KLChildren implementation guide, an implementation of FBU
2.1.0 - Release
This page is part of the KLChildren (v2.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: http://fhir.kl.dk/children/StructureDefinition/klgateway-children-feeding-observation | Version: 2.1.0 | |||
Active as of 2024-10-31 | Computable Name: KLGatewayChildrenFeedingObservation |
Feeding observation profile used in the children database
KLGatewayChildrenFeeding is used to document how small children are fed. It is used for observations of children’s breast feeding, partial breastfeeding and other feeding method periods. Feeding status can be registered as well.
Observation.code.coding is bound to a fixed municipality code 'ernæring' and SNOMED CT code 'Infant feeding method'.
Observation.value[x] is a coded value Observation.valueCodeableConcept, which should be drawn from the required ValueSet. The valid values are:
The effective time of the observation is documented in Observation.effective[x], which in this feeding method model have the option of two different datatypes. EffectivePeriod is used to set the start and end date of periods where a certain feeding method is used. EffectiveDateTime is used to set the date for an actual status of feeding method. I.e. when a health nurse visits the family, she has to collect information about in which period each feeding method is used, and get a status about what feeding method is used today. If a period is started, but not ended yet, EffectivePeriod.end is not populated. Note that this means that more than one instance of the feeding Observation might be reported for the same visit.
Observation.subject holds the reference to the child, who is observed. Observation.encounter holds the reference to the encounter in which the observation is performed.
Notice that the status-attribute is mandatory. For normal use, just set to "final", if data is missing or another problem has occurred, follow the FHIR guidance to populate the field correctly. To indicate missing data, Observation.dataAbsentReason is used. Observation.dataAbsentReason is mandatory if no value is given. The value 'unknown' can always be used. It is also possible to use one of the other values in the ValueSet defined by the FHIR standard, if more details are nedded locally.
Nedenstående tabel oversætter mellem de attributter der er defineret i den fælleskommunale informationsmodel (FKI), definerer kort den enkelte attribut på dansk og specificerer hvilke af FHIR-profilens atributter der skal bruges til specifikation af indholdet.
FKI-attribut | Definition | FHIR |
---|---|---|
madningsobservationsKode | Klasse som udtrykker, hvad der observeres. | Observation.code.coding |
madningsobservationsResultat | Resultatet af observationen. | Observation.value[x] |
madningsobservationTid | Tidspunkt eller periode for observationen. | Observation.effective |
madningsobservationSubjekt | Den borger, for hvem der er foretaget en observation. | Observation.subject |
madningsobservationKontakt | Den kontakt, hvor observationen er foretaget. | Observation.encounter |
madningsobservationStatus | Klasse der udtrykker, hvor i sin proces, observationen er. | Observation.status |
madningsobservationMangler | Klasse, der udtrykker hvorfor data mangler | Observation.dataAbsentReason |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DkCoreObservation
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | DkCoreObservation | Measurements and simple assertions obs-2: If the value is not given, then explain why using dataAbsentReason |
identifier | 0..0 | |||
basedOn | 0..0 | |||
partOf | 0..0 | |||
status | 1..1 | code | [DK] madningsobservationStatus | |
code | 1..1 | CodeableConcept | [DK] madningsobservationsKode | |
Slices for coding | 2..2 | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system | |
coding:LOINC | 0..0 | |||
coding:SNOMEDCT | 1..1 | Coding | SNOMED CT code for the observation 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: 169740003 | |
coding:NPU | 0..0 | |||
coding:IEEE | 0..0 | |||
coding:MedCom | 0..0 | |||
coding:SKS | 0..0 | |||
coding:FBOECode | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.kl.dk/term/CodeSystem/FBOE | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: e61e4dab-54bb-4bf4-9b76-8d991cf4de08 | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE | |
subject | 1..1 | Reference(KLGatewayChildrenCitizen) {b} | [DK] madningsobservationSubjekt | |
focus | 0..0 | |||
encounter | 0..1 | Reference(KLGatewayChildrenEncounter) {b} | [DK] madningsobservationKontakt | |
Slices for effective[x] | 1..1 | [DK] madningsobservationTid Slice: Unordered, Open by type:$this | ||
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
effective[x]:effectivePeriod | 0..1 | Period | Clinically relevant time/time-period for observation | |
start | 1..1 | dateTime | Starting time with inclusive boundary | |
effective[x]:effectiveDateTime | 0..1 | dateTime | Clinically relevant time/time-period for observation | |
issued | 0..0 | |||
performer | 0..0 | |||
value[x] | 0..1 | CodeableConcept | [DK] madningsobservationsResultat | |
Slices for value[x] | Content/Rules for all slices | |||
value[x]:valueCodeableConcept | 0..1 | CodeableConcept | Actual result Binding: ResultatkoderSmåbørnMad (required) | |
dataAbsentReason | 0..1 | CodeableConcept | [DK] madningsobservationMangler | |
interpretation | 0..0 | |||
note | 0..0 | |||
bodySite | 0..0 | |||
method | 0..0 | |||
specimen | 0..0 | |||
device | 0..0 | |||
hasMember | 0..0 | |||
derivedFrom | 0..0 | |||
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.value[x]:valueCodeableConcept | required | FeedingResultsChildrenhttp://fhir.kl.dk/children/ValueSet/FeedingResultsChildren from this IG |
Id | Grade | Path(s) | Details | Requirements |
obs-2 | error | Observation | If the value is not given, then explain why using dataAbsentReason : value.empty() implies dataAbsentReason.exists() |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | DkCoreObservation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present dk-core-observation-mandatory-units: If value is specified then unit and/or code must be specified obs-2: If the value is not given, then explain why using dataAbsentReason |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | [DK] madningsobservationStatus Binding: ObservationStatus (required): Codes providing the status of an observation. |
code | Σ | 1..1 | CodeableConcept | [DK] madningsobservationsKode Binding: LOINCCodes (example): Codes identifying names of simple observations. |
Slices for coding | Σ | 2..2 | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system |
coding:SNOMEDCT | Σ | 1..1 | Coding | SNOMED CT code for the observation 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: 169740003 | |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
coding:FBOECode | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.kl.dk/term/CodeSystem/FBOE | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: e61e4dab-54bb-4bf4-9b76-8d991cf4de08 | |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE |
subject | Σ | 1..1 | Reference(KLGatewayChildrenCitizen) {b} | [DK] madningsobservationSubjekt |
encounter | Σ | 0..1 | Reference(KLGatewayChildrenEncounter) {b} | [DK] madningsobservationKontakt |
Slices for effective[x] | Σ | 1..1 | [DK] madningsobservationTid Slice: Unordered, Closed by type:$this | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
effective[x]:effectivePeriod | Σ | 0..1 | Period | Clinically relevant time/time-period for observation |
start | ΣC | 1..1 | dateTime | Starting time with inclusive boundary |
effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation |
Slices for value[x] | ΣC | 0..1 | CodeableConcept | [DK] madningsobservationsResultat Slice: Unordered, Closed by type:$this |
value[x]:valueCodeableConcept | ΣC | 0..1 | CodeableConcept | Actual result Binding: ResultatkoderSmåbørnMad (required) |
value[x]:valueQuantity | ΣC | 0..1 | Quantity | Actual result |
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
dataAbsentReason | C | 0..1 | CodeableConcept | [DK] madningsobservationMangler Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.value[x]:valueCodeableConcept | required | FeedingResultsChildrenhttp://fhir.kl.dk/children/ValueSet/FeedingResultsChildren from this IG | |
Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | |
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | |
Observation.method.coding:SCTCode | example | TechniquesSCTCodeshttp://hl7.dk/fhir/core/ValueSet/dk-core-TechniquesSCTCodes |
Id | Grade | Path(s) | Details | Requirements |
dk-core-observation-mandatory-units | error | Observation | If value is specified then unit and/or code must be specified : value.ofType(Quantity).value.exists() implies value.ofType(Quantity).unit.exists() or value.ofType(Quantity).code.exists() | |
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-2 | error | Observation | If the value is not given, then explain why using dataAbsentReason : value.empty() implies dataAbsentReason.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..* | DkCoreObservation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present dk-core-observation-mandatory-units: If value is specified then unit and/or code must be specified obs-2: If the value is not given, then explain why using dataAbsentReason | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
status | ?!Σ | 1..1 | code | [DK] madningsobservationStatus 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 | [DK] madningsobservationsKode Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 2..2 | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system | ||||
coding:SNOMEDCT | Σ | 1..1 | Coding | SNOMED CT code for the observation 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: 169740003 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..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:FBOECode | Σ | 1..1 | Coding | Code defined by a terminology system 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://fhir.kl.dk/term/CodeSystem/FBOE | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: e61e4dab-54bb-4bf4-9b76-8d991cf4de08 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
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/term/CodeSystem/FBOE | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
subject | Σ | 1..1 | Reference(KLGatewayChildrenCitizen) {b} | [DK] madningsobservationSubjekt | ||||
encounter | Σ | 0..1 | Reference(KLGatewayChildrenEncounter) {b} | [DK] madningsobservationKontakt | ||||
Slices for effective[x] | Σ | 1..1 | [DK] madningsobservationTid Slice: Unordered, Closed by type:$this | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
effective[x]:effectivePeriod | Σ | 0..1 | Period | Clinically relevant time/time-period for observation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
start | ΣC | 1..1 | dateTime | Starting time with inclusive boundary | ||||
end | ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation | ||||
Slices for value[x] | ΣC | 0..1 | CodeableConcept | [DK] madningsobservationsResultat Slice: Unordered, Closed by type:$this | ||||
value[x]:valueCodeableConcept | ΣC | 0..1 | CodeableConcept | Actual result Binding: ResultatkoderSmåbørnMad (required) | ||||
value[x]:valueQuantity | ΣC | 0..1 | Quantity | Actual result | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
unit | Σ | 0..1 | string | Unit representation | ||||
system | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
code | Σ | 0..1 | code | Coded form of the unit | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | [DK] madningsobservationMangler Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
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 | |||||
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. | ||||
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 | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
coding:LOINC | Σ | 0..1 | Coding | LOINC code for the observation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
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:SNOMEDCT | Σ | 0..1 | Coding | SNOMED CT code for the observation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..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:NPU | Σ | 0..1 | Coding | NPU code for the observation. NPU codes are administred by the Danish Health Data Authority. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.1 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..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:IEEE | Σ | 0..1 | Coding | IEEE code for the observation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..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:MedCom | Σ | 0..1 | Coding | MedCom code for the observation. MedCom codes are administred by the MedCom. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-observation-codes | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..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:SKS | Σ | 0..1 | Coding | SKS code for the observation. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.4 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..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 | ||||
Slices for value[x] | Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
value[x]:valueQuantity | Σ | 0..1 | Quantity | Actual component result | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
unit | Σ | 0..1 | string | Unit representation | ||||
system | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
code | Σ | 0..1 | code | Coded form of the unit | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.value[x]:valueCodeableConcept | required | FeedingResultsChildrenhttp://fhir.kl.dk/children/ValueSet/FeedingResultsChildren from this IG | ||||
Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.method.coding:SCTCode | example | TechniquesSCTCodeshttp://hl7.dk/fhir/core/ValueSet/dk-core-TechniquesSCTCodes | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dk-core-observation-mandatory-units | error | Observation | If value is specified then unit and/or code must be specified : value.ofType(Quantity).value.exists() implies value.ofType(Quantity).unit.exists() or value.ofType(Quantity).code.exists() | |
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-2 | error | Observation | If the value is not given, then explain why using dataAbsentReason : value.empty() implies dataAbsentReason.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 DkCoreObservation
Summary
Mandatory: 4 elements(1 nested mandatory element)
Prohibited: 19 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from DkCoreObservation
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | DkCoreObservation | Measurements and simple assertions obs-2: If the value is not given, then explain why using dataAbsentReason |
identifier | 0..0 | |||
basedOn | 0..0 | |||
partOf | 0..0 | |||
status | 1..1 | code | [DK] madningsobservationStatus | |
code | 1..1 | CodeableConcept | [DK] madningsobservationsKode | |
Slices for coding | 2..2 | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system | |
coding:LOINC | 0..0 | |||
coding:SNOMEDCT | 1..1 | Coding | SNOMED CT code for the observation 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: 169740003 | |
coding:NPU | 0..0 | |||
coding:IEEE | 0..0 | |||
coding:MedCom | 0..0 | |||
coding:SKS | 0..0 | |||
coding:FBOECode | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.kl.dk/term/CodeSystem/FBOE | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: e61e4dab-54bb-4bf4-9b76-8d991cf4de08 | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE | |
subject | 1..1 | Reference(KLGatewayChildrenCitizen) {b} | [DK] madningsobservationSubjekt | |
focus | 0..0 | |||
encounter | 0..1 | Reference(KLGatewayChildrenEncounter) {b} | [DK] madningsobservationKontakt | |
Slices for effective[x] | 1..1 | [DK] madningsobservationTid Slice: Unordered, Open by type:$this | ||
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
effective[x]:effectivePeriod | 0..1 | Period | Clinically relevant time/time-period for observation | |
start | 1..1 | dateTime | Starting time with inclusive boundary | |
effective[x]:effectiveDateTime | 0..1 | dateTime | Clinically relevant time/time-period for observation | |
issued | 0..0 | |||
performer | 0..0 | |||
value[x] | 0..1 | CodeableConcept | [DK] madningsobservationsResultat | |
Slices for value[x] | Content/Rules for all slices | |||
value[x]:valueCodeableConcept | 0..1 | CodeableConcept | Actual result Binding: ResultatkoderSmåbørnMad (required) | |
dataAbsentReason | 0..1 | CodeableConcept | [DK] madningsobservationMangler | |
interpretation | 0..0 | |||
note | 0..0 | |||
bodySite | 0..0 | |||
method | 0..0 | |||
specimen | 0..0 | |||
device | 0..0 | |||
hasMember | 0..0 | |||
derivedFrom | 0..0 | |||
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.value[x]:valueCodeableConcept | required | FeedingResultsChildrenhttp://fhir.kl.dk/children/ValueSet/FeedingResultsChildren from this IG |
Id | Grade | Path(s) | Details | Requirements |
obs-2 | error | Observation | If the value is not given, then explain why using dataAbsentReason : value.empty() implies dataAbsentReason.exists() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | DkCoreObservation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present dk-core-observation-mandatory-units: If value is specified then unit and/or code must be specified obs-2: If the value is not given, then explain why using dataAbsentReason |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | [DK] madningsobservationStatus Binding: ObservationStatus (required): Codes providing the status of an observation. |
code | Σ | 1..1 | CodeableConcept | [DK] madningsobservationsKode Binding: LOINCCodes (example): Codes identifying names of simple observations. |
Slices for coding | Σ | 2..2 | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system |
coding:SNOMEDCT | Σ | 1..1 | Coding | SNOMED CT code for the observation 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: 169740003 | |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
coding:FBOECode | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.kl.dk/term/CodeSystem/FBOE | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: e61e4dab-54bb-4bf4-9b76-8d991cf4de08 | |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE |
subject | Σ | 1..1 | Reference(KLGatewayChildrenCitizen) {b} | [DK] madningsobservationSubjekt |
encounter | Σ | 0..1 | Reference(KLGatewayChildrenEncounter) {b} | [DK] madningsobservationKontakt |
Slices for effective[x] | Σ | 1..1 | [DK] madningsobservationTid Slice: Unordered, Closed by type:$this | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
effective[x]:effectivePeriod | Σ | 0..1 | Period | Clinically relevant time/time-period for observation |
start | ΣC | 1..1 | dateTime | Starting time with inclusive boundary |
effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation |
Slices for value[x] | ΣC | 0..1 | CodeableConcept | [DK] madningsobservationsResultat Slice: Unordered, Closed by type:$this |
value[x]:valueCodeableConcept | ΣC | 0..1 | CodeableConcept | Actual result Binding: ResultatkoderSmåbørnMad (required) |
value[x]:valueQuantity | ΣC | 0..1 | Quantity | Actual result |
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
dataAbsentReason | C | 0..1 | CodeableConcept | [DK] madningsobservationMangler Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.value[x]:valueCodeableConcept | required | FeedingResultsChildrenhttp://fhir.kl.dk/children/ValueSet/FeedingResultsChildren from this IG | |
Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | |
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | |
Observation.method.coding:SCTCode | example | TechniquesSCTCodeshttp://hl7.dk/fhir/core/ValueSet/dk-core-TechniquesSCTCodes |
Id | Grade | Path(s) | Details | Requirements |
dk-core-observation-mandatory-units | error | Observation | If value is specified then unit and/or code must be specified : value.ofType(Quantity).value.exists() implies value.ofType(Quantity).unit.exists() or value.ofType(Quantity).code.exists() | |
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-2 | error | Observation | If the value is not given, then explain why using dataAbsentReason : value.empty() implies dataAbsentReason.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..* | DkCoreObservation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present dk-core-observation-mandatory-units: If value is specified then unit and/or code must be specified obs-2: If the value is not given, then explain why using dataAbsentReason | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
status | ?!Σ | 1..1 | code | [DK] madningsobservationStatus 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 | [DK] madningsobservationsKode Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 2..2 | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system | ||||
coding:SNOMEDCT | Σ | 1..1 | Coding | SNOMED CT code for the observation 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: 169740003 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..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:FBOECode | Σ | 1..1 | Coding | Code defined by a terminology system 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://fhir.kl.dk/term/CodeSystem/FBOE | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: e61e4dab-54bb-4bf4-9b76-8d991cf4de08 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
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/term/CodeSystem/FBOE | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
subject | Σ | 1..1 | Reference(KLGatewayChildrenCitizen) {b} | [DK] madningsobservationSubjekt | ||||
encounter | Σ | 0..1 | Reference(KLGatewayChildrenEncounter) {b} | [DK] madningsobservationKontakt | ||||
Slices for effective[x] | Σ | 1..1 | [DK] madningsobservationTid Slice: Unordered, Closed by type:$this | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
effective[x]:effectivePeriod | Σ | 0..1 | Period | Clinically relevant time/time-period for observation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
start | ΣC | 1..1 | dateTime | Starting time with inclusive boundary | ||||
end | ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation | ||||
Slices for value[x] | ΣC | 0..1 | CodeableConcept | [DK] madningsobservationsResultat Slice: Unordered, Closed by type:$this | ||||
value[x]:valueCodeableConcept | ΣC | 0..1 | CodeableConcept | Actual result Binding: ResultatkoderSmåbørnMad (required) | ||||
value[x]:valueQuantity | ΣC | 0..1 | Quantity | Actual result | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
unit | Σ | 0..1 | string | Unit representation | ||||
system | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
code | Σ | 0..1 | code | Coded form of the unit | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | [DK] madningsobservationMangler Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
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 | |||||
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. | ||||
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 | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
coding:LOINC | Σ | 0..1 | Coding | LOINC code for the observation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
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:SNOMEDCT | Σ | 0..1 | Coding | SNOMED CT code for the observation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..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:NPU | Σ | 0..1 | Coding | NPU code for the observation. NPU codes are administred by the Danish Health Data Authority. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.1 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..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:IEEE | Σ | 0..1 | Coding | IEEE code for the observation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..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:MedCom | Σ | 0..1 | Coding | MedCom code for the observation. MedCom codes are administred by the MedCom. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-observation-codes | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..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:SKS | Σ | 0..1 | Coding | SKS code for the observation. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.4 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..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 | ||||
Slices for value[x] | Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
value[x]:valueQuantity | Σ | 0..1 | Quantity | Actual component result | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
unit | Σ | 0..1 | string | Unit representation | ||||
system | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
code | Σ | 0..1 | code | Coded form of the unit | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.value[x]:valueCodeableConcept | required | FeedingResultsChildrenhttp://fhir.kl.dk/children/ValueSet/FeedingResultsChildren from this IG | ||||
Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.method.coding:SCTCode | example | TechniquesSCTCodeshttp://hl7.dk/fhir/core/ValueSet/dk-core-TechniquesSCTCodes | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dk-core-observation-mandatory-units | error | Observation | If value is specified then unit and/or code must be specified : value.ofType(Quantity).value.exists() implies value.ofType(Quantity).unit.exists() or value.ofType(Quantity).code.exists() | |
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-2 | error | Observation | If the value is not given, then explain why using dataAbsentReason : value.empty() implies dataAbsentReason.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 DkCoreObservation
Summary
Mandatory: 4 elements(1 nested mandatory element)
Prohibited: 19 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron