MET by Standard RMR profile

Finnish PHR profile for FHIR® Observation used in measurements of MET by Standard Resting Metabolic Rate.

The profile is based on the Finnish PHR Fitness 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 himself 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 MET by Standard RMR Profile constrains the Finnish PHR Fitness Base Profile as follows:

Mandatory elements for Finnish PHR MET by standard RMR

Mandatory elements table for in MET Standard RMR
Content Name in structure Description / Type of information
Code for MET by Standard RMR code A MET by Standard RMR observation SHALL have the code 82260-1 MET by standard RMR panel from the LOINC code system.
Actual result component Slice standard-rmr SHALL be used with code 82284-1 Standard RMR from the LOINC code system and the value SHALL always be provided with the unit of measurement ml/kg/min.
In addition at least one of the following three combinations SHALL be used:
1. Measured-met slice SHALL have code 82261-9 Measured activity metabolic rate/Standard RMR from the LOINC code system and the value SHALL always be provided with the unit of measurement MET
2. Estimated-met slice SHALL have code 82262-7 Estimated activity metabolic rate/Standard RMR [Relative energy/Time] from the LOINC code system and the value SHALL always be provided with the unit of measurement MET. In addition code 82280-9 Source used to estimate activity metabolic rate from the LOINC code system SHOULD be used.
3. Reported-met slice SHALL have code 82263-5 Reported activity metabolic rate/Standard RMR [Relative energy/Time] from the LOINC code system and the value SHALL always be provided with the unit of measurement MET. In addition code 82281-7 Source used for reported activity metabolic rate from the LOINC code system SHOULD be used.

In addition slice adjusted-met MAY be used with code 82271-8 Activity metabolic rate/Standard resting metabolic rate [Relative Energy/Time] adjusted for age+sex+race+BMI 1 minute mean Estimated from the LOINC code system and the value SHALL always be provided with the unit of measurement MET. If the slice adjusted-met is used, adjusted-source slice SHOULD be used with code 82283-3 Source used to adjust activity MET from the LOINC code system.

Elements not in use for Finnish PHR MET by Standard RMR Profile

  • value[x]
  • interpretation
  • referenceRange

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> or <Observation.effectiveTimePeriod>
  • Result: <Observation.component[0].code.coding.display>(<Observation.component[0].code.coding.code>): <Observation.component[0].valueCodeableConcept.coding.display> etc.

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

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

Example:

Code: Exercise tracking (55409-7)
Time: 26.11.2019
Result: Exercise activity (73985-4): Orienteering, Exercise duration (55411-3): 60 min, Exercise intensity (74008-4): Vigorous, Caloried burned (55421-2): 709 kcal

Examples from MET by Standard RMR profile