Finnish PHR Spirometry Breath Profile

The profile is based on the Finnish PHR Vital Signs Base profile UPDATED LINKKI KORJATTAVA. This profile alone does not describe all the elements needed and most of the elements are visible only in base profile. This profile describes changes to the base profile and the implementers must also familiarize themself with the base profile.

A full list of the extensions, constraints and a structured definition of this profile can be found in Simplifier. There are also different views of the profile (details, mappings, table, XML, JSON).

The Finnish PHR Spirometry Breath profile constrains the Finnish PHR Vital Signs Base Profile as follows:

Mandatory elements for Finnish PHR Spirometry Breath

Observation subject and performer has to reference to FinnishPatient.

Mandatory elements table for Finnish PHR Spirometry Breath profile
Content Name in structure Description / Type of information
Code for Spirometry Breath code Spirometry Breath SHALL have the code 11891009 Breath from the Snomed code system. Read more about the Snomed code system.

Optional elements for Finnish PHR Spirometry Breath

Optional elements table for Finnish PHR Spirometry Breath profile
Content Name in structure Description / Type of information
Reference to result hasMember Reference to spirometry result profile. Read more about the result profile.
Breath number extension:breathNumber Breath number identifies the breath. "Finnish PHR Spirometry Measurement" profile stores information about breath order and refers to this number.
Breath type extension:breathType Breath number identifies the breath. "Finnish PHR Spirometry Measurement" profile stores information about breath order and refers to this number. Codes for the extension SHALL be from Finnish PHR breathTypeValueSet. Read more about the valueset.
Breath quality extension:breathQuality In case of quality problem (choices: early termination, lazy blow, hesitation, coughing), code is shown for type of quality problem. Codes for the extension SHALL be from finnish PHR breath quality valueset. Read more about the valueset.

Elements not in use for Finnish PHR Spirometry Breath

  • valueQuantity
  • dataAbsentReason
  • referenceRange
  • derivedFrom
  • component

Elements in the Spirometry Breath profile filled by the Kanta PHR platform

Elements in the Finnish PHR Spirometry Breath profile filled by the Kanta PHR platform
Content Name in structure Description / Type of information
Application that created or updated the resource extension:
creatingApplication

Is used to represent information about the application (id and name) that created or updated the resource. See the definition for the Finnish PHR Application Information extension.

Kanta PHR platform will fill in this data automatically to each stored resource (if the application has entered some data in this extension, it will be overwitten).

Narrative guide

Narrative SHALL contain following mandatory information taken from the elements of the resource instance:

  • Code: <Observation.code.coding.display> (<Observation.code.coding.code>)
  • Time: <Observation.effective[ x ]>
  • Result: results are stored in the referenced Result resource

  • Breath type: <extension:breathType.value[ x ].coding.display> (<extension:breathType.value[ x ].coding.code>)
  • Breath quality: <extension:breathQuality.value[1].coding.code>

Narrative MAY contain following optional information taken from elemts of the resource:



Narrative example:

* Code: Breath (11891009)
* Time: 2020-04-27 12:00
* Result: results are stored in the referenced Result resource

* Breath type: Expiration (observable entity) (58322009)
* Breath quality: Cough (49727002), Early termination (early-termination)

If element is missing from resource, it shall not be mentioned in narrative.

Examples of FinnishPHR Spirometry Breath