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Finnish PHR Vital Signs Profiles

Vital signs profiles define data contents of the vital signs measurements self-made by citizen.

All vital signs profiles defined in this Finnish PHR Implementation Guide constrain and extend FHIR® Observation resource. The FHIR Observation resource is not profiled directly. The Finnish PHR Vital Signs Profiles are based on the FHIR STU3 Vital Signs profile for the FHIR Observation resource.

Finnish PHR Vital Signs Base profile defines profiled elements used in all vital signs observations. This base profile can not be used as a resource instance, it is a base definition for other vital signs profiles.


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Finnish PHR Vital Signs Base profile

The Finnish PHR Vital Signs Base Profile UPDATED constrains and extends FHIR® Vital Signs STU3 profile for FHIR® Observation. This Finnish PHR profile defines profiled elements used in all other Finnish PHR profiles derived from this profile. This base profile can not be used as a resource instance, it is a base definition (abstract) for other Finnish PHR vital signs profiles.

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).

Mandatory elements for all Finnish PHR vital signs

Mandatory elements for all Finnish PHR vital signs
Content Name in structure Description / Type of information
Language language Language used in the observation stored in Kanta PHR.
Language SHALL be chosen from the FHIR languages ValueSet.
Narrative text A text summary of the observation. SHALL include all content for a human to understand the essential clinical and business information of the observation.

A narrative guide will be provided for each of the derived profiles.
Unique identifier identifier At least one globally unique identifier has to be provided for the observation, in addition other identifiers may be given as well.

This identifier may be used to uniquely identify the observation if the application doesn't receive an id for the observation provided by Kanta PHR.
Status status The status of the observation.
Only completed observations are stored in Kanta PHR, thus the status SHALL always be 'final' (from FHIR Observation Status ValueSet).
Category of the observation category Indicates to what category the observation belongs to.
All vital signs SHALL have the category 'vital-signs' (from FHIR Observation Category ValueSet).
Code of the observation code Determines what the observation is (ie. a measurement of blood pressure, blood glucose, height, etc.). Codes are allowed only from the LOINC code system, and all the allowed codes can be found in Finnish PHR Vital Signs ValueSet.

The exaxt code(s) to be used will be determined in the derived profile for each different kind of an observation.
Subject of the observation subject Who this observation is about. The reference SHALL be to a Patient resource stored in Kanta PHR (that conforms to the Finnish PHR Patient profile).
Time for the observation effectiveDateTime Clinically relevant time for the observation.

The precision of time will vary depending on what kind of an observation is in question. For example in some cases, the time for the observation may include the exact date and time when the observation was made. In other cases, only the date will be stored.
Storing date issued The date and time the observation was stored in Kanta PHR.
Who is responsible for the observation performer This may be the same as the subject, or this may be another person for example when someone is using Kanta PHR on behalf of the subject. The reference SHALL be to a Patient resource stored in Kanta PHR (that conforms to the Finnish PHR Patient profile).

Optional elements for all Finnish PHR vital signs

Optional elements table for all Finnish PHR vital signs
Content Name in structure Description / Type of information
Actual result value[x]/
component
Includes the observation result, for example in a height observation the actual measured height, or in a blood glucose observation the actual measured blood glucose level.
In some observations, the actual result has multiple components (for example a blood pressure measurement has a systolic and a diastolic value). In these kind of observations, the actual result is stored under the component structure.
Either the actual result or a reason for why the (structured) result is missing (see below) SHALL be provided.

The unit of measurement that SHALL be used will be determined in the derived profiles for each different kind of an observation.
A reason why the (structured) result is missing dataAbsentReason Indicates the reason why the (structured) result is missing. The code for the reason SHALL be from FHIR Observation Value Absent Reason ValueSet.

This might be used for example when a device or an application is for some reason unable to provide the result in a structured form and has to store it only in the Narrative.
Interpretation interpretation The assessment made based on the result of the observation, for example whether the result is normal or abnormal, or high or low. If a coding is provided, the code SHALL be from FHIR Observation Interpretation ValueSet.
Comments about the result comment May include for example statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result.
Reference range referenceRange A reference range may be given to provide guidance on how to interpret the value by comparison to a normal or recommended range.

Elements in the profile filled by the Kanta PHR platform

Table for elements in the profile filled by the Kanta PHR platform
Content Name in structure Description / Type of information
Application that created or updated the observation 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 observation (if the application has entered some data in this extension, it will be overwitten).


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Finnish PHR Blood Glucose profile

Finnish PHR profile for FHIR® Observation used in blood glucose measurements.

This profile is based on the Finnish PHR Vital Signs Base profile. This profile alone does not describe all the elements needed and most of the elements are visible only in the page of the base profile. This profile describes only the changes made 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 Blood Glucose Profile constrains the Finnish PHR Vital Signs Base Profile as follows:

Mandatory elements for Finnish PHR Blood Glucose

Mandatory elements table Finnish PHR Blood Glucose profile
Content Name in structure Description / Type of information
Code for blood glucose code All the codes are from the LOINC code system.
- Home glucometer readings SHALL have both of the codes 15074-8 Glucose (mmol/l) in Blood and 14743-9 Glucose (mmol/l) in Capillary blood by Glucometer.
- CGM readings SHALL have the code 14745-4 Glucose (mmol/l) in Body fluid.
- At least one code SHALL be given.

Optional elements for Finnish PHR Blood Glucose

Mandatory elements table Finnish PHR Blood Glucose profile
Content Name in structure Description / Type of information
Meal context extension:
hoursAfterMeal
Describes how many hours after meal the measurement is done. See the definition for Finnish PHR UnsignedInt extension.

Used when interpreting the result.
Actual result valueQuantity The measured blood glucose level.
SHALL always be provided with the unit of measurement mmol/l.

A comparator (< / <= / >= / > from the FHIR Quantity Comparator ValueSet) may be used, if the result is out of the device's measurement scale.
Actual result in an alternative unit valueQuantity.extension:
alternativeQuantity
The measured result with an alternative unit of measurement mg/dl.


Often devices used for measuring blood glucose levels provide the result with the unit of measurement mg/dl. This result may be stored in this extension, in addition to providing the result in the unit of measurement mmol/l as described above.
A comparator (< / <= / >= / > from the FHIR Quantity Comparator ValueSet) may be used, if the result is out of the device's measurement scale.
A reason why the (structured) result is missing dataAbsentReason If the measured result cannot be stored in the valueQuantity structure, the reason for that SHALL be provided here. Code SHALL be from FHIR Observation Value Absent Reason ValueSet.
- Code 'astext' SHALL be used when the result can still be presented in the Narrative.
- Code 'error' SHALL be used, if a device has been actively trying to measure the blood glucose, but has failed for some reason.
- No other codes are allowed.

Elements not in use for Finnish PHR Blood Glucose

  • 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>)< br>
    <Observation.code.coding.display> (<Observation.code.coding.code>)
  • Time: <Observation.effectiveDateTime>
  • Result: <Observation.valueQuantity.comparator><Observation.valueQuantity.value><Observation.valueQuantity.unit> NB! If the valueQuantity is missing and the code for dataAbsentReason is 'astext': the result SHALL be provided here in a human readable and understandable format. If the valueQuantity is missing and the code dataAbsentReason is 'error': <Observation.dataAbsentReason.coding.display>

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

  • Hours After Meal: <Observation.extension:hoursAfterMeal >
  • Interpretation: <Observation.interpretation.coding.display> (<Observation.interpretation.coding.code>)
  • Comment: <Observation.comment>
  • Method: <Observation.method>
  • Device: <Observation.device>
  • Reference range: <Observation.referenceRange.low.value> <Observation.referenceRange.high.value>

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

Narrative example:

Code: Glucose [mmol/l] in Blood (15074-8)
Glucose [mmol/l] in Capillary blood by Glucometer (14743-9)
Time: 18.9.2017 12:01
Result: 5,8 mmol/l
Hours After Meal: 2

Examples of Finnish PHR Blood Glucose resources in Simplifier


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Finnish PHR Blood Pressure profile

Finnish PHR profile for FHIR® Observation used in blood pressure 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 Blood Pressure profile constrains the Finnish PHR Vital Signs Base Profile as follows:

Mandatory elements for Finnish PHR Blood Pressure

Observation subject and performer has to reference to FinnishPatient.

Mandatory elements table for Finnish PHR Blood pressure profile
Content Name in structure Description / Type of information
Code for blood pressure code A blood pressure observation SHALL have the code 85354-9 Blood pressure panel with all children optional from the LOINC code system.
Actual result component The measured systolic and diastolic values of the blood pressure. The systolic value SHALL have the code 8480-6 Systolic blood pressure and the diastolic value the code 8462-4 Diastolic blood pressure from the LOINC code system . Both values SHALL be provided with the unit of measurement mm[Hg].

Elements not in use for Finnish PHR Blood Pressure

  • value[ x]
  • dataAbsentReason

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.component.code.coding.display>(<Observation.component.code.coding.code>) <Observation.component.valueQuantity.value><Observation.component.valueQuantity.unit> <Observation.component.code.coding.display>(<Observation.component.code.coding.code>) <Observation.component.valueQuantity.value><Observation.component.valueQuantity.unit>

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

  • Interpretation: <Observation.interpretation.coding.display> (<Observation.interpretation.coding.code>)
  • Comment: <Observation.comment>
  • Method: <Observation.method>
  • Device: <Observation.device>
  • Reference range: <Observation.component.referenceRange> per component

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

Example:

Code: Blood pressure (85354-9)
Time: 18.9.2017 12:01
Result: Systolic blood pressure (8480-6): 120 mm[Hg], Diastolic blood pressure (8462-4): 80  mm[Hg]

Examples of Finnish PHR Blood Pressure resources in Simplifier


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Finnish PHR Body Height profile

Finnish PHR profile for FHIR® Observation used in body height 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 Body Height profile constrains the Finnish PHR Vital Signs Base Profile as follows:

Mandatory elements for Finnish PHR Body Height

Mandatory elements table for Body Height profile
Content Name in structure Description / Type of information
Code for body height code A body height observation SHALL have the code 8302-2 Body height from the LOINC code system.
Actual result valueQuantity The measured body height. SHALL always be provided with the unit of measurement cm.

Elements not in use for Finnish Body Height

  • 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:

  • 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: Body height (8302-2)
Time: 18.9.2017 12:01
Result: 173 cm 

Examples of Finnish PHR Body Height resources in Simplifier


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Finnish PHR Body Temperature profile

Finnish PHR profile for FHIR® Observation used in body temperature 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 Body Temperature profile constrains the Finnish PHR Vital Signs Base Profile as follows:

Mandatory elements for Finnish PHR Body Temperature

Mandatory elements table for Finnish PHR Body Temperature profile
Content Name in structure Description / Type of information
Code for body temperature code All the codes are from the LOINC code system .
- A general code 8310-5 Body temperature SHALL always be given.
- In addition, one of the following optional codes MAY be given:
8331-1 Oral temperature
8332-9 Rectal temperature
76011-6 Ear temperature
8328-7 Axillary temperature.
Actual result valueQuantity The measured body temperature. SHALL always be provided with the unit of measurement Cel.

Elements not in use for Finnish PHR Body Temperature

  • 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>)< br>
    <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:

  • 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: Body temperature (8310-5)
Oral temperature (8331-1)
Time: 18.9.2017 12:01
Result: 38.7 Cel

Examples of Finnish PHR Body Temperature resources in Simplifier


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Finnish PHR Body Weight profile

Finnish PHR profile for FHIR® Observation used in body weight measurements.

The profile is based on the Finnish PHR Vital Signs Base profile. 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 Body Weight profile constrains the Finnish PHR Vital Signs Base Profile as follows:

Mandatory elements for Finnish PHR Body Weight

Mandatory elements table Finnish PHR Blood Glucose profile
Content Name in structure Description / Type of information
Code for body weight code A body weight observation SHALL have the code 29463-7 Body weight from the LOINC code system.
Actual result valueQuantity The measured body weight. SHALL always be provided with the unit of measurement kg.

Elements not in use for Finnish PHR Body Weight

  • 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:

  • 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: Body weight (29463-7)
Time: 18.9.2017 12:01
Result: 95 kg

Examples of Finnish PHR Body Weight resources in Simplifier


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Finnish PHR Body Weight profile UPDATED

UPDATE (not yet in production): Previously, only one unique identifier was allowed. In the future, other identifiers will be allowed as well, still at least one of the identifiers has to be globally unique.

Finnish PHR profile for FHIR® Observation used in body weight 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 Body Weight profile UPDATED constrains the Finnish PHR Vital Signs Base Profile UPDATED as follows:

Mandatory elements for Finnish PHR Body Weight

Mandatory elements table Finnish PHR Blood Glucose profile
Content Name in structure Description / Type of information
Code for body weight code A body weight observation SHALL have the code 29463-7 Body weight from the LOINC code system.
Actual result valueQuantity The measured body weight. SHALL always be provided with the unit of measurement kg.

Elements not in use for Finnish PHR Body Weight

  • 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:

  • 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: Body weight (29463-7)
Time: 18.9.2017 12:01
Result: 95 kg

Examples of Finnish PHR Body Weight resources in Simplifier

Finnish PHR Heart Rate profile

Finnish PHR profile for FHIR® Observation used in heart rate 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 Heart Rate profile constrains the Finnish PHR Vital Signs Base Profile as follows:

Mandatory elements for Finnish PHR Heart Rate

Mandatory elements table Finnish PHR Blood Glucose profile
Content Name in structure Description / Type of information
Code for heart rate code All the codes are from the LOINC code system .
- A general code 8867-4 Heart rate SHALL always be given.
- In addition, one of the following optional codes MAY be given:
41924-2 Heart rate 24 hour mean
8883-1 Heart rate 24 hour minimum
8873-2 Heart rate 24 hour maximum.
Actual result valueQuantity The measured heart rate. SHALL always be provided with the unit of measurement /min (as in beats in a minute).

Optional elements for Finnish PHR Heart Rate

Mandatory elements table Finnish PHR Blood Glucose profile
Content Name in structure Type of information
Information about rhythm regularity extension:
HeartRateRhytm
Information about whether the heart rate rhythm is regular or irregular.
- Value true = the rhythm is regular.
- Value false = the rhythm is irregular.

Elements not in use for Finnish PHR Heart Rate

  • 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:

  • Heart Rate Rhytm: <Observation.extension:HeartRateRhytm >
  • 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: Heart rate (8867-4)
Time: 18.9.2017 12:01
Result: 66 /min
Heart Rate Rhytm: regular

Examples of Finnish PHR Heart Rate resources in Simplifier


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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


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Finnish PHR Respiratory Rate profile

Finnish PHR profile for FHIR® Observation used in respiratory rate 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 Respiratory Rate profile constrains the Finnish PHR Vital Signs Base Profile as follows:

Mandatory elements for Finnish PHR Respiratory Rate

Mandatory elements table for Finnish PHR Respiratory Rate profile
Content Name in structure Description / Type of information
Code for respiratory rate code A respiratory rate observation SHALL have the code 9279-1 Respiratory rate from the LOINC code system.
Actual result valueQuantity The measured respiratory rate. SHALL always be provided with the unit of measurement /min (as in breaths per minute).

Elements not in use for Finnish PHR Respiratory Rate

  • 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:

  • Heart Rate Rhytm (regular): <Observation.extension: HeartRateRhytm>
  • 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: Respiratory rate (9279-1)
Time: 18.9.2017 12:01
Result: 15 /min 

Examples of Finnish PHR Respiratory Rate resources in Simplifier


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Finnish PHR Waist Circumference profile

Finnish PHR profile for FHIR® Observation used in waist circumference 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 Waist Circumference profile constrains the Finnish PHR Vital Signs Base Profile as follows:

Mandatory elements for Finnish PHR Waist Circumference

Mandatory elements table for Finnish PHR Waist Circumference
Content Name in structure Description / Type of information
Code for waist circumference code A waist circumference observation SHALL have the code 8280-0 Waist Circumference at umbilicus by Tape measure from the LOINC code system.
Actual result valueQuantity The measured waist circumference. SHALL always be provided with the unit of measurement cm.

Elements not in use for Finnish PHR Waist Circumference

  • 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:

  • Heart Rate Rhytm (regular): <Observation.extension :HeartRateRhytm>
  • 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: Waist Circumference at umbilicus by Tape measure (8280-0)
Time: 18.9.2017 12:01
Result 80 cm 

Examples of Finnish PHR Waist Circumference resources in Simplifier


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