Einzelschrittparameter (Observation)

ParkinsonGo weißt für jeden einzelnen Schritt einen Satz an Schrittparametern aus, diese werden als Komponenten eines Observation Profils exportiert. Zusätzlich muss ein Zeitstempel (effective), ein subject und eine bodySite (linker oder rechter Fuß) angebene werden:

identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusS Σ ?!1..1codeBinding
codingS Σ1..1Coding
textΣ0..1string
codeΣ1..1CodeableConcept
referenceS Σ I1..1string
typeΣ0..1uriBinding
identifierΣ0..1Identifier
displayΣ0..1string
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
valueQuantityS Σ I0..0Quantity
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
systemΣ0..1uri
versionΣ0..1string
codeΣ0..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
method0..1CodeableConcept
specimenI0..1Reference(Specimen)
deviceI0..1Reference(Device | DeviceMetric)
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
codeΣ1..1CodeableConcept
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id1..1System.String
codeΣ1..1CodeableConcept
valueS Σ1..1decimal
comparatorΣ ?!0..1codeBinding
unitS Σ1..1string
systemS Σ I1..1uri
codeS Σ1..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id1..1System.String
codeΣ1..1CodeableConcept
valueS Σ1..1decimal
comparatorΣ ?!0..1codeBinding
unitS Σ1..1string
systemS Σ I1..1uri
codeS Σ1..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id1..1System.String
codeΣ1..1CodeableConcept
valueS Σ1..1decimal
comparatorΣ ?!0..1codeBinding
unitS Σ1..1string
systemS Σ I1..1uri
codeS Σ1..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)

Beispiel in XML

<Observation xmlns="http://hl7.org/fhir">
    <id value="PHCTSingleStrideObservationExample1" />
    <meta>
        <profile value="https://portabiles-hct.de/fhir/parkinson-go-export/StructureDefinition/PHCTSingleStrideObservation" />
    </meta>
    <status value="final" />
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="activity" />
            <display value="Activity" />
        </coding>
    </category>
    <code>
        <coding>
            <system value="http://loinc.org" />
            <code value="32433-5" />
        </coding>
    </code>
    <subject>
        <reference value="Patient/PHCTPatientExample" />
    </subject>
    <effectiveDateTime value="2021-09-22T16:28:21+02:00" />
    <bodySite>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="239919000" />
        </coding>
    </bodySite>
    <component id="Stride Length [cm]">
        <code>
            <coding>
                <system value="https://portabiles-hct.de/fhir/parkinson-go-export/CodeSystem/gait-parameter-codes" />
                <code value="strideLength_cm" />
            </coding>
        </code>
        <valueQuantity>
            <value value="120" />
            <unit value="cm" />
            <system value="http://unitsofmeasure.org" />
            <code value="cm" />
        </valueQuantity>
    </component>
    <component id="Gait Speed [m/s]">
        <code>
            <coding>
                <system value="https://portabiles-hct.de/fhir/parkinson-go-export/CodeSystem/gait-parameter-codes" />
                <code value="gaitSpeed_ms" />
            </coding>
        </code>
        <valueQuantity>
            <value value="1.1" />
            <unit value="m/s" />
            <system value="http://unitsofmeasure.org" />
            <code value="m/s" />
        </valueQuantity>
    </component>
    <component id="Heel Strike Angle [deg]">
        <code>
            <coding>
                <system value="https://portabiles-hct.de/fhir/parkinson-go-export/CodeSystem/gait-parameter-codes" />
                <code value="hsAngle_deg" />
            </coding>
        </code>
        <valueQuantity>
            <value value="20" />
            <unit value="deg" />
            <system value="http://unitsofmeasure.org" />
            <code value="deg" />
        </valueQuantity>
    </component>
</Observation>

Beispiel in JSON

{
    "resourceType": "Observation",
    "id": "PHCTSingleStrideObservationExample1",
    "meta": {
        "profile":  [
            "https://portabiles-hct.de/fhir/parkinson-go-export/StructureDefinition/PHCTSingleStrideObservation"
        ]
    },
    "status": "final",
    "code": {
        "coding":  [
            {
                "code": "32433-5",
                "system": "http://loinc.org"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "activity",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "display": "Activity"
                }
            ]
        }
    ],
    "component":  [
        {
            "id": "Stride Length [cm]",
            "code": {
                "coding":  [
                    {
                        "code": "strideLength_cm",
                        "system": "https://portabiles-hct.de/fhir/parkinson-go-export/CodeSystem/gait-parameter-codes"
                    }
                ]
            },
            "valueQuantity": {
                "unit": "cm",
                "system": "http://unitsofmeasure.org",
                "code": "cm",
                "value": 120
            }
        },
        {
            "id": "Gait Speed [m/s]",
            "code": {
                "coding":  [
                    {
                        "code": "gaitSpeed_ms",
                        "system": "https://portabiles-hct.de/fhir/parkinson-go-export/CodeSystem/gait-parameter-codes"
                    }
                ]
            },
            "valueQuantity": {
                "unit": "m/s",
                "system": "http://unitsofmeasure.org",
                "code": "m/s",
                "value": 1.1
            }
        },
        {
            "id": "Heel Strike Angle [deg]",
            "code": {
                "coding":  [
                    {
                        "code": "hsAngle_deg",
                        "system": "https://portabiles-hct.de/fhir/parkinson-go-export/CodeSystem/gait-parameter-codes"
                    }
                ]
            },
            "valueQuantity": {
                "unit": "deg",
                "system": "http://unitsofmeasure.org",
                "code": "deg",
                "value": 20
            }
        }
    ],
    "subject": {
        "reference": "Patient/PHCTPatientExample"
    },
    "effectiveDateTime": "2021-09-22T16:28:21+02:00",
    "bodySite": {
        "coding":  [
            {
                "code": "239919000",
                "system": "http://snomed.info/sct"
            }
        ]
    }
}