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| [IG] | ||
| ig = fsh-generated/resources/ImplementationGuide-hl7.fhir.dk.core.json | ||
| template = https://github.com/hl7dk/dk-ig-template | ||
| ;template = fhir.base.template#current |
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| Profile: DkCoreBasicObservation | ||
| Parent: dk-core-observation | ||
| Id: dk-core-basic-observation | ||
| Title: "Danish Core Basic Observation Profile" | ||
| Description: "HL7 Denmark core profile for basic observations, which is a profiling of DkCoreObservation." | ||
| * category 1..1 | ||
| * category = $observation-category#vital-signs | ||
| * code.coding[LOINC] 1.. | ||
| * code.coding[LOINC] from LoincBasicObservation (extensible) | ||
| * code.coding[SNOMEDCT] from SCTBasicObservation (extensible) | ||
| * code.coding[NPU] from NPUBasicObservation (extensible) | ||
| * code.coding[IEEE] from IEEEBasicObservation (extensible) | ||
| * valueQuantity.system from UCUMBasicUnits (extensible) | ||
| * component.valueQuantity.system from UCUMBasicUnits (extensible) | ||
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| Instance: ObservationRespiratoryBasicObservation | ||
| InstanceOf: DkCoreBasicObservation | ||
| Title: "John's Respiratory rate measurement (Basic observation)" | ||
| Description: "A simple basic observation of a hyperventilating patient" | ||
| Usage: #example | ||
| * category = $observation-category#vital-signs | ||
| * status = #final | ||
| * code.coding[LOINC] = $LOINC#9279-1 "Respiratory rate" | ||
| * valueQuantity.value = 50 | ||
| * valueQuantity.code = #/min | ||
| * valueQuantity.system = $ucum | ||
| * valueQuantity.unit = "/min" | ||
| * effectiveDateTime = 2023-11-20T18:00:00+01:00 | ||
| * subject = Reference(john) | ||
| * performer = Reference(AbrahamLaege) | ||
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| Instance: ObservationOxySatBasicObservationOrg | ||
| InstanceOf: DkCoreBasicObservation | ||
| Title: "John's oxygen saturation measurement (Basic observation)" | ||
| Usage: #example | ||
| * category = $observation-category#vital-signs | ||
| * status = #final | ||
| * code.coding[LOINC] = $LOINC#2708-6 "Oxygen saturation in Arterial blood" | ||
| * code.coding[IEEE] = $IEEEx73#150456 "MDC_PULS_OXIM_SAT_O2" | ||
| * valueQuantity.value = 97.0 | ||
| * valueQuantity.code = #% | ||
| * valueQuantity.system = $ucum | ||
| * valueQuantity.unit = "%" | ||
| * effectiveDateTime = 2023-11-01T12:00:00+01:00 | ||
| * subject = Reference(john) | ||
| * performer = Reference(AbrahamLaege) | ||
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| Instance: ObservationOxySatObservation | ||
| InstanceOf: DkCoreObservation | ||
| Title: "John's oxygen saturation measurement (Observation)" | ||
| Description: """ | ||
| This example suggests a way to handle the oxygen saturation case, where the original measurement | ||
| was reported in '%' by a device or typed in manually, and then 'translated' to the NPU system, | ||
| which requires the value to be unitless. | ||
| """ | ||
| Usage: #example | ||
| * category = $observation-category#vital-signs | ||
| * status = #final | ||
| * code.coding[NPU] = $NPU#NPU27280 "Hb(Fe; O₂-bind.;aB)—Oxygen(O₂); sat.(Pulse oximetry) = ?" | ||
| * valueQuantity.value = 0.97 | ||
| * valueQuantity.code = #1 | ||
| * valueQuantity.system = $ucum | ||
| * subject = Reference(john) | ||
| * performer = Reference(AbrahamLaege) | ||
| * effectiveDateTime = 2023-11-01T12:00:00+01:00 | ||
| * contained[0] = ObservationOxySatBasicObservationOrg | ||
| * derivedFrom = Reference(ObservationOxySatBasicObservationOrg) | ||
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| /* ************** | ||
| * | ||
| * TOBS example | ||
| * | ||
| * ************** */ | ||
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| Instance: ElseConsciousness | ||
| InstanceOf: DkCoreObservation | ||
| Usage: #example | ||
| * status = #final | ||
| * code = $sct#6942003 | ||
| * subject = Reference(else) | ||
| * valueCodeableConcept.coding[+] = $sct#450847001 | ||
| * method = $sct#733985002 "Reported (qualifier value)" | ||
| * effectiveDateTime = "2023-09-12T17:45:00.000Z" | ||
| * performer = Reference(SidselSygeplejerske) | ||
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| Instance: ElseBloodPressure | ||
| InstanceOf: DkCoreBasicObservation | ||
| Usage: #example | ||
| * status = #final | ||
| * category = $observation-category#vital-signs | ||
| * code.coding[SNOMEDCT] = $sct#75367002 | ||
| * code.coding[LOINC] = $LOINC#85354-9 | ||
| * subject = Reference(else) | ||
| * component[0].code.coding[LOINC] = $LOINC#8480-6 | ||
| * component[=].code.coding[SNOMEDCT] = $sct#407554009 | ||
| * component[=].valueQuantity = 147 'mm[Hg]' "mmHg" | ||
| * component[+].code.coding[LOINC] = $LOINC#8462-4 | ||
| * component[=].code.coding[SNOMEDCT] = $sct#407555005 | ||
| * component[=].valueQuantity = 95 'mm[Hg]' "mmHg" | ||
| * method = $sct#272391002 "Measurement technique (qualifier value)" | ||
| * effectiveDateTime = "2023-09-12T17:45:00.000Z" | ||
| * performer = Reference(SidselSygeplejerske) | ||
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| Instance: ElseBodyTemperature | ||
| InstanceOf: DkCoreBasicObservation | ||
| Usage: #example | ||
| * status = #final | ||
| * category = $observation-category#vital-signs | ||
| * code.coding[SNOMEDCT] = $sct#276885007 | ||
| * code.coding[LOINC] = $LOINC#8310-5 | ||
| * subject = Reference(else) | ||
| * method = $sct#272391002 "Measurement technique (qualifier value)" | ||
| * effectiveDateTime = "2023-09-12T17:45:00.000Z" | ||
| * valueQuantity = 38.7 'Cel' "grader celcius" | ||
| * performer = Reference(SidselSygeplejerske) | ||
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| Instance: ElseHeartRate | ||
| InstanceOf: DkCoreBasicObservation | ||
| Usage: #example | ||
| * status = #final | ||
| * category = $observation-category#vital-signs | ||
| * code.coding[SNOMEDCT] = $sct#364075005 | ||
| * code.coding[LOINC] = $LOINC#8867-4 | ||
| * subject = Reference(else) | ||
| * method = $sct#272391002 "Measurement technique (qualifier value)" | ||
| * effectiveDateTime = "2023-09-12T17:45:00.000Z" | ||
| * valueQuantity = 92 '/min' "slag/minut" | ||
| * performer = Reference(SidselSygeplejerske) | ||
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| Instance: ElseRespirationRate | ||
| InstanceOf: DkCoreBasicObservation | ||
| Usage: #example | ||
| * status = #final | ||
| * category = $observation-category#vital-signs | ||
| * code.coding[SNOMEDCT] = $sct#86290005 | ||
| * code.coding[LOINC] = $LOINC#9279-1 | ||
| * subject = Reference(else) | ||
| * method = $sct#272391002 "Measurement technique (qualifier value)" | ||
| * effectiveDateTime = "2023-09-12T17:45:00.000Z" | ||
| * valueQuantity = 19 '/min' "/min" | ||
| * performer = Reference(SidselSygeplejerske) | ||
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| Instance: ElsesTOBSscore | ||
| InstanceOf: DkCoreObservation | ||
| Usage: #example | ||
| * status = #final | ||
| * code.coding = $Medcom#MCS88125 "Pt—Tidlig Opsporing af Begyndende Sygdom (TOBS) score; antal (værdi 0-15) = ?" | ||
| * subject = Reference(else) | ||
| * effectiveDateTime = "2023-09-12T17:45:00.000Z" | ||
| * valueQuantity.value = 3 | ||
| * valueQuantity.code = #1 | ||
| * valueQuantity.system = $ucum | ||
| * performer = Reference(SidselSygeplejerske) | ||
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| Instance: ElsesTOBS | ||
| InstanceOf: Bundle | ||
| Title: "Else's TOBS measurements" | ||
| Description: "An example of TOBS (Danish: Tidlig opsporing af begyndende sygdom), which includes level of consciousness, heart rate, respiration rate, blood pressure and temperature." | ||
| Usage: #example | ||
| * type = #collection | ||
| * timestamp = "2023-09-12T17:45:00.000Z" | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Patient/else" | ||
| * entry[=].resource = else | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Observation/ElseConsciousness" | ||
| * entry[=].resource = ElseConsciousness | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Observation/ElseBloodPressure" | ||
| * entry[=].resource = ElseBloodPressure | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Observation/ElseBodyTemperature" | ||
| * entry[=].resource = ElseBodyTemperature | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Observation/ElseHeartRate" | ||
| * entry[=].resource = ElseHeartRate | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Observation/ElseRespirationRate" | ||
| * entry[=].resource = ElseRespirationRate | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Observation/ElsesTOBSscore" | ||
| * entry[=].resource = ElsesTOBSscore | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Practitioner/SidselSygeplejerske" | ||
| * entry[=].resource = SidselSygeplejerske | ||
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| /* ************** | ||
| * | ||
| * TOKS eksempel inkl. GCS | ||
| * | ||
| * ************** */ | ||
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| Instance: MaxConsciousness | ||
| InstanceOf: DkCoreObservation | ||
| Usage: #example | ||
| * status = #final | ||
| * category = $observation-category#vital-signs | ||
| * code.coding[0] = $sct#6942003 | ||
| * code.coding[LOINC] = $LOINC#80288-4 | ||
| * subject = Reference(Max) | ||
| * valueCodeableConcept.coding = $sct#450847001 | ||
| * method = $sct#733985002 "Reported (qualifier value)" | ||
| * effectiveDateTime = "2023-08-08T13:30:00.000Z" | ||
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| Instance: MaxRespirationRate | ||
| InstanceOf: DkCoreBasicObservation | ||
| Usage: #example | ||
| * status = #final | ||
| * code.coding[SNOMEDCT] = $sct#86290005 | ||
| * code.coding[LOINC] = $LOINC#9279-1 | ||
| * subject = Reference(Max) | ||
| * method = $sct#272391002 "Measurement technique (qualifier value)" | ||
| * effectiveDateTime = "2023-08-08T13:30:00.000Z" | ||
| * valueQuantity = 13 '/min' "/min" | ||
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| Instance: MaxHeartRate | ||
| InstanceOf: DkCoreBasicObservation | ||
| Usage: #example | ||
| * status = #final | ||
| * category = $observation-category#vital-signs | ||
| * code.coding[SKS] = $SKS#ZZ3140 | ||
| * code.coding[LOINC] = $LOINC#8867-4 | ||
| * subject = Reference(Max) | ||
| * effectiveDateTime = "2023-08-08T13:30:00.000Z" | ||
| * method = $sct#272391002 "Measurement technique (qualifier value)" | ||
| * valueQuantity = 68 '/min' "slag/minut" | ||
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| Instance: MaxBodyTemperature | ||
| InstanceOf: DkCoreBasicObservation | ||
| Usage: #example | ||
| * status = #final | ||
| * category = $observation-category#vital-signs | ||
| * code.coding[SKS] = $SKS#ZZ0253 | ||
| * code.coding[LOINC] = $LOINC#8310-5 | ||
| * subject = Reference(Max) | ||
| * effectiveDateTime = "2023-08-08T13:30:00.000Z" | ||
| * method = $sct#272391002 "Measurement technique (qualifier value)" | ||
| * valueQuantity = 37 'Cel' "grader celcius" | ||
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| Instance: MaxBloodPressure | ||
| InstanceOf: DkCoreBasicObservation | ||
| Usage: #example | ||
| * status = #final | ||
| * category = $observation-category#vital-signs | ||
| * code.coding[SKS] = $SKS#ZZ3160 | ||
| * code.coding[LOINC] = $LOINC#85354-9 | ||
| * subject = Reference(Max) | ||
| * effectiveDateTime = "2023-08-08T13:30:00.000Z" | ||
| * method = $sct#272391002 "Measurement technique (qualifier value)" | ||
| * component[0].code.coding[0] = $LOINC#8480-6 | ||
| * component[=].code.coding[+] = $sct#407554009 | ||
| * component[=].valueQuantity = 156 'mm[Hg]' "mmHg" | ||
| * component[+].code.coding[0] = $LOINC#8462-4 | ||
| * component[=].code.coding[+] = $sct#407555005 | ||
| * component[=].valueQuantity = 78 'mm[Hg]' "mmHg" | ||
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| Instance: MaxSaturation | ||
| InstanceOf: DkCoreBasicObservation | ||
| Usage: #example | ||
| * category = $observation-category#vital-signs | ||
| * status = #final | ||
| * code.coding[LOINC] = $LOINC#2708-6 "Oxygen saturation in Arterial blood" | ||
| * valueQuantity = 99.0 '%' "%" | ||
| * subject = Reference(Max) | ||
| * effectiveDateTime = "2023-08-08T13:30:00.000Z" | ||
| * method = $sct#272391002 "Measurement technique (qualifier value)" | ||
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| Instance: MaxGlasgowComaScale | ||
| InstanceOf: DkCoreObservation | ||
| Usage: #example | ||
| * status = #final | ||
| * code.coding[LOINC] = $LOINC#9269-2 | ||
| * code.coding[+] = $sct#248241002 | ||
| * subject = Reference(Max) | ||
| * valueQuantity = 13 '{score}' | ||
| * referenceRange[0].high = 8 '{score}' | ||
| * referenceRange[=].type.text = "Severe TBI" | ||
| * referenceRange[+].low = 9 '{score}' | ||
| * referenceRange[=].high = 12 '{score}' | ||
| * referenceRange[=].type.text = "Moderate TBI" | ||
| * referenceRange[+].low = 13 '{score}' | ||
| * referenceRange[=].type.text = "Mild TBI" | ||
| * effectiveDateTime = "2023-08-08T13:30:00.000Z" | ||
| * component[0].code = $LOINC#9268-4 "Glasgow coma score motor" | ||
| * component[=].valueCodeableConcept.coding = $LOINC#LA6566-9 "Localizing pain" | ||
| * component[+].code = $LOINC#9270-0 "Glasgow coma score verbal" | ||
| * component[=].valueCodeableConcept.coding = $LOINC#LA6560-2 "Confused" | ||
| * component[+].code = $LOINC#9267-6 "Glasgow coma score eye opening" | ||
| * component[=].valueCodeableConcept.coding = $LOINC#LA6556-0 "Eyes open spontaneously" | ||
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| Instance: MaxTOKS | ||
| InstanceOf: Bundle | ||
| Title: "Max TOKS measurements, including Glasgow Coma Scale assesment" | ||
| Description: "An example of TOBS (Danish: Tidlig opsporing af begyndende sygdom), which includes level of consciousness, heart rate, respiration rate, blood pressure and temperature." | ||
| Usage: #example | ||
| * type = #collection | ||
| * timestamp = "2023-08-08T13:30:00.000Z" | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Patient/Max" | ||
| * entry[=].resource = Max | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Observation/MaxConsciousness" | ||
| * entry[=].resource = MaxConsciousness | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Observation/MaxBloodPressure" | ||
| * entry[=].resource = MaxBloodPressure | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Observation/MaxBodyTemperature" | ||
| * entry[=].resource = MaxBodyTemperature | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Observation/MaxHeartRate" | ||
| * entry[=].resource = MaxHeartRate | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Observation/MaxRespirationRate" | ||
| * entry[=].resource = MaxRespirationRate | ||
| * entry[+].fullUrl = "http://hl7.dk/fhir/core/Observation/MaxGlasgowComaScale" | ||
| * entry[=].resource = MaxGlasgowComaScale | ||
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| /* ************** | ||
| * | ||
| * Vital signs panel | ||
| * | ||
| * ************** */ | ||
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| Instance: MaxVitalSignsPanel | ||
| InstanceOf: DkCoreBasicObservation | ||
| Usage: #example | ||
| * category = $observation-category#vital-signs | ||
| * status = #final | ||
| * code.coding[LOINC] = $LOINC#85353-1 "Vital signs, weight, height, head circumference, oxygen saturation and BMI panel" | ||
| * subject = Reference(Max) | ||
| * effectiveDateTime = "2023-08-08T13:30:00.000Z" | ||
| * hasMember[+] = Reference(MaxBloodPressure) | ||
| * hasMember[+] = Reference(MaxRespirationRate) | ||
| * hasMember[+] = Reference(MaxHeartRate) | ||
| * hasMember[+] = Reference(MaxBodyTemperature) |
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