HL7 FHIR Implementation Guide: DK Core
3.1.0 - release
HL7 FHIR Implementation Guide: DK Core
3.1.0 - release
This page is part of the HL7 FHIR Implementation Guide: DK Core (v3.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-basic-observation | Version: 3.1.0 | |||
| Active as of 2024-01-08 | Computable Name: DkCoreBasicObservation | |||
HL7 Denmark core profile for basic observations, which is a profiling of DkCoreObservation.
The Danish Core Basic Observation profile is intended to represent basis observations performed on a subject. The purpose of this profile is to ensure a common structure of frequently measured and shared observations. A basic observation is, in a Danish context, a measurable and often used value. This can be observations such as vital signs and basic observations like height and weight.
The profile is a further profiling of DkCoreObservation and in most cases it complies to HL7’s Vital Signs profile. Since there is an expansion of one code to each of the LOINC ValueSet and the UCUM ValueSet, it means when using these codes, the instance will not be compliant.
It is required to include a LOINC code at Observation.code. The LOINC ValueSet used in the HL7’s Vital Signs profile is expanded with the code 59408-5 "Oxygen saturation in Arterial blood by Pulse oximetry" because it is an often used, measurable parameter in Denmark.
Further, Dk Core NPU Basic Observation, Dk Core IEEE Basic Observation, and Dk Core SNOMED CT Basic Observation ValueSets are added to the given slices, and codes from these ValueSets are optional to include.
An overall guidance of using the ValueSets follows the guidance of DkCoreObservation and is further specified here:
The codes in the three ValueSets are selected to best represent the codes included in the LOINC ValueSet. The following describes the possible use of additional codes:
8478-0 Mean blood pressure does not exists in the NPUBasicObservation ValueSet.150022 MDC_PRESS_BLD_NONINV_DIA from the IEEE ValueSet which represents 8462-4 Diastolic blood pressure the best.8480-6 Systolic blood pressure.If a measurement is documented in a system or device e.g. with a SNOMED CT or IEEE code, but no LOINC code. The system must map the SNOMED CT or IEEE code to the LOINC code before exchanging it. Otherwise, it will not accommodate the requirements of the DkCoreBasicObservation profile, since a LOINC code is required.
The UCUM ValueSet used in HL7’s Vital Signs profile is extended in the Dk Core UCUM Basic Units ValueSet to include a code for fraction {fraction} fraction. In the NPU ValueSet, this unit is used for the code NPU27280 Hb(Fe; O2-bind.;aB)—Oxygen(O2); sat.(Pulse oximetry) = ?, why it is included. However, using the fraction unit is not compliant with HL7’s Vital Signs profile, here the unit % percent is used for the LOINC code "2708-6 "Oxygen saturation in Arterial blood". The example John’s oxygen saturation measurement (Observation) illustrates how this can be handled by deriving the instance with the NPU code from an instance with a LOINC and IEEE code.
The Dk Core UCUM Basic Units ValueSet is added to the elements Observation.valueQuantity and Observation.component.valueQuantity.
The table below includes instances of the DkCoreBasicObservation used to represent observations used to evaluate the patient based on different procedures used in Denmark.
Note: The current FHIR validator (per Nowember 2023) validates Observation instances with LOINC-codes from the international Vital Signs profile against the requirements in this profile. This have influenced instances in DkCore by 1) removal of the LOINC-code
"2708-6 "Oxygen saturation in Arterial blood"in John’s oxygen saturation measurement (Observation) which means it cannot be an instance of DkCoreBasicObservation but has to obey from DkCoreObservation, and 2) addition of effective timestamps in ObservationOxySatBasicObservationOrg and ObservationRespiratoryBasicObservation.
| Example | Description |
|---|---|
| Glasgow Coma Scale (GCS) | This example includes the relevant observations related to Glasgow Coma Scale. This scale is used to assess the level of consciousness in people with brain damage. |
| TOKS (Danish: Tidlig opsporing af kritisk sygdom) | TOKS is a scoring system used to determine if a patient is in a critical state at an early state. The example includes basic observations, such as heartrate, temperature and more, as well as a Glasgow Coma Scale. |
| TOBS (Danish: Tidlig opsporing af begyndende sygdom) | TOBS is a scoring system used to determine if a citizen is in the early state of illnesses. The example includes basic observations, such as heartrate, temperature, TOBS score and more, as well as a reference to the performer of the observations. |
| Vital signs panel | An example of observations included in a vital signs panel. From the element Observation.hasMember, the panel observations are referenced. |
| John’s oxygen saturation measurement (Observation) | This example suggests a way to handle the oxygen saturation case, where the original measurement was reported in ‘%’ by a device or typed in manually, and then ‘translated’ to the NPU system, which requires the value to be unitless. |
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 | 0..* | DkCoreObservation | Measurements and simple assertions | |
  category | 1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following | |
   coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
  system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |
| code | ||||
| coding | 1..* | Coding | Code defined by a terminology system | |
 coding:LOINC | 1..1 | Coding | LOINC code for the observation Binding: DK Core LOINC Basic Observations (extensible) | |
| coding:SNOMEDCT | 0..1 | Coding | SNOMED CT code for the observation Binding: Dk Core SNOMED CT Basic Observation (extensible) | |
| coding:NPU | 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) | |
| coding:IEEE | 0..1 | Coding | IEEE code for the observation Binding: Dk Core IEEE Basic Observation (extensible) | |
| value[x]:valueQuantity | 0..1 | Quantity | Actual result | |
 system | 0..1 | uri | System that defines coded unit form Binding: Dk Core UCUM Basic Units (extensible) | |
| component | ||||
| value[x]:valueQuantity | 0..1 | Quantity | Actual component result | |
| system | 0..1 | uri | System that defines coded unit form Binding: Dk Core UCUM Basic Units (extensible) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.code.coding:LOINC | extensible | LoincBasicObservation |
| Observation.code.coding:SNOMEDCT | extensible | SCTBasicObservation |
| Observation.code.coding:NPU | extensible | NPUBasicObservation |
| Observation.code.coding:IEEE | extensible | IEEEBasicObservation |
| Observation.value[x]:valueQuantity.system | extensible | UCUMBasicUnits |
| Observation.component.value[x]:valueQuantity.system | extensible | UCUMBasicUnits |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | DkCoreObservation | Measurements and simple assertions |
 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 | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
 category | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://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 | Type of observation (code / type) 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) |
  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) |
| 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(Danish Core Patient Profile | Group | Location | Device) | Who and/or what the observation is about |
| 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 |
| 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 | System that defines coded unit form Binding: Dk Core UCUM Basic Units (extensible) Required Pattern: http://unitsofmeasure.org |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.status | required | ObservationStatus |
| Observation.category | preferred | Pattern: vital-signs |
| Observation.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.code.coding:LOINC | extensible | LoincBasicObservation |
| Observation.code.coding:SNOMEDCT | extensible | SCTBasicObservation |
| Observation.code.coding:NPU | extensible | NPUBasicObservation |
| Observation.code.coding:IEEE | extensible | IEEEBasicObservation |
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparator |
| Observation.value[x]:valueQuantity.system | extensible | Pattern: http://unitsofmeasure.org |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | DkCoreObservation | Measurements and simple assertions | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| category | 1..1 | CodeableConcept | Classification of type of observation 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 | Type of 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 | 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) | ||||
| 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) | ||||
| 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(Danish Core Patient Profile | Group | Location | Device) | Who and/or what the observation is about | ||||
| focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
 effective[x] | Σ | 0..1 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 0..* | Reference(Danish Core Practitioner Profile | Danish Core Organization Profile | Danish Core Patient Profile | PractitionerRole | CareTeam | RelatedPerson) | Who is responsible for the observation | ||||
| 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 | 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 result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note | 0..* | Annotation | Comments about the observation | |||||
| bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| 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:SCTCode | Σ | 0..1 | Coding | Code defined by a terminology system Binding: DK TechniquesSCTCodes (example) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | The device used for the measurement. It is recommended that when information about the device is sent, it is contained in the same Bundle as the Observation the device measured. | |||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age | 0..1 | Range | Applicable age range, if relevant | |||||
| text | 0..1 | string | Text based reference range in an observation | |||||
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| component | Σ | 0..* | BackboneElement | Component results | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | Pattern: vital-signs | ||||
| Observation.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.code.coding:LOINC | extensible | LoincBasicObservation | ||||
| Observation.code.coding:SNOMEDCT | extensible | SCTBasicObservation | ||||
| Observation.code.coding:NPU | extensible | NPUBasicObservation | ||||
| Observation.code.coding:IEEE | extensible | IEEEBasicObservation | ||||
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparator | ||||
| Observation.value[x]:valueQuantity.system | extensible | Pattern: http://unitsofmeasure.org | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
| Observation.method | example | ObservationMethods | ||||
| Observation.method.coding:SCTCode | example | TechniquesSCTCodes | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.value[x]:valueQuantity.comparator | required | QuantityComparator | ||||
| Observation.component.value[x]:valueQuantity.system | extensible | Pattern: http://unitsofmeasure.org | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes |
This structure is derived from DkCoreObservation
Differential View
This structure is derived from DkCoreObservation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 0..* | DkCoreObservation | Measurements and simple assertions | |
| category | 1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |
| code | ||||
| coding | 1..* | Coding | Code defined by a terminology system | |
| coding:LOINC | 1..1 | Coding | LOINC code for the observation Binding: DK Core LOINC Basic Observations (extensible) | |
| coding:SNOMEDCT | 0..1 | Coding | SNOMED CT code for the observation Binding: Dk Core SNOMED CT Basic Observation (extensible) | |
| coding:NPU | 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) | |
| coding:IEEE | 0..1 | Coding | IEEE code for the observation Binding: Dk Core IEEE Basic Observation (extensible) | |
| value[x]:valueQuantity | 0..1 | Quantity | Actual result | |
| system | 0..1 | uri | System that defines coded unit form Binding: Dk Core UCUM Basic Units (extensible) | |
| component | ||||
| value[x]:valueQuantity | 0..1 | Quantity | Actual component result | |
| system | 0..1 | uri | System that defines coded unit form Binding: Dk Core UCUM Basic Units (extensible) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.code.coding:LOINC | extensible | LoincBasicObservation |
| Observation.code.coding:SNOMEDCT | extensible | SCTBasicObservation |
| Observation.code.coding:NPU | extensible | NPUBasicObservation |
| Observation.code.coding:IEEE | extensible | IEEEBasicObservation |
| Observation.value[x]:valueQuantity.system | extensible | UCUMBasicUnits |
| Observation.component.value[x]:valueQuantity.system | extensible | UCUMBasicUnits |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | DkCoreObservation | Measurements and simple assertions |
| 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 | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| category | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://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 | Type of observation (code / type) 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) |
| 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) |
| 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(Danish Core Patient Profile | Group | Location | Device) | Who and/or what the observation is about |
| 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 |
| 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 | System that defines coded unit form Binding: Dk Core UCUM Basic Units (extensible) Required Pattern: http://unitsofmeasure.org |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.status | required | ObservationStatus |
| Observation.category | preferred | Pattern: vital-signs |
| Observation.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.code.coding:LOINC | extensible | LoincBasicObservation |
| Observation.code.coding:SNOMEDCT | extensible | SCTBasicObservation |
| Observation.code.coding:NPU | extensible | NPUBasicObservation |
| Observation.code.coding:IEEE | extensible | IEEEBasicObservation |
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparator |
| Observation.value[x]:valueQuantity.system | extensible | Pattern: http://unitsofmeasure.org |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | DkCoreObservation | Measurements and simple assertions | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| category | 1..1 | CodeableConcept | Classification of type of observation 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 | Type of 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 | 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) | ||||
| 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) | ||||
| 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(Danish Core Patient Profile | Group | Location | Device) | Who and/or what the observation is about | ||||
| focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] | Σ | 0..1 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 0..* | Reference(Danish Core Practitioner Profile | Danish Core Organization Profile | Danish Core Patient Profile | PractitionerRole | CareTeam | RelatedPerson) | Who is responsible for the observation | ||||
| 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 | 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 result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note | 0..* | Annotation | Comments about the observation | |||||
| bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| 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:SCTCode | Σ | 0..1 | Coding | Code defined by a terminology system Binding: DK TechniquesSCTCodes (example) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | The device used for the measurement. It is recommended that when information about the device is sent, it is contained in the same Bundle as the Observation the device measured. | |||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age | 0..1 | Range | Applicable age range, if relevant | |||||
| text | 0..1 | string | Text based reference range in an observation | |||||
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| component | Σ | 0..* | BackboneElement | Component results | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | Pattern: vital-signs | ||||
| Observation.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.code.coding:LOINC | extensible | LoincBasicObservation | ||||
| Observation.code.coding:SNOMEDCT | extensible | SCTBasicObservation | ||||
| Observation.code.coding:NPU | extensible | NPUBasicObservation | ||||
| Observation.code.coding:IEEE | extensible | IEEEBasicObservation | ||||
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparator | ||||
| Observation.value[x]:valueQuantity.system | extensible | Pattern: http://unitsofmeasure.org | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
| Observation.method | example | ObservationMethods | ||||
| Observation.method.coding:SCTCode | example | TechniquesSCTCodes | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.value[x]:valueQuantity.comparator | required | QuantityComparator | ||||
| Observation.component.value[x]:valueQuantity.system | extensible | Pattern: http://unitsofmeasure.org | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes |
This structure is derived from DkCoreObservation
Other representations of profile: CSV, Excel, Schematron