Danish MedCom Core
2.3.0 - Release Denmark flag

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

Resource Profile: MedComCoreObservation

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.

Scope and use

This profile is a MedCom Core profile for observations and is intended to represent observations for a variety cases including:

  • laboratory observations
  • observations performed by a municipal acute care team

Status

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.

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.

  • NPU codes are the most used codes in Danmark to express analysis performed at the laboratory.
  • LOINC codes is an international Codsystem for health measurements, observations, and documents. LOINC codes are less stricted then NPU codes.
  • IEEE codes are internationaly codes for devices and can be used to express an original observation from a device.
  • SKS codes are classifications for use in documenting patients and healthcare services.SKS have a few observation codes in use, most are found in the ‘R’ Hierarchy - see e.g. https://medinfo.dk/sks/brows.php.
  • MedCom codes are Danish codes, that have been necessary in Danish interoperability projects through time and are used to express analysis performed at the laboratory.
  • SNOMED CT codes are the world’s most comprehensive clinical terminology.SNOMED CT is often used as a reference terminology, to give a common language of retrieval for data that have originally been defined or coded in some other way

Usage:

Formal Views of Profile Content

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

This structure is derived from DkCoreObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*DkCoreObservationMeasurements and simple assertions
... status S1..1coderegistered | partial | preliminary | final | corrected | cancelled | entered-in-error
Binding: MedComCoreObservationStatus (required)
... code S1..1CodeableConceptType of observation (code / type)
.... coding 0..*CodingCode defined by a terminology system
..... system S0..1uriIdentity of the terminology system
..... code S0..1codeSymbol in syntax defined by the system
.... coding:LOINC 0..1CodingLOINC code for the observation
..... system S1..1uriIdentity of the terminology system
..... code S1..1codeSymbol in syntax defined by the system
.... coding:SNOMEDCT 0..1CodingSNOMED CT code for the observation
..... system S1..1uriIdentity of the terminology system
..... code S1..1codeSymbol in syntax defined by the system
.... coding:NPU 0..1CodingNPU code for the observation. NPU codes are administred by the Danish Health Data Authority.
..... system S1..1uriIdentity of the terminology system
..... code S1..1codeSymbol in syntax defined by the system
.... coding:IEEE 0..1CodingIEEE code for the observation
..... system S1..1uriIdentity of the terminology system
..... code S1..1codeSymbol in syntax defined by the system
.... coding:MedCom 0..1CodingMedCom code for the observation. MedCom codes are administred by the MedCom.
..... system S1..1uriIdentity of the terminology system
..... code S1..1codeSymbol in syntax defined by the system
.... coding:SKS 0..1CodingSKS code for the observation
..... system S1..1uriIdentity of the terminology system
..... code S1..1codeSymbol in syntax defined by the system
... subject S1..1Reference(MedComCorePatient) {b}Who and/or what the observation is about
.... effective[x]:effectiveDateTime S0..1dateTimeThe date and time the sample was taken (Danish: prøvetegningstidspunkt).
... note S0..*AnnotationA comment on the individual result (Danish: Analysekommentar)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.statusrequiredMedComCoreObservationStatus
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*DkCoreObservationMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1coderegistered | partial | preliminary | final | corrected | cancelled | entered-in-error
Binding: MedComCoreObservationStatus (required)
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system SΣ0..1uriIdentity of the terminology system
...... code SΣ0..1codeSymbol in syntax defined by the system
..... coding:LOINC Σ0..1CodingLOINC code for the observation
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code SΣ1..1codeSymbol in syntax defined by the system
..... coding:SNOMEDCT Σ0..1CodingSNOMED CT code for the observation
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: https://www.snomed.org/
...... code SΣ1..1codeSymbol in syntax defined by the system
..... coding:NPU Σ0..1CodingNPU code for the observation. NPU codes are administred by the Danish Health Data Authority.
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.1
...... code SΣ1..1codeSymbol in syntax defined by the system
..... coding:IEEE Σ0..1CodingIEEE code for the observation
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
...... code SΣ1..1codeSymbol in syntax defined by the system
..... coding:MedCom Σ0..1CodingMedCom code for the observation. MedCom codes are administred by the MedCom.
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: https://terminology.medcom.dk/fhir/observation-code
...... code SΣ1..1codeSymbol in syntax defined by the system
..... coding:SKS Σ0..1CodingSKS code for the observation
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.4
...... code SΣ1..1codeSymbol in syntax defined by the system
... subject SΣ1..1Reference(MedComCorePatient) {b}Who and/or what the observation is about
... Slices for effective[x] Σ0..1Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
.... effective[x]:effectiveDateTime SΣ0..1dateTimeThe date and time the sample was taken (Danish: prøvetegningstidspunkt).
... Slices for value[x] ΣC0..1Actual result
Slice: Unordered, Open by type:$this
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
.... value[x]:valueQuantity ΣC0..1QuantityActual result
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

... note S0..*AnnotationA comment on the individual result (Danish: Analysekommentar)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.statusrequiredMedComCoreObservationStatus
Observation.codeexampleLOINCCodes (a valid code from LOINC)
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator

Constraints

IdGradePath(s)DetailsRequirements
dk-core-observation-mandatory-unitserrorObservationIf 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-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*DkCoreObservationMeasurements and simple assertions
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1coderegistered | partial | preliminary | final | corrected | cancelled | entered-in-error
Binding: MedComCoreObservationStatus (required)
... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ1..1CodeableConceptType of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ0..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:LOINC Σ0..1CodingLOINC code for the observation
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:SNOMEDCT Σ0..1CodingSNOMED CT code for the observation
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: https://www.snomed.org/
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:NPU Σ0..1CodingNPU code for the observation. NPU codes are administred by the Danish Health Data Authority.
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.1
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:IEEE Σ0..1CodingIEEE code for the observation
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:MedCom Σ0..1CodingMedCom code for the observation. MedCom codes are administred by the MedCom.
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: https://terminology.medcom.dk/fhir/observation-code
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:SKS Σ0..1CodingSKS code for the observation
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.4
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(MedComCorePatient) {b}Who and/or what the observation is about
... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... Slices for effective[x] Σ0..1Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
.... effective[x]:effectiveDateTime SΣ0..1dateTimeThe date and time the sample was taken (Danish: prøvetegningstidspunkt).
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Danish Core Practitioner Profile | Danish Core Organization Profile | Danish Core Patient Profile | PractitionerRole | CareTeam | RelatedPerson)Who is responsible for the observation
... Slices for value[x] ΣC0..1Actual result
Slice: Unordered, Open by type:$this
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
.... value[x]:valueQuantity ΣC0..1QuantityActual result
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ0..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit Σ0..1stringUnit representation
..... system ΣC0..1uriSystem that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code Σ0..1codeCoded form of the unit
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note S0..*AnnotationA comment on the individual result (Danish: Analysekommentar)
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:SCTCode Σ0..1CodingCode defined by a terminology system
Binding: TechniqesSCTCodes (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(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 C0..*BackboneElementProvides guide for interpretation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... component Σ0..*BackboneElementComponent results
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:LOINC Σ0..1CodingLOINC code for the observation
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:SNOMEDCT Σ0..1CodingSNOMED CT code for the observation
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: https://www.snomed.org/
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:NPU Σ0..1CodingNPU code for the observation. NPU codes are administred by the Danish Health Data Authority.
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.1
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:IEEE Σ0..1CodingIEEE code for the observation
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:MedCom Σ0..1CodingMedCom code for the observation. MedCom codes are administred by the MedCom.
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: https://terminology.medcom.dk/fhir/observation-code
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... coding:SKS Σ0..1CodingSKS code for the observation.
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.4
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... Slices for value[x] Σ0..1Actual component result
Slice: Unordered, Open by type:$this
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
..... value[x]:valueQuantity Σ0..1QuantityActual component result
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ0..1decimalNumerical value (with implicit precision)
...... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

...... unit Σ0..1stringUnit representation
...... system ΣC0..1uriSystem that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ0..1codeCoded form of the unit
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredMedComCoreObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.codeexampleLOINCCodes (a valid code from LOINC)
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.method.coding:SCTCoderequiredTechniqesSCTCodes
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes

Constraints

IdGradePath(s)DetailsRequirements
dk-core-observation-mandatory-unitserrorObservationIf 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-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

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:

  • The element Observation.effective[x] is sliced based on the value of type:$this

Differential View

This structure is derived from DkCoreObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*DkCoreObservationMeasurements and simple assertions
... status S1..1coderegistered | partial | preliminary | final | corrected | cancelled | entered-in-error
Binding: MedComCoreObservationStatus (required)
... code S1..1CodeableConceptType of observation (code / type)
.... coding 0..*CodingCode defined by a terminology system
..... system S0..1uriIdentity of the terminology system
..... code S0..1codeSymbol in syntax defined by the system
.... coding:LOINC 0..1CodingLOINC code for the observation
..... system S1..1uriIdentity of the terminology system
..... code S1..1codeSymbol in syntax defined by the system
.... coding:SNOMEDCT 0..1CodingSNOMED CT code for the observation
..... system S1..1uriIdentity of the terminology system
..... code S1..1codeSymbol in syntax defined by the system
.... coding:NPU 0..1CodingNPU code for the observation. NPU codes are administred by the Danish Health Data Authority.
..... system S1..1uriIdentity of the terminology system
..... code S1..1codeSymbol in syntax defined by the system
.... coding:IEEE 0..1CodingIEEE code for the observation
..... system S1..1uriIdentity of the terminology system
..... code S1..1codeSymbol in syntax defined by the system
.... coding:MedCom 0..1CodingMedCom code for the observation. MedCom codes are administred by the MedCom.
..... system S1..1uriIdentity of the terminology system
..... code S1..1codeSymbol in syntax defined by the system
.... coding:SKS 0..1CodingSKS code for the observation
..... system S1..1uriIdentity of the terminology system
..... code S1..1codeSymbol in syntax defined by the system
... subject S1..1Reference(MedComCorePatient) {b}Who and/or what the observation is about
.... effective[x]:effectiveDateTime S0..1dateTimeThe date and time the sample was taken (Danish: prøvetegningstidspunkt).
... note S0..*AnnotationA comment on the individual result (Danish: Analysekommentar)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.statusrequiredMedComCoreObservationStatus

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*DkCoreObservationMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1coderegistered | partial | preliminary | final | corrected | cancelled | entered-in-error
Binding: MedComCoreObservationStatus (required)
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system SΣ0..1uriIdentity of the terminology system
...... code SΣ0..1codeSymbol in syntax defined by the system
..... coding:LOINC Σ0..1CodingLOINC code for the observation
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code SΣ1..1codeSymbol in syntax defined by the system
..... coding:SNOMEDCT Σ0..1CodingSNOMED CT code for the observation
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: https://www.snomed.org/
...... code SΣ1..1codeSymbol in syntax defined by the system
..... coding:NPU Σ0..1CodingNPU code for the observation. NPU codes are administred by the Danish Health Data Authority.
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.1
...... code SΣ1..1codeSymbol in syntax defined by the system
..... coding:IEEE Σ0..1CodingIEEE code for the observation
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
...... code SΣ1..1codeSymbol in syntax defined by the system
..... coding:MedCom Σ0..1CodingMedCom code for the observation. MedCom codes are administred by the MedCom.
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: https://terminology.medcom.dk/fhir/observation-code
...... code SΣ1..1codeSymbol in syntax defined by the system
..... coding:SKS Σ0..1CodingSKS code for the observation
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.4
...... code SΣ1..1codeSymbol in syntax defined by the system
... subject SΣ1..1Reference(MedComCorePatient) {b}Who and/or what the observation is about
... Slices for effective[x] Σ0..1Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
.... effective[x]:effectiveDateTime SΣ0..1dateTimeThe date and time the sample was taken (Danish: prøvetegningstidspunkt).
... Slices for value[x] ΣC0..1Actual result
Slice: Unordered, Open by type:$this
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
.... value[x]:valueQuantity ΣC0..1QuantityActual result
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

... note S0..*AnnotationA comment on the individual result (Danish: Analysekommentar)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.statusrequiredMedComCoreObservationStatus
Observation.codeexampleLOINCCodes (a valid code from LOINC)
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator

Constraints

IdGradePath(s)DetailsRequirements
dk-core-observation-mandatory-unitserrorObservationIf 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-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*DkCoreObservationMeasurements and simple assertions
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1coderegistered | partial | preliminary | final | corrected | cancelled | entered-in-error
Binding: MedComCoreObservationStatus (required)
... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ1..1CodeableConceptType of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ0..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:LOINC Σ0..1CodingLOINC code for the observation
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:SNOMEDCT Σ0..1CodingSNOMED CT code for the observation
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: https://www.snomed.org/
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:NPU Σ0..1CodingNPU code for the observation. NPU codes are administred by the Danish Health Data Authority.
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.1
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:IEEE Σ0..1CodingIEEE code for the observation
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:MedCom Σ0..1CodingMedCom code for the observation. MedCom codes are administred by the MedCom.
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: https://terminology.medcom.dk/fhir/observation-code
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected