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

Resource Profile: KLGatewayChildrenHeadCircumference

Official URL: http://fhir.kl.dk/children/StructureDefinition/klgateway-children-headcircum Version: 2.1.0
Active as of 2024-10-31 Computable Name: KLGatewayChildrenHeadCircum

Head circumference profile used in Danish Municipalities, derived from HL7 Denmark standard profile

Scope and usage

KLGatewayChildrenHeadCircumference is used to document children’s head circumference.

Observation.code.coding holds the valid values for the types of observations allowed. It is bound to a mandatory LOINC code: 9843-4 'Head Occipital-frontal circumference', and a SNOMED CT code 363812007 'Head circumference (observable entity)'.

The Observation.value[x] is a valueQuantity. The unit is drawn from UCUM and is always 'cm'. The head circumference should be given as a decimal point with one precision.

The effective time of the observation is documented in Observation.effective[x].

Observation.category is populated to conform to international vital-sign standards. The value should always be 'vital-signs'.

Observation.subject holds the reference to the child. 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.

Conversions between Danish information model and FHIR-profile

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
hovedomkredsKode Klasse som udtrykker, hvad der observeres. Observation.code.coding
hovedomkredsResultat Resultatet af observationen. Observation.value[x]
hovedomkredsEnhed Enheden på observationsresultatet. Observation.valueQuantity.unit
hovedomkredsTid Tidspunkt for observationen. Observation.effective
hovedomkredsKategori Klasse der udtrykker en overordnet katagori for hvad der observeres Observation.category
hovedomkredsSubjekt Den borger, for hvem der er foretaget en observation. Observation.subject
hovedomkredsKontakt Den kontakt, hvor observationen er foretaget. Observation.encounter
hovedomkredsStatus Klasse der udtrykker, hvor i sin proces, observationen er. Observation.status
hovedomkredsMangler Klasse, der udtrykker hvorfor data mangler Observation.dataAbsentReason

Usage:

Formal Views of Profile Content

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

This structure is derived from DkCoreBasicObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* DkCoreBasicObservation Measurements and simple assertions
obs-1: If value is given as a decimal point number with more than one precision, an error is returned
obs-2: If the value is not given, then explain why using dataAbsentReason
... identifier 0..0
... basedOn 0..0
... partOf 0..0
... category 1..1 CodeableConcept [DK] hovedomkredsKategori
... code 1..1 CodeableConcept [DK] hovedomkredsKode
.... Slices for coding Content/Rules for all slices
..... coding:LOINC 1..1 Coding LOINC code for the observation
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9843-4
..... coding:SNOMEDCT 0..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: 363812007
... subject 1..1 Reference(KLGatewayChildrenCitizen) {b} [DK] hovedomkredsSubjekt
... focus 0..0
... encounter 0..1 Reference(KLGatewayChildrenEncounter) {b} [DK] hovedomkredsKontakt
... effective[x] 1..1 dateTime [DK] hovedomkredsTid
... issued 0..0
... performer 0..0
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueQuantity 0..1 Quantity Actual result
..... value 0..1 decimal [DK] hovedomkredsResultat
..... system 0..1 uri [DK] hovedomkredsEnhed
..... code 0..1 code [DK] hovedomkredsEnhed
Required Pattern: cm
... dataAbsentReason 0..1 CodeableConcept [DK] hovedomkredsMangler
... interpretation 0..0
... note 0..0
... bodySite 0..0
... method 0..0
... specimen 0..0
... device 0..0
... hasMember 0..0
... derivedFrom 0..0

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
obs-1errorObservationIf value is given as a decimal point number with more than one precision, an error is returned
: value.ofType(Quantity).value.toString().matches('^[0-9]*\u002e?[0-9]$')
obs-2errorObservationIf the value is not given, then explain why using dataAbsentReason
: value.empty() implies dataAbsentReason.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* DkCoreBasicObservation 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-1: If value is given as a decimal point number with more than one precision, an error is returned
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] hovedomkredsStatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
... code Σ 1..1 CodeableConcept [DK] hovedomkredsKode
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC Σ 1..1 Coding LOINC code for the observation
Binding: DK Core LOINC Basic Observations (extensible)

Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9843-4
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:SNOMEDCT Σ 0..1 Coding SNOMED CT code for the observation
Binding: DK Core SNOMED CT Basic Observation (extensible)

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: 363812007
...... 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:NPU Σ 0..1 Coding NPU code for the observation. NPU codes are administred by the Danish Health Data Authority.
Binding: DK Core NPU Basic Observation (extensible)
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.1
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:IEEE Σ 0..1 Coding IEEE code for the observation
Binding: Dk Core IEEE Basic Observation (extensible)
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:MedCom Σ 0..1 Coding MedCom code for the observation. MedCom codes are administred by the MedCom.
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-observation-codes
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:SKS Σ 0..1 Coding SKS code for the observation
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.4
...... code Σ 1..1 code Symbol in syntax defined by the system
... subject Σ 1..1 Reference(KLGatewayChildrenCitizen) {b} [DK] hovedomkredsSubjekt
... encounter Σ 0..1 Reference(KLGatewayChildrenEncounter) {b} [DK] hovedomkredsKontakt
... effective[x] Σ 1..1 dateTime [DK] hovedomkredsTid
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed 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 ΣC 0..1 Quantity Actual result
..... value Σ 0..1 decimal [DK] hovedomkredsResultat
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... system ΣC 0..1 uri [DK] hovedomkredsEnhed
Binding: DK Core UCUM Basic Units (extensible)
Required Pattern: http://unitsofmeasure.org
..... code Σ 0..1 code [DK] hovedomkredsEnhed
Required Pattern: cm
... dataAbsentReason C 0..1 CodeableConcept [DK] hovedomkredsMangler
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredPattern: vital-signs
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.code.coding:LOINCextensiblePattern: LOINC Code 9843-4
http://hl7.dk/fhir/core/ValueSet/dk-core-LoincBasicObservation
Observation.code.coding:SNOMEDCTextensiblePattern: SNOMED-CT Code 363812007
http://hl7.dk/fhir/core/ValueSet/dk-core-SCTBasicObservation
Observation.code.coding:NPUextensibleNPUBasicObservation
http://hl7.dk/fhir/core/ValueSet/dk-core-NPUBasicObservation
Observation.code.coding:IEEEextensibleIEEEBasicObservation
http://hl7.dk/fhir/core/ValueSet/dk-core-IEEEBasicObservation
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.value[x]:valueQuantity.systemextensiblePattern: http://unitsofmeasure.org
http://hl7.dk/fhir/core/ValueSet/dk-core-UCUM-BasicUnits
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.method.coding:SCTCodeexampleTechniquesSCTCodes
http://hl7.dk/fhir/core/ValueSet/dk-core-TechniquesSCTCodes

Constraints

IdGradePath(s)DetailsRequirements
dk-core-observation-mandatory-unitserrorObservationIf 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-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-1errorObservationIf value is given as a decimal point number with more than one precision, an error is returned
: value.ofType(Quantity).value.toString().matches('^[0-9]*\u002e?[0-9]$')
obs-2errorObservationIf the value is not given, then explain why using dataAbsentReason
: value.empty() implies dataAbsentReason.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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* DkCoreBasicObservation 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-1: If value is given as a decimal point number with more than one precision, an error is returned
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
... 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] hovedomkredsStatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 1..1 CodeableConcept [DK] hovedomkredsKategori
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept [DK] hovedomkredsKode
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 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC Σ 1..1 Coding LOINC code for the observation
Binding: DK Core LOINC Basic Observations (extensible)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9843-4
...... 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://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
Binding: DK Core SNOMED CT Basic Observation (extensible)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... 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: 363812007
...... 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:NPU Σ 0..1 Coding NPU code for the observation. NPU codes are administred by the Danish Health Data Authority.
Binding: DK Core NPU Basic Observation (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
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
Binding: Dk Core IEEE Basic Observation (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
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
... subject Σ 1..1 Reference(KLGatewayChildrenCitizen) {b} [DK] hovedomkredsSubjekt
... encounter Σ 0..1 Reference(KLGatewayChildrenEncounter) {b} [DK] hovedomkredsKontakt
... effective[x] Σ 1..1 dateTime [DK] hovedomkredsTid
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed 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 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 [DK] hovedomkredsResultat
..... 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 [DK] hovedomkredsEnhed
Binding: DK Core UCUM Basic Units (extensible)
Required Pattern: http://unitsofmeasure.org
..... code Σ 0..1 code [DK] hovedomkredsEnhed
Required Pattern: cm
... dataAbsentReason C 0..1 CodeableConcept [DK] hovedomkredsMangler
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, Closed 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
Binding: DK Core UCUM Basic Units (extensible)
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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredPattern: vital-signs
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.code.coding:LOINCextensiblePattern: LOINC Code 9843-4
http://hl7.dk/fhir/core/ValueSet/dk-core-LoincBasicObservation
Observation.code.coding:SNOMEDCTextensiblePattern: SNOMED-CT Code 363812007
http://hl7.dk/fhir/core/ValueSet/dk-core-SCTBasicObservation
Observation.code.coding:NPUextensibleNPUBasicObservation
http://hl7.dk/fhir/core/ValueSet/dk-core-NPUBasicObservation
Observation.code.coding:IEEEextensibleIEEEBasicObservation
http://hl7.dk/fhir/core/ValueSet/dk-core-IEEEBasicObservation
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.value[x]:valueQuantity.systemextensiblePattern: http://unitsofmeasure.org
http://hl7.dk/fhir/core/ValueSet/dk-core-UCUM-BasicUnits
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.method.coding:SCTCodeexampleTechniquesSCTCodes
http://hl7.dk/fhir/core/ValueSet/dk-core-TechniquesSCTCodes
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component.value[x]:valueQuantity.systemextensiblePattern: http://unitsofmeasure.org
http://hl7.dk/fhir/core/ValueSet/dk-core-UCUM-BasicUnits
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dk-core-observation-mandatory-unitserrorObservationIf 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-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-1errorObservationIf value is given as a decimal point number with more than one precision, an error is returned
: value.ofType(Quantity).value.toString().matches('^[0-9]*\u002e?[0-9]$')
obs-2errorObservationIf the value is not given, then explain why using dataAbsentReason
: value.empty() implies dataAbsentReason.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()

Differential View

This structure is derived from DkCoreBasicObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* DkCoreBasicObservation Measurements and simple assertions
obs-1: If value is given as a decimal point number with more than one precision, an error is returned
obs-2: If the value is not given, then explain why using dataAbsentReason
... identifier 0..0
... basedOn 0..0
... partOf 0..0
... category 1..1 CodeableConcept [DK] hovedomkredsKategori
... code 1..1 CodeableConcept [DK] hovedomkredsKode
.... Slices for coding Content/Rules for all slices
..... coding:LOINC 1..1 Coding LOINC code for the observation
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9843-4
..... coding:SNOMEDCT 0..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: 363812007
... subject 1..1 Reference(KLGatewayChildrenCitizen) {b} [DK] hovedomkredsSubjekt
... focus 0..0
... encounter 0..1 Reference(KLGatewayChildrenEncounter) {b} [DK] hovedomkredsKontakt
... effective[x] 1..1 dateTime [DK] hovedomkredsTid
... issued 0..0
... performer 0..0
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueQuantity 0..1 Quantity Actual result
..... value 0..1 decimal [DK] hovedomkredsResultat
..... system 0..1 uri [DK] hovedomkredsEnhed
..... code 0..1 code [DK] hovedomkredsEnhed
Required Pattern: cm
... dataAbsentReason 0..1 CodeableConcept [DK] hovedomkredsMangler
... interpretation 0..0
... note 0..0
... bodySite 0..0
... method 0..0
... specimen 0..0
... device 0..0
... hasMember 0..0
... derivedFrom 0..0

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
obs-1errorObservationIf value is given as a decimal point number with more than one precision, an error is returned
: value.ofType(Quantity).value.toString().matches('^[0-9]*\u002e?[0-9]$')
obs-2errorObservationIf the value is not given, then explain why using dataAbsentReason
: value.empty() implies dataAbsentReason.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* DkCoreBasicObservation 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-1: If value is given as a decimal point number with more than one precision, an error is returned
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] hovedomkredsStatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
... code Σ 1..1 CodeableConcept [DK] hovedomkredsKode
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC Σ 1..1 Coding LOINC code for the observation
Binding: DK Core LOINC Basic Observations (extensible)

Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9843-4
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:SNOMEDCT Σ 0..1 Coding SNOMED CT code for the observation
Binding: DK Core SNOMED CT Basic Observation (extensible)

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: 363812007
...... 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:NPU Σ 0..1 Coding NPU code for the observation. NPU codes are administred by the Danish Health Data Authority.
Binding: DK Core NPU Basic Observation (extensible)
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.1
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:IEEE Σ 0..1 Coding IEEE code for the observation
Binding: Dk Core IEEE Basic Observation (extensible)
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:MedCom Σ 0..1 Coding MedCom code for the observation. MedCom codes are administred by the MedCom.
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-observation-codes
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:SKS Σ 0..1 Coding SKS code for the observation
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.4
...... code Σ 1..1 code Symbol in syntax defined by the system
... subject Σ 1..1 Reference(KLGatewayChildrenCitizen) {b} [DK] hovedomkredsSubjekt
... encounter Σ 0..1 Reference(KLGatewayChildrenEncounter) {b} [DK] hovedomkredsKontakt
... effective[x] Σ 1..1 dateTime [DK] hovedomkredsTid
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed 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 ΣC 0..1 Quantity Actual result
..... value Σ 0..1 decimal [DK] hovedomkredsResultat
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... system ΣC 0..1 uri [DK] hovedomkredsEnhed
Binding: DK Core UCUM Basic Units (extensible)
Required Pattern: http://unitsofmeasure.org
..... code Σ 0..1 code [DK] hovedomkredsEnhed
Required Pattern: cm
... dataAbsentReason C 0..1 CodeableConcept [DK] hovedomkredsMangler
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredPattern: vital-signs
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.code.coding:LOINCextensiblePattern: LOINC Code 9843-4
http://hl7.dk/fhir/core/ValueSet/dk-core-LoincBasicObservation
Observation.code.coding:SNOMEDCTextensiblePattern: SNOMED-CT Code 363812007
http://hl7.dk/fhir/core/ValueSet/dk-core-SCTBasicObservation
Observation.code.coding:NPUextensibleNPUBasicObservation
http://hl7.dk/fhir/core/ValueSet/dk-core-NPUBasicObservation
Observation.code.coding:IEEEextensibleIEEEBasicObservation
http://hl7.dk/fhir/core/ValueSet/dk-core-IEEEBasicObservation
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.value[x]:valueQuantity.systemextensiblePattern: http://unitsofmeasure.org
http://hl7.dk/fhir/core/ValueSet/dk-core-UCUM-BasicUnits
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.method.coding:SCTCodeexampleTechniquesSCTCodes
http://hl7.dk/fhir/core/ValueSet/dk-core-TechniquesSCTCodes

Constraints

IdGradePath(s)DetailsRequirements
dk-core-observation-mandatory-unitserrorObservationIf 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-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-1errorObservationIf value is given as a decimal point number with more than one precision, an error is returned
: value.ofType(Quantity).value.toString().matches('^[0-9]*\u002e?[0-9]$')
obs-2errorObservationIf the value is not given, then explain why using dataAbsentReason
: value.empty() implies dataAbsentReason.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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* DkCoreBasicObservation 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-1: If value is given as a decimal point number with more than one precision, an error is returned
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
... 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] hovedomkredsStatus
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 1..1 CodeableConcept [DK] hovedomkredsKategori
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept [DK] hovedomkredsKode
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 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC Σ 1..1 Coding LOINC code for the observation
Binding: DK Core LOINC Basic Observations (extensible)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9843-4
...... 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://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
Binding: DK Core SNOMED CT Basic Observation (extensible)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... 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: 363812007
...... 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:NPU Σ 0..1 Coding NPU code for the observation. NPU codes are administred by the Danish Health Data Authority.
Binding: DK Core NPU Basic Observation (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
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
Binding: Dk Core IEEE Basic Observation (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
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
... subject Σ 1..1 Reference(KLGatewayChildrenCitizen) {b} [DK] hovedomkredsSubjekt
... encounter Σ 0..1 Reference(KLGatewayChildrenEncounter) {b} [DK] hovedomkredsKontakt
... effective[x] Σ 1..1 dateTime [DK] hovedomkredsTid
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed 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 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 [DK] hovedomkredsResultat
..... 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 [DK] hovedomkredsEnhed
Binding: DK Core UCUM Basic Units (extensible)
Required Pattern: http://unitsofmeasure.org
..... code Σ 0..1 code [DK] hovedomkredsEnhed
Required Pattern: cm
... dataAbsentReason C 0..1 CodeableConcept [DK] hovedomkredsMangler
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, Closed 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
Binding: DK Core UCUM Basic Units (extensible)
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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredPattern: vital-signs
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.code.coding:LOINCextensiblePattern: LOINC Code 9843-4
http://hl7.dk/fhir/core/ValueSet/dk-core-LoincBasicObservation
Observation.code.coding:SNOMEDCTextensiblePattern: SNOMED-CT Code 363812007
http://hl7.dk/fhir/core/ValueSet/dk-core-SCTBasicObservation
Observation.code.coding:NPUextensibleNPUBasicObservation
http://hl7.dk/fhir/core/ValueSet/dk-core-NPUBasicObservation
Observation.code.coding:IEEEextensibleIEEEBasicObservation
http://hl7.dk/fhir/core/ValueSet/dk-core-IEEEBasicObservation
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.value[x]:valueQuantity.systemextensiblePattern: http://unitsofmeasure.org
http://hl7.dk/fhir/core/ValueSet/dk-core-UCUM-BasicUnits
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.method.coding:SCTCodeexampleTechniquesSCTCodes
http://hl7.dk/fhir/core/ValueSet/dk-core-TechniquesSCTCodes
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component.value[x]:valueQuantity.systemextensiblePattern: http://unitsofmeasure.org
http://hl7.dk/fhir/core/ValueSet/dk-core-UCUM-BasicUnits
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dk-core-observation-mandatory-unitserrorObservationIf 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-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-1errorObservationIf value is given as a decimal point number with more than one precision, an error is returned
: value.ofType(Quantity).value.toString().matches('^[0-9]*\u002e?[0-9]$')
obs-2errorObservationIf the value is not given, then explain why using dataAbsentReason
: value.empty() implies dataAbsentReason.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()

 

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