..1	CodeableConcept	FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required)
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)
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 Required Pattern: At least the following
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: 1144798005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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: VRSpain (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: VRSSCTfindingsPain (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	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	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

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Observation.extension:associatedConditions.value[x]	required	Pattern: SNOMED CT code 22253000
Observation.status	required	ObservationStatus
Observation.category	preferred	ObservationCategoryCodes
Observation.code	extensible	KLObservationCodes
Observation.value[x].coding:KLToolsCode	required	VRSpain
Observation.value[x].coding:SCTCode	required	VRSSCTfindingsPain
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

Constraints

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()

Differential View

This structure is derived from KLCommonCareSocialObservation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	KLCommonCareSocialObservation	Measurements and simple assertions
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
associatedConditions		1..1	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: 22253000
findingInformer		1..1	CodeableConcept	FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required)
code
coding		0..*	Coding	[DK] observationskode Required Pattern: At least the following
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: 1144798005
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: VRSpain (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: VRSSCTfindingsPain (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.value[x].coding:KLToolsCode	required	VRSpain
Observation.value[x].coding:SCTCode	required	VRSSCTfindingsPain

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		2..*	Extension	Extension Slice: Unordered, Open by value:url
associatedConditions		1..1	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: 22253000
findingInformer		1..1	CodeableConcept	FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required)
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)
coding	Σ	0..*	Coding	[DK] observationskode Required Pattern: At least the following
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: 1144798005
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: VRSpain (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: VRSSCTfindingsPain (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.extension:associatedConditions.value[x]	required	Pattern: SNOMED CT code 22253000
Observation.status	required	ObservationStatus
Observation.code	extensible	KLObservationCodes
Observation.value[x].coding:KLToolsCode	required	VRSpain
Observation.value[x].coding:SCTCode	required	VRSSCTfindingsPain

Constraints

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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
associatedConditions		1..1	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: 22253000
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
findingInformer		1..1	CodeableConcept	FindingInformer URL: http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer Binding: FindingInformerCodes (required)
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)
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 Required Pattern: At least the following
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: 1144798005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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: VRSpain (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: VRSSCTfindingsPain (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	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	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

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Observation.extension:associatedConditions.value[x]	required	Pattern: SNOMED CT code 22253000
Observation.status	required	ObservationStatus
Observation.category	preferred	ObservationCategoryCodes
Observation.code	extensible	KLObservationCodes
Observation.value[x].coding:KLToolsCode	required	VRSpain
Observation.value[x].coding:SCTCode	required	VRSSCTfindingsPain
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

Constraints

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: 2 elements (4 nested mandatory elements)

Extensions

This structure refers to these extensions:

• http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions
• http://fhir.kl.dk/ffinst/StructureDefinition/FindingInformer

Slices

This structure defines the following Slices:

• The element Observation.value[x].coding is sliced based on the value of value:system