Danish MedCom Core
2.3.0 - Release
This page is part of the DK MedCom Core (v2.3.0: Release) based on FHIR R4. The current version which supercedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions
Official URL: http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-observation | Version: 2.3.0 | |||
Active as of 2023-10-31 | Computable Name: MedComCoreObservation |
Observation profile intended to be used in MedComHomeCareObservation and MedCom’s Laboratory standards.
Note: This profile is developed to be part of a production trial of the communication between the general practitioner and municipal acute care team.
This profile is a MedCom Core profile for observations and is intended to represent observations for a variety cases including:
The MedComCoreObservation resource require an indication of the observation status. To indicate the observation status a code from ValueSet defined by MedCom shall be used. Click here se the status codes.
In a Observation resource, codes from CodeSystems are used to describe what is observed in the elements Observation.code.coding. In the element Observation.code.coding six CodeSystem are specified.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DkCoreObservation
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | DkCoreObservation | Measurements and simple assertions | |
![]() ![]() ![]() | S | 1..1 | code | registered | partial | preliminary | final | corrected | cancelled | entered-in-error Binding: MedComCoreObservationStatus (required) |
![]() ![]() ![]() | S | 1..1 | CodeableConcept | Type of observation (code / type) |
![]() ![]() ![]() ![]() | 0..* | Coding | Code defined by a terminology system | |
![]() ![]() ![]() ![]() ![]() | S | 0..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 0..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() | 0..1 | Coding | LOINC code for the observation | |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() | 0..1 | Coding | SNOMED CT code for the observation | |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() | 0..1 | Coding | NPU code for the observation. NPU codes are administred by the Danish Health Data Authority. | |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() | 0..1 | Coding | IEEE code for the observation | |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() | 0..1 | Coding | MedCom code for the observation. MedCom codes are administred by the MedCom. | |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() | 0..1 | Coding | SKS code for the observation | |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() | S | 1..1 | Reference(MedComCorePatient) {b} | Who and/or what the observation is about |
![]() ![]() ![]() | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() ![]() | S | 0..1 | dateTime | The date and time the sample was taken (Danish: prøvetegningstidspunkt). |
![]() ![]() ![]() | S | 0..* | Annotation | A comment on the individual result (Danish: Analysekommentar) |
![]() |
Path | Conformance | ValueSet |
Observation.status | required | MedComCoreObservationStatus |
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | C | 0..* | DkCoreObservation | Measurements and simple assertions |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | ?!SΣ | 1..1 | code | registered | partial | preliminary | final | corrected | cancelled | entered-in-error Binding: MedComCoreObservationStatus (required) |
![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
![]() ![]() ![]() ![]() ![]() | Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | LOINC code for the observation |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | SNOMED CT code for the observation |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.snomed.org/ |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | NPU code for the observation. NPU codes are administred by the Danish Health Data Authority. |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.1 |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | IEEE code for the observation |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | MedCom code for the observation. MedCom codes are administred by the MedCom. |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://terminology.medcom.dk/fhir/observation-code |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | SKS code for the observation |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.4 |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() | SΣ | 1..1 | Reference(MedComCorePatient) {b} | Who and/or what the observation is about |
![]() ![]() ![]() | Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() ![]() | dateTime | |||
![]() ![]() ![]() ![]() | Period | |||
![]() ![]() ![]() ![]() | Timing | |||
![]() ![]() ![]() ![]() | instant | |||
![]() ![]() ![]() ![]() | SΣ | 0..1 | dateTime | The date and time the sample was taken (Danish: prøvetegningstidspunkt). |
![]() ![]() ![]() | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() ![]() | Quantity | |||
![]() ![]() ![]() ![]() | CodeableConcept | |||
![]() ![]() ![]() ![]() | string | |||
![]() ![]() ![]() ![]() | boolean | |||
![]() ![]() ![]() ![]() | integer | |||
![]() ![]() ![]() ![]() | Range | |||
![]() ![]() ![]() ![]() | Ratio | |||
![]() ![]() ![]() ![]() | SampledData | |||
![]() ![]() ![]() ![]() | time | |||
![]() ![]() ![]() ![]() | dateTime | |||
![]() ![]() ![]() ![]() | Period | |||
![]() ![]() ![]() ![]() | ΣC | 0..1 | Quantity | Actual result |
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
![]() ![]() ![]() | S | 0..* | Annotation | A comment on the individual result (Danish: Analysekommentar) |
![]() |
Path | Conformance | ValueSet |
Observation.status | required | MedComCoreObservationStatus |
Observation.code | example | LOINCCodes (a valid code from LOINC) |
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator |
Id | Grade | Path(s) | Details | Requirements |
dk-core-observation-mandatory-units | error | Observation | If value is specified then unit and/or code must be specified : Observation.valueQuantity.value.exists() implies Observation.valueQuantity.unit.exists() or Observation.valueQuantity.code.exists() | |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | C | 0..* | DkCoreObservation | Measurements and simple assertions | ||||
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() | Σ | 0..* | Identifier | Business Identifier for observation | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
![]() ![]() ![]() | ?!SΣ | 1..1 | code | registered | partial | preliminary | final | corrected | cancelled | entered-in-error Binding: MedComCoreObservationStatus (required) | ||||
![]() ![]() ![]() | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
![]() ![]() ![]() ![]() ![]() | Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | LOINC code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | SNOMED CT code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.snomed.org/ | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | NPU code for the observation. NPU codes are administred by the Danish Health Data Authority. | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.1 | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | IEEE code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | MedCom code for the observation. MedCom codes are administred by the MedCom. | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://terminology.medcom.dk/fhir/observation-code | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | SKS code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.4 | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(MedComCorePatient) {b} | Who and/or what the observation is about | ||||
![]() ![]() ![]() | ΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
![]() ![]() ![]() | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
![]() ![]() ![]() | Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||
![]() ![]() ![]() ![]() | dateTime | |||||||
![]() ![]() ![]() ![]() | Period | |||||||
![]() ![]() ![]() ![]() | Timing | |||||||
![]() ![]() ![]() ![]() | instant | |||||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | dateTime | The date and time the sample was taken (Danish: prøvetegningstidspunkt). | ||||
![]() ![]() ![]() | Σ | 0..1 | instant | Date/Time this version was made available | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(Danish Core Practitioner Profile | Danish Core Organization Profile | Danish Core Patient Profile | PractitionerRole | CareTeam | RelatedPerson) | Who is responsible for the observation | ||||
![]() ![]() ![]() | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |||||
![]() ![]() ![]() ![]() | Quantity | |||||||
![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() | string | |||||||
![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() | integer | |||||||
![]() ![]() ![]() ![]() | Range | |||||||
![]() ![]() ![]() ![]() | Ratio | |||||||
![]() ![]() ![]() ![]() | SampledData | |||||||
![]() ![]() ![]() ![]() | time | |||||||
![]() ![]() ![]() ![]() | dateTime | |||||||
![]() ![]() ![]() ![]() | Period | |||||||
![]() ![]() ![]() ![]() | ΣC | 0..1 | Quantity | Actual result | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Unit representation | ||||
![]() ![]() ![]() ![]() ![]() | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | code | Coded form of the unit | ||||
![]() ![]() ![]() | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() | S | 0..* | Annotation | A comment on the individual result (Danish: Analysekommentar) | ||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
![]() ![]() ![]() | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | Code defined by a terminology system Binding: TechniqesSCTCodes (required) | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
![]() ![]() ![]() ![]() | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
![]() ![]() ![]() ![]() | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
![]() ![]() ![]() ![]() | 0..1 | Range | Applicable age range, if relevant | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Text based reference range in an observation | |||||
![]() ![]() ![]() | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
![]() ![]() ![]() | Σ | 0..* | BackboneElement | Component results | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | LOINC code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | SNOMED CT code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.snomed.org/ | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | NPU code for the observation. NPU codes are administred by the Danish Health Data Authority. | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.1 | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | IEEE code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | MedCom code for the observation. MedCom codes are administred by the MedCom. | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://terminology.medcom.dk/fhir/observation-code | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | SKS code for the observation. | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.4 | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
![]() ![]() ![]() ![]() ![]() | Quantity | |||||||
![]() ![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() | string | |||||||
![]() ![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() ![]() | integer | |||||||
![]() ![]() ![]() ![]() ![]() | Range | |||||||
![]() ![]() ![]() ![]() ![]() | Ratio | |||||||
![]() ![]() ![]() ![]() ![]() | SampledData | |||||||
![]() ![]() ![]() ![]() ![]() | time | |||||||
![]() ![]() ![]() ![]() ![]() | dateTime | |||||||
![]() ![]() ![]() ![]() ![]() | Period | |||||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Quantity | Actual component result | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
![]() ![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Unit representation | ||||
![]() ![]() ![]() ![]() ![]() ![]() | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | code | Coded form of the unit | ||||
![]() ![]() ![]() ![]() | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() ![]() | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
![]() |
Path | Conformance | ValueSet | ||||
Observation.language | preferred | CommonLanguages
| ||||
Observation.status | required | MedComCoreObservationStatus | ||||
Observation.category | preferred | ObservationCategoryCodes | ||||
Observation.code | example | LOINCCodes (a valid code from LOINC) | ||||
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator | ||||
Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
Observation.method | example | ObservationMethods | ||||
Observation.method.coding:SCTCode | required | TechniqesSCTCodes | ||||
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.dataAbsentReason | extensible | DataAbsentReason | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodes |
Id | Grade | Path(s) | Details | Requirements |
dk-core-observation-mandatory-units | error | Observation | If value is specified then unit and/or code must be specified : Observation.valueQuantity.value.exists() implies Observation.valueQuantity.unit.exists() or Observation.valueQuantity.code.exists() | |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from DkCoreObservation
Summary
Must-Support: 19 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from DkCoreObservation
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | DkCoreObservation | Measurements and simple assertions | |
![]() ![]() ![]() | S | 1..1 | code | registered | partial | preliminary | final | corrected | cancelled | entered-in-error Binding: MedComCoreObservationStatus (required) |
![]() ![]() ![]() | S | 1..1 | CodeableConcept | Type of observation (code / type) |
![]() ![]() ![]() ![]() | 0..* | Coding | Code defined by a terminology system | |
![]() ![]() ![]() ![]() ![]() | S | 0..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 0..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() | 0..1 | Coding | LOINC code for the observation | |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() | 0..1 | Coding | SNOMED CT code for the observation | |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() | 0..1 | Coding | NPU code for the observation. NPU codes are administred by the Danish Health Data Authority. | |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() | 0..1 | Coding | IEEE code for the observation | |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() | 0..1 | Coding | MedCom code for the observation. MedCom codes are administred by the MedCom. | |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() | 0..1 | Coding | SKS code for the observation | |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() | S | 1..1 | Reference(MedComCorePatient) {b} | Who and/or what the observation is about |
![]() ![]() ![]() | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() ![]() | S | 0..1 | dateTime | The date and time the sample was taken (Danish: prøvetegningstidspunkt). |
![]() ![]() ![]() | S | 0..* | Annotation | A comment on the individual result (Danish: Analysekommentar) |
![]() |
Path | Conformance | ValueSet |
Observation.status | required | MedComCoreObservationStatus |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | C | 0..* | DkCoreObservation | Measurements and simple assertions |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | ?!SΣ | 1..1 | code | registered | partial | preliminary | final | corrected | cancelled | entered-in-error Binding: MedComCoreObservationStatus (required) |
![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
![]() ![]() ![]() ![]() ![]() | Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | LOINC code for the observation |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | SNOMED CT code for the observation |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.snomed.org/ |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | NPU code for the observation. NPU codes are administred by the Danish Health Data Authority. |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.1 |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | IEEE code for the observation |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | MedCom code for the observation. MedCom codes are administred by the MedCom. |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://terminology.medcom.dk/fhir/observation-code |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | SKS code for the observation |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.4 |
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() | SΣ | 1..1 | Reference(MedComCorePatient) {b} | Who and/or what the observation is about |
![]() ![]() ![]() | Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() ![]() | dateTime | |||
![]() ![]() ![]() ![]() | Period | |||
![]() ![]() ![]() ![]() | Timing | |||
![]() ![]() ![]() ![]() | instant | |||
![]() ![]() ![]() ![]() | SΣ | 0..1 | dateTime | The date and time the sample was taken (Danish: prøvetegningstidspunkt). |
![]() ![]() ![]() | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() ![]() | Quantity | |||
![]() ![]() ![]() ![]() | CodeableConcept | |||
![]() ![]() ![]() ![]() | string | |||
![]() ![]() ![]() ![]() | boolean | |||
![]() ![]() ![]() ![]() | integer | |||
![]() ![]() ![]() ![]() | Range | |||
![]() ![]() ![]() ![]() | Ratio | |||
![]() ![]() ![]() ![]() | SampledData | |||
![]() ![]() ![]() ![]() | time | |||
![]() ![]() ![]() ![]() | dateTime | |||
![]() ![]() ![]() ![]() | Period | |||
![]() ![]() ![]() ![]() | ΣC | 0..1 | Quantity | Actual result |
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
![]() ![]() ![]() | S | 0..* | Annotation | A comment on the individual result (Danish: Analysekommentar) |
![]() |
Path | Conformance | ValueSet |
Observation.status | required | MedComCoreObservationStatus |
Observation.code | example | LOINCCodes (a valid code from LOINC) |
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator |
Id | Grade | Path(s) | Details | Requirements |
dk-core-observation-mandatory-units | error | Observation | If value is specified then unit and/or code must be specified : Observation.valueQuantity.value.exists() implies Observation.valueQuantity.unit.exists() or Observation.valueQuantity.code.exists() | |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | C | 0..* | DkCoreObservation | Measurements and simple assertions | ||||
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() | Σ | 0..* | Identifier | Business Identifier for observation | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
![]() ![]() ![]() | ?!SΣ | 1..1 | code | registered | partial | preliminary | final | corrected | cancelled | entered-in-error Binding: MedComCoreObservationStatus (required) | ||||
![]() ![]() ![]() | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
![]() ![]() ![]() ![]() ![]() | Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | LOINC code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | SNOMED CT code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.snomed.org/ | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | NPU code for the observation. NPU codes are administred by the Danish Health Data Authority. | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.1 | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | IEEE code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | MedCom code for the observation. MedCom codes are administred by the MedCom. | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://terminology.medcom.dk/fhir/observation-code | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | SKS code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.4 | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(MedComCorePatient) {b} | Who and/or what the observation is about | ||||
![]() ![]() ![]() | ΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
![]() ![]() ![]() | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
![]() ![]() ![]() | Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||
![]() ![]() ![]() ![]() | dateTime | |||||||
![]() ![]() ![]() ![]() | Period | |||||||
![]() ![]() ![]() ![]() | Timing | |||||||
![]() ![]() ![]() ![]() | instant | |||||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | dateTime | The date and time the sample was taken (Danish: prøvetegningstidspunkt). | ||||
![]() ![]() ![]() | Σ | 0..1 | instant | Date/Time this version was made available | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(Danish Core Practitioner Profile | Danish Core Organization Profile | Danish Core Patient Profile | PractitionerRole | CareTeam | RelatedPerson) | Who is responsible for the observation | ||||
![]() ![]() ![]() | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |||||
![]() ![]() ![]() ![]() | Quantity | |||||||
![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() | string | |||||||
![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() | integer | |||||||
![]() ![]() ![]() ![]() | Range | |||||||
![]() ![]() ![]() ![]() | Ratio | |||||||
![]() ![]() ![]() ![]() | SampledData | |||||||
![]() ![]() ![]() ![]() | time | |||||||
![]() ![]() ![]() ![]() | dateTime | |||||||
![]() ![]() ![]() ![]() | Period | |||||||
![]() ![]() ![]() ![]() | ΣC | 0..1 | Quantity | Actual result | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Unit representation | ||||
![]() ![]() ![]() ![]() ![]() | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | code | Coded form of the unit | ||||
![]() ![]() ![]() | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() | S | 0..* | Annotation | A comment on the individual result (Danish: Analysekommentar) | ||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
![]() ![]() ![]() | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | Code defined by a terminology system Binding: TechniqesSCTCodes (required) | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
![]() ![]() ![]() ![]() | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
![]() ![]() ![]() ![]() | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
![]() ![]() ![]() ![]() | 0..1 | Range | Applicable age range, if relevant | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Text based reference range in an observation | |||||
![]() ![]() ![]() | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
![]() ![]() ![]() | Σ | 0..* | BackboneElement | Component results | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | LOINC code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | SNOMED CT code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.snomed.org/ | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | NPU code for the observation. NPU codes are administred by the Danish Health Data Authority. | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.1 | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | IEEE code for the observation | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | MedCom code for the observation. MedCom codes are administred by the MedCom. | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://terminology.medcom.dk/fhir/observation-code | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Coding | SKS code for the observation. | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.2.208.176.2.4 | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
![]() ![]() ![]() ![]() ![]() | Quantity | |||||||
![]() ![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() | string | |||||||
![]() ![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() ![]() | integer | |||||||
![]() ![]() ![]() ![]() ![]() | Range | |||||||
![]() ![]() ![]() ![]() ![]() | Ratio | |||||||
![]() ![]() ![]() ![]() ![]() | SampledData | |||||||
![]() ![]() ![]() ![]() ![]() | time | |||||||
![]() ![]() ![]() ![]() ![]() | dateTime | |||||||
![]() ![]() ![]() ![]() ![]() | Period | |||||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Quantity | Actual component result | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
![]() ![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Unit representation | ||||
![]() ![]() ![]() ![]() ![]() ![]() | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | code | Coded form of the unit | ||||
![]() ![]() ![]() ![]() | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() ![]() | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
![]() |
Path | Conformance | ValueSet | ||||
Observation.language | preferred | CommonLanguages
| ||||
Observation.status | required | MedComCoreObservationStatus | ||||
Observation.category | preferred | ObservationCategoryCodes | ||||
Observation.code | example | LOINCCodes (a valid code from LOINC) | ||||
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator | ||||
Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
Observation.method | example | ObservationMethods | ||||
Observation.method.coding:SCTCode | required | TechniqesSCTCodes | ||||
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.dataAbsentReason | extensible | DataAbsentReason | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodes |
Id | Grade | Path(s) | Details | Requirements |
dk-core-observation-mandatory-units | error | Observation | If value is specified then unit and/or code must be specified : Observation.valueQuantity.value.exists() implies Observation.valueQuantity.unit.exists() or Observation.valueQuantity.code.exists() | |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from DkCoreObservation
Summary
Must-Support: 19 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron