MedCom HomeCareObservation
1.0.0 - release Denmark flag

This page is part of the The DK MedCom HomeCareObservation (v1.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: MedComHomeCareObservation

Official URL: http://medcomfhir.dk/ig/homecareobservation/StructureDefinition/medcom-homeCare-observation Version: 1.0.0
Active as of 2023-10-31 Computable Name: MedComHomeCareObservation

This profile is intended to be used in HomeCareObservation to hold information about the observation results.

Scope and usage

The MedComHomeCareObservation profile holds information about the observation results from the municipal acute care team The MedComHomeCareObservations are collected in a MedComHomeCareDiagnosticReport, that is sent as a MedComHomeCareObservation message to the general practitioner.

The observations results needs to have a observation code that defines the type of the observation. The code for the observation shall be seleceted from a national analysis repertoire, that defines which observations and assesments methods the municipal acute care team can performe and send to the general practitioner. The national analysis repertoire can be found here.

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 two CodeSystem are specified.

  • The NPU codes are the preferred first choice in official Danish health IT-systems and most used laboratory codes. NPU codes hase NPU prefixes in the begining of the code.
  • MedCom codes are Danish codes that are refered as MCS- codes.

It is required to send the long and short name of the analysis. Both the long and short name of the performed observation can be fund on med medcom’s terminology server. Click here to see NPU observation codes. Click here to see MCS observation codes.

Status

In a Observation resource, it is required to specify the status of the result. When nurse from the acute care team perform the analysis and the result from the analysis is ready then the. HomeCareObservation.status shall be #final.

Interpretation

In HomeCareObservation it is required to send information that result of the observation is not interpreted (Dansk: ikke reference vurderet). Therefore i is required that the observation.interpretation.coding.code is “NI” not interpreted.

Observation result

The result of the observation shall be expresed using eighter Observation.value[x]:valueQuantity and Observation.value[x]:valueString element. If the observation result is numerical then the Observation.value[x]:valueQuantity shall be used and if the result is alphanumeric e.g. positive/negative then the Observation.value[x]:valueString element shall be used. Both elemets Observation.value[x]:valueQuantity og Observation.value[x]:valueString are restricted to max 12 character due to limitations in laborartory kort.

Usage:

Formal Views of Profile Content

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

This structure is derived from MedComCoreObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*MedComCoreObservationMeasurements and simple assertions
... code
.... coding 0..*CodingCode defined by a terminology system
..... display S0..1stringRepresentation defined by the system
.... coding:LOINC 0..1CodingLOINC code for the observation
..... display S0..1stringRepresentation defined by the system
.... coding:SNOMEDCT 0..1CodingSNOMED CT code for the observation
..... display S0..1stringRepresentation defined by the system
.... coding:NPU 0..1CodingNPU code for the observation. NPU codes are administred by the Danish Health Data Authority.
..... system 1..1uriIdentity of the terminology system
Binding: NPUObservationCodesValueSet (required)
..... display S0..1stringRepresentation defined by the system
.... coding:IEEE 0..1CodingIEEE code for the observation
..... display S0..1stringRepresentation defined by the system
.... coding:MedCom 0..1CodingMedCom code for the observation. MedCom codes are administred by the MedCom.
..... system 1..1uriIdentity of the terminology system
Binding: MedCom Observation ValueSet (required)
..... display S0..1stringRepresentation defined by the system
.... coding:SKS 0..1CodingSKS code for the observation
..... display S0..1stringRepresentation defined by the system
... value[x]:valueQuantity S0..1QuantityActual result
Max Length: 12
... value[x]:valueString S0..1stringActual result
Max Length: 12
.... coding
..... code 0..1codeSymbol in syntax defined by the system
Required Pattern: NI

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.code.coding:NPU.systemrequiredNPUObservationCodesValueSet
Observation.code.coding:MedCom.systemrequiredMedComObservationValueSet
Observation.interpretationrequiredhttp://medcomfhir.dk/ig/terminology/CodeSystem/medcom-core-interpretation-codes

 

Other representations of profile: CSV, Excel, Schematron