Implementation Guide for fælles faglige instrumenter (FFInst)
1.0.0 - release Denmark flag

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

Resource Profile: Respiration rate

Official URL: http://fhir.kl.dk/ffinst/StructureDefinition/KLToolsCareRespirationRate Version: 1.0.0
Active as of 2023-08-27 Computable Name: KLToolsCareRespirationRate

Respiration rate profile used in Danish Municipalities, derived from HL7 respiration rate profile

Scope and usage

KLToolsCareRespirationRate is an observation of rate of respiration. Its intended use is Danish municipalities.

Test-setup

The respiration rate of the citizen is meassured by counting number of breaths in a whole minute, while the citizen is at rest, or by using an appropriate device.

Citizen performance

The citizen is sitting or lying still, and is calm throughout the meassurement.

Using the model

The Observation.code is fixed to a single LOINC code 9279-1 ‘Respiratory rate’ and a ValueSet with different SNOMED CT codes for respiratory rate. The SNOMED CT code 86290005 ‘Respiratory rate (observable entity)’ is appropriate for most 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 ‘per minute’.

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’.

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.

Informationsmodel Definition FHIR
RespirationsfrekvensKode Klasse som udtrykker, at der observeres på borgers respirationsfrekvens. Observation.code
RespirationsfrekvensResultat Decimaltal, der udtrykker, antallet af vejrtrækninger pr minut. Observation.valueQuantity.value
RespirationsfrekvensEnhed Klasse, der udtrykker, at den enhed der anvendes er /min. Observation.valueQuantity.system and Observation.valueQuantity.code
RespirationsfrekvensSubjekt Den borger, som er genstand for observationen. Observation.subject
RespirationsfrekvensKontakt Den kontakt, hvor observationen er foretaget. Observation.encounter
RespirationsfrekvensAnsvarlig Den fagperson, der er ansvarlig for observationen. Observation.performer
RespirationsfrekvensProcedure 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
RespirationsfrekvensTid Tidspunkt for observationen. Observation.effectiveDateTime
RespirationsfrekvensAssocieretTilstand Klasse, der udtrykker, hvilken kommunal tilstand denne observation er associeret med. Observation:extension.associatedCondition
RespirationsfrekvensBemærkning Bemærkning vedr. observationen Observation.note.text
RespirationsfrekvensStatus Klasse der udtrykker, hvor i sin proces, observationen er. Observation.status

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from observation-resprate

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*observation-resprateFHIR Respiratory Rate Profile
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... associatedConditions 1..*CodeableConcept[DK] RespirationsfrekvensAssocieretTilstand
URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions
Binding: Condition/Problem/DiagnosisCodes (required)
.... value[x] 1..1CodeableConceptValue of extension
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 106048009
... status 1..1code[DK] RespirationsfrekvensStatus
.... coding 2..*CodingCode defined by a terminology system
.... coding:snomedSlice 1..1CodingCode defined by a terminology system
Binding: RespirationRateSCTObservables (extensible)
..... system 1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
... subject 1..1Reference(Patient)[DK] RespirationsfrekvensSubjekt
... encounter 0..1Reference(Encounter)[DK] RespirationsfrekvensKontakt
... Slices for effective[x] 1..1dateTime, PeriodOften just a dateTime for Vital Signs
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime 0..1dateTime[DK] RespirationsfrekvensTid
... performer 0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)[DK] RespirationsfrekvensAnsvarlig
... value[x]:valueQuantity 0..1QuantityVital 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..1decimal[DK] RespirationsfrekvensResultat
.... system 1..1uri[DK] RespirationsfrekvensEnhed
.... code 1..1code[DK] RespirationsfrekvensEnhed
... note
.... text 1..1markdown[DK] RespirationsfrekvensBemærkning
... method 1..1CodeableConcept[DK] RespirationsfrekvensProcedure
.... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:KLCode 1..1CodingCode defined by a terminology system
Binding: KLtechniquesCodes (required)
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes
..... coding:SCTCode 0..1CodingCode defined by a terminology system
Binding: TechniqesSCTCodes (required)
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.code.coding:snomedSliceextensibleRespirationRateSCTObservables
Observation.method.coding:KLCoderequiredKLtechniquesCodes
Observation.method.coding:SCTCoderequiredTechniqesSCTCodes
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-resprateFHIR Respiratory Rate Profile
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... associatedConditions 1..*CodeableConcept[DK] RespirationsfrekvensAssocieretTilstand
URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions
Binding: Condition/Problem/DiagnosisCodes (required)
.... extension 0..0
.... url 1..1uri"http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions"
.... value[x] 1..1CodeableConceptValue of extension
Binding: Condition/Problem/DiagnosisCodes (required)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 106048009
... status ?!SΣ1..1code[DK] RespirationsfrekvensStatus
Binding: ObservationStatus (required)
... Slices for category S1..*CodeableConceptClassification 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 S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding SΣ1..*CodingCode defined by a terminology system
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
... code SΣ1..1CodeableConcept[DK] RespirationsfrekvensKode
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... Slices for coding Σ2..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:RespRateCode Σ1..1CodingCode defined by a terminology system
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 9279-1
..... coding:snomedSlice Σ1..1CodingCode defined by a terminology system
Binding: RespirationRateSCTObservables (extensible)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
... subject SΣ1..1Reference(Patient)[DK] RespirationsfrekvensSubjekt
... encounter Σ0..1Reference(Encounter)[DK] RespirationsfrekvensKontakt
... Slices for effective[x] SΣC1..1Often just a dateTime for Vital Signs
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effective[x]:effectiveDateTime SΣC0..1dateTime[DK] RespirationsfrekvensTid
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)[DK] RespirationsfrekvensAnsvarlig
... Slices for value[x] SΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
..... value SΣ1..1decimal[DK] RespirationsfrekvensResultat
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ1..1stringUnit representation
..... system SΣC1..1uri[DK] RespirationsfrekvensEnhed
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1code[DK] RespirationsfrekvensEnhed
Fixed Value: /min
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... method 1..1CodeableConcept[DK] RespirationsfrekvensProcedure
Binding: ObservationMethods (example): Methods for simple observations.

.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:KLCode Σ1..1CodingCode defined by a terminology system
Binding: KLtechniquesCodes (required)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes
..... coding:SCTCode Σ0..1CodingCode defined by a terminology system
Binding: TechniqesSCTCodes (required)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
... component SΣC0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... value[x] SΣC0..1Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason SC0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.extension:associatedConditions.value[x]requiredPattern: SNOMED CT code 106048009
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:VSCatpreferredObservationCategoryCodes
Observation.codeextensibleVitalSigns
Observation.code.coding:snomedSliceextensibleRespirationRateSCTObservables
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.methodexampleObservationMethods
Observation.method.coding:KLCoderequiredKLtechniquesCodes
Observation.method.coding:SCTCoderequiredTechniqesSCTCodes
Observation.component.codeextensibleVitalSigns
Observation.component.value[x]requiredVitalSignsUnits
Observation.component.dataAbsentReasonextensibleDataAbsentReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-1errorObservation.effective[x], Observation.effective[x]:effectiveDateTimeif 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-2errorObservationIf 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-3errorObservation.componentIf there is no a value a data absent reason must be present
: value.exists() or dataAbsentReason.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-resprateFHIR Respiratory Rate Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... associatedConditions 1..*CodeableConcept[DK] RespirationsfrekvensAssocieretTilstand
URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions
Binding: Condition/Problem/DiagnosisCodes (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions"
.... value[x] 1..1CodeableConceptValue of extension
Binding: Condition/Problem/DiagnosisCodes (required)
Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 106048009
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1code[DK] RespirationsfrekvensStatus
Binding: ObservationStatus (required)
... Slices for category S1..*CodeableConceptClassification 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 S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ1..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConcept[DK] RespirationsfrekvensKode
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ2..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:RespRateCode Σ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 9279-1
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:snomedSlice Σ1..1CodingCode defined by a terminology system
Binding: RespirationRateSCTObservables (extensible)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(Patient)[DK] RespirationsfrekvensSubjekt
... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)[DK] RespirationsfrekvensKontakt
... Slices for effective[x] SΣC1..1Often just a dateTime for Vital Signs
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effective[x]:effectiveDateTime SΣC0..1dateTime[DK] RespirationsfrekvensTid
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)[DK] RespirationsfrekvensAnsvarlig
... Slices for value[x] SΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC0..1QuantityVital 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ1..1decimal[DK] RespirationsfrekvensResultat
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ1..1stringUnit representation
..... system SΣC1..1uri[DK] RespirationsfrekvensEnhed
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1code[DK] RespirationsfrekvensEnhed
Fixed Value: /min
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ0..1Individual responsible for the annotation
..... authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text Σ1..1markdown[DK] RespirationsfrekvensBemærkning
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 1..1CodeableConcept[DK] RespirationsfrekvensProcedure
Binding: ObservationMethods (example): Methods for simple observations.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:KLCode Σ1..1CodingCode defined by a terminology system
Binding: KLtechniquesCodes (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:SCTCode Σ0..1CodingCode defined by a terminology system
Binding: TechniqesSCTCodes (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
... component SΣC0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... value[x] SΣC0..1Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason SC0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.extension:associatedConditions.value[x]requiredPattern: SNOMED CT code 106048009
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:VSCatpreferredObservationCategoryCodes
Observation.codeextensibleVitalSigns
Observation.code.coding:snomedSliceextensibleRespirationRateSCTObservables
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.method.coding:KLCoderequiredKLtechniquesCodes
Observation.method.coding:SCTCoderequiredTechniqesSCTCodes
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeextensibleVitalSigns
Observation.component.value[x]requiredVitalSignsUnits
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-1errorObservation.effective[x], Observation.effective[x]:effectiveDateTimeif 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-2errorObservationIf 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-3errorObservation.componentIf there is no a value a data absent reason must be present
: value.exists() or dataAbsentReason.exists()

This structure is derived from observation-resprate

Summary

Mandatory: 8 elements (1 nested mandatory element)

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.effective[x] is sliced based on the value of type:$this
  • The element Observation.method.coding is sliced based on the value of value:system

Differential View

This structure is derived from observation-resprate

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*observation-resprateFHIR Respiratory Rate Profile
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... associatedConditions 1..*CodeableConcept[DK] RespirationsfrekvensAssocieretTilstand
URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions
Binding: Condition/Problem/DiagnosisCodes (required)
.... value[x] 1..1CodeableConceptValue of extension
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 106048009
... status 1..1code[DK] RespirationsfrekvensStatus
.... coding 2..*CodingCode defined by a terminology system
.... coding:snomedSlice 1..1CodingCode defined by a terminology system
Binding: RespirationRateSCTObservables (extensible)
..... system 1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
... subject 1..1Reference(Patient)[DK] RespirationsfrekvensSubjekt
... encounter 0..1Reference(Encounter)[DK] RespirationsfrekvensKontakt
... Slices for effective[x] 1..1dateTime, PeriodOften just a dateTime for Vital Signs
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime 0..1dateTime[DK] RespirationsfrekvensTid
... performer 0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)[DK] RespirationsfrekvensAnsvarlig
... value[x]:valueQuantity 0..1QuantityVital 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..1decimal[DK] RespirationsfrekvensResultat
.... system 1..1uri[DK] RespirationsfrekvensEnhed
.... code 1..1code[DK] RespirationsfrekvensEnhed
... note
.... text 1..1markdown[DK] RespirationsfrekvensBemærkning
... method 1..1CodeableConcept[DK] RespirationsfrekvensProcedure
.... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:KLCode 1..1CodingCode defined by a terminology system
Binding: KLtechniquesCodes (required)
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes
..... coding:SCTCode 0..1CodingCode defined by a terminology system
Binding: TechniqesSCTCodes (required)
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.code.coding:snomedSliceextensibleRespirationRateSCTObservables
Observation.method.coding:KLCoderequiredKLtechniquesCodes
Observation.method.coding:SCTCoderequiredTechniqesSCTCodes

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-resprateFHIR Respiratory Rate Profile
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... associatedConditions 1..*CodeableConcept[DK] RespirationsfrekvensAssocieretTilstand
URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions
Binding: Condition/Problem/DiagnosisCodes (required)
.... extension 0..0
.... url 1..1uri"http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions"
.... value[x] 1..1CodeableConceptValue of extension
Binding: Condition/Problem/DiagnosisCodes (required)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 106048009
... status ?!SΣ1..1code[DK] RespirationsfrekvensStatus
Binding: ObservationStatus (required)
... Slices for category S1..*CodeableConceptClassification 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 S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding SΣ1..*CodingCode defined by a terminology system
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
... code SΣ1..1CodeableConcept[DK] RespirationsfrekvensKode
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... Slices for coding Σ2..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:RespRateCode Σ1..1CodingCode defined by a terminology system
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 9279-1
..... coding:snomedSlice Σ1..1CodingCode defined by a terminology system
Binding: RespirationRateSCTObservables (extensible)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
... subject SΣ1..1Reference(Patient)[DK] RespirationsfrekvensSubjekt
... encounter Σ0..1Reference(Encounter)[DK] RespirationsfrekvensKontakt
... Slices for effective[x] SΣC1..1Often just a dateTime for Vital Signs
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effective[x]:effectiveDateTime SΣC0..1dateTime[DK] RespirationsfrekvensTid
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)[DK] RespirationsfrekvensAnsvarlig
... Slices for value[x] SΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
..... value SΣ1..1decimal[DK] RespirationsfrekvensResultat
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ1..1stringUnit representation
..... system SΣC1..1uri[DK] RespirationsfrekvensEnhed
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1code[DK] RespirationsfrekvensEnhed
Fixed Value: /min
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... method 1..1CodeableConcept[DK] RespirationsfrekvensProcedure
Binding: ObservationMethods (example): Methods for simple observations.

.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:KLCode Σ1..1CodingCode defined by a terminology system
Binding: KLtechniquesCodes (required)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes
..... coding:SCTCode Σ0..1CodingCode defined by a terminology system
Binding: TechniqesSCTCodes (required)
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
... component SΣC0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... value[x] SΣC0..1Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason SC0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.extension:associatedConditions.value[x]requiredPattern: SNOMED CT code 106048009
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:VSCatpreferredObservationCategoryCodes
Observation.codeextensibleVitalSigns
Observation.code.coding:snomedSliceextensibleRespirationRateSCTObservables
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.methodexampleObservationMethods
Observation.method.coding:KLCoderequiredKLtechniquesCodes
Observation.method.coding:SCTCoderequiredTechniqesSCTCodes
Observation.component.codeextensibleVitalSigns
Observation.component.value[x]requiredVitalSignsUnits
Observation.component.dataAbsentReasonextensibleDataAbsentReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-1errorObservation.effective[x], Observation.effective[x]:effectiveDateTimeif 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-2errorObservationIf 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-3errorObservation.componentIf there is no a value a data absent reason must be present
: value.exists() or dataAbsentReason.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-resprateFHIR Respiratory Rate Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... associatedConditions 1..*CodeableConcept[DK] RespirationsfrekvensAssocieretTilstand
URL: http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions
Binding: Condition/Problem/DiagnosisCodes (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://fhir.kl.dk/ffinst/StructureDefinition/AssociatedConditions"
.... value[x] 1..1CodeableConceptValue of extension
Binding: Condition/Problem/DiagnosisCodes (required)
Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 106048009
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1code[DK] RespirationsfrekvensStatus
Binding: ObservationStatus (required)
... Slices for category S1..*CodeableConceptClassification 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 S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ1..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConcept[DK] RespirationsfrekvensKode
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ2..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:RespRateCode Σ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 9279-1
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:snomedSlice Σ1..1CodingCode defined by a terminology system
Binding: RespirationRateSCTObservables (extensible)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(Patient)[DK] RespirationsfrekvensSubjekt
... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)[DK] RespirationsfrekvensKontakt
... Slices for effective[x] SΣC1..1Often just a dateTime for Vital Signs
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effective[x]:effectiveDateTime SΣC0..1dateTime[DK] RespirationsfrekvensTid
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)[DK] RespirationsfrekvensAnsvarlig
... Slices for value[x] SΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC0..1QuantityVital 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ1..1decimal[DK] RespirationsfrekvensResultat
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ1..1stringUnit representation
..... system SΣC1..1uri[DK] RespirationsfrekvensEnhed
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1code[DK] RespirationsfrekvensEnhed
Fixed Value: /min
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ0..1Individual responsible for the annotation
..... authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text Σ1..1markdown[DK] RespirationsfrekvensBemærkning
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 1..1CodeableConcept[DK] RespirationsfrekvensProcedure
Binding: ObservationMethods (example): Methods for simple observations.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:KLCode Σ1..1CodingCode defined by a terminology system
Binding: KLtechniquesCodes (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://fhir.kl.dk/ffinst/CodeSystem/KLToolsCodes
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:SCTCode Σ0..1CodingCode defined by a terminology system
Binding: TechniqesSCTCodes (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
...