MedCom HomeCareObservation
1.1.1-trial-use - release Denmark flag

This page is part of the The DK MedCom HomeCareObservation (v1.1.1-trial-use: Release 1.x.x Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: MedComHomeCareObservation ( Experimental )

Official URL: http://medcomfhir.dk/ig/homecareobservation/StructureDefinition/medcom-homecare-observation Version: 1.1.1-trial-use
Draft as of 2025-09-17 Computable Name: MedComHomeCareObservation

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

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MedComCoreObservation Measurements and simple assertions
Constraints: obs-6, obs-7, dk-core-observation-mandatory-units
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative A summary of the resource content. The narrative text shall always be included when exchanging a MedCom message. All MustSupport elements and extensions shall be included.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system SΣ 0..1 uri Identity of the terminology system
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... coding:LOINC Σ 0..1 Coding LOINC code for the observation
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... coding:SNOMEDCT Σ 0..1 Coding SNOMED CT code for the observation
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... coding:NPU Σ 0..1 Coding NPU code for the observation. NPU codes are administred by the Danish Health Data Authority.
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.1
...... code SΣ 1..1 code Symbol in syntax defined by the system
Binding: NPUObservationCodesValueSet (preferred)
...... display SΣ 0..1 string Representation defined by the system
..... coding:IEEE Σ 0..1 Coding IEEE code for the observation
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... coding:MedCom Σ 0..1 Coding MedCom code for the observation. MedCom codes are administred by the MedCom.
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-observation-codes
...... code SΣ 1..1 code Symbol in syntax defined by the system
Binding: MedComObservationValueSet (preferred)
...... display SΣ 0..1 string Representation defined by the system
..... coding:SKS Σ 0..1 Coding SKS code for the observation
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.208.176.2.4
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
... subject SΣ 1..1 Reference(MedComCorePatient) {b} Who and/or what the observation is about
... Slices for effective[x] Σ 0..1 Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime The date and time the sample was taken (Danish: prøvetegningstidspunkt).
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity SΣC 0..1 Quantity Actual result
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
Max Length:12
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
.... value[x]:valueString SΣC 0..1 string Actual result
Max Length:12
... interpretation S 0..1 CodeableConcept High, low, normal, etc.
Binding: MedComCoreInterpretationCodesValueset (2.0.0-draft) (required)
... note S 0..* Annotation A comment on the individual result (Danish: Analysekommentar)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredMedComCoreObservationStatus
http://medcomfhir.dk/ig/terminology/ValueSet/medcom-core-observation-status|2.0.0-draft
Observation.codeexampleLOINCCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.code.coding:NPU.codepreferredNPUObservationCodesValueSet
http://medcomfhir.dk/ig/terminology/ValueSet/npu-observation-codes-valueset
Observation.code.coding:MedCom.codepreferredMedComObservationValueSet
http://medcomfhir.dk/ig/terminology/ValueSet/medcom-observation-valueset
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.interpretationrequiredMedComCoreInterpretationCodesValueset
http://medcomfhir.dk/ig/terminology/ValueSet/medcom-core-interpreation-valueset|2.0.0-draft

Constraints

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

 

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