Finnish PHR Peak Expiratory Flow profile

Finnish PHR profile for FHIR® Observation used in maximum expiratory gas flow respiratory system airway by peak flow meter measurements.

The profile is based on the Finnish PHR Vital Signs Base profile UPDATED. 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 Peak Expiratory Flow profile constrains the Finnish PHR Vital Signs Base Profile as follows:

Mandatory elements for Finnish PHR Peak Expiratory Flow

Mandatory elements table for Finnish PHR Peak Expiratory Flow profile
Content Name in structure Description / Type of information
Code for peak expiratory flow code A peak expiratory flow observation SHALL have the code 19935-6 Maximum expiratory gas flow Respiratory system airway by Peak flow meter from the LOINC code system.
Actual result valueQuantity The measured peak expiratory flow. SHALL always be provided with the unit of measurement L/min (as in litres per minute).

Optional elements for Finnish PHR Peak Expiratory Flow

Optional elements table for Finnish PHR Peak Expiratory Flow profile
Content Name in structure Description / Type of information
Medication use extension:
MedicationContext
Information about whether the measurement was done before or after using a medication, or if a medication is not in use.
Active symptoms extension:
activeSymptoms
Information about whether there were any active symptoms during the measurement.
- Value true = there were active symptoms.
- Value false = no active symptoms.
Comments about the result comment Any additional information related to the active symptoms may be given here.

Elements not in use for Finnish PHR Peak Expiratory Flow

  • dataAbsentReason
  • component

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.effectiveDateTime>
  • Result: <Observation.valueQuantity.value><Observation.valueQuantity.unit>

Narrative SHOULD contain following optional information if given in the resource instance:

  • MedicationContext: <Observation.extension:MedicationContext.valueCodeableConcept.coding.display > (<Observation.extension:MedicationContext.valueCodeableConcept.coding.code >)
  • Active Symptoms: <Observation.extension:activeSymptoms >
  • Interpretation: <Observation.interpretation.coding.display> (<Observation.interpretation.coding.code>)
  • Comment: <Observation.comment>
  • Method: <Observation.method>
  • Device: <Observation.device>
  • Reference range: <Observation.referenceRange>

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

Example:

Code: Maximum expiratory gas flow Respiratory system airway by Peak flow meter (19935-6)
Time: 18.9.2017 12:01
Result: 610 L/min
Medication context: After medication (2)
Active symptoms: true

Examples of Finnish PHR PEF resources in Simplifier