Finnish PHR

Finnish PHR Nutrition Base profile

Finnish PHR Nutrition Base Profile for FHIR® Observation 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 nutrition related 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).

Finnish PHR Nutrition base profile in Simplifier

Mandatory elements for all Finnish PHR Nutrition profiles

Mandatory elements table for Finnish PHR Nutrition Base profile
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. Read more about 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 the FHIR Observation Status ValueSet. Read more about the FHIR Observation Status ValueSet.
Category of the observation	category	Indicates to what category the observation belongs to. All nutrition related data SHALL have the category 'nutrition' from Finnish PHR Observation Category ValueSet. Read more about the Finnish PHR Observation Category ValueSet.
Code of the observation	code	Determines what the observation is (ie. calorie intake, macronutrient intake etc.). All the allowed codes can be found in Finnish PHR Macronutrients ValueSet. Read more about the Finnish PHR Macronutrients 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. Read more about the Finnish PHR Patient profile.
Time for the observation	effective[x]	Clinically relevant time or time-period 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. In some cases, a time-period may be given.
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. Read more about the Finnish PHR Patient profile.

Optional elements for all Finnish PHR Nutrition profiles

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Optional elements table for Finnish PHR Nutrition Base profile
Content	Name in structure	Type of information
Actual result	value[x]	Includes the observation result, for example in a calorie intake observation the actual amount of calories. The unit of measurement that SHALL be used will be determined in the derived profiles for each different type of observation.
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 be from the FHIR Observation Interpretation ValueSet SHALL be used. Read more about the FHIR Observation Interpretation ValueSet. In addition, other codes for the same meaning from other codesystems can be used.
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.

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 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 Macronutrient Intake Profile

Finnish PHR profile for FHIR® Observation used in macronutrients intake measurements.

The profile is based on the Finnish PHR Nutrition 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).

Finnish PHR Macronutrient Intake profile in Simplifier

The Finnish PHR Macronutrient Intake Profile constrains the Finnish PHR Nutrition Base Profile as follows:

Mandatory elements for Finnish PHR Macronutrient Intake

Mandatory elements table for Finnish PHR Macronutrient Intake profile
Content	Name in structure	Type of information
Code for macronutrient intake	code	All the codes are from the LOINC code system. Read more about the LOINC code system. All the allowed codes can be found in Finnish PHR Macronutrition Value Set. Read more about the Finnish PHR Macronutrition Value Set. One of the following codes SHALL be given: 9059-7 Carbohydrate intake Estimated 9060-5 Carbohydrate intake Measured 9066-2 Fat intake Estimated 9067-0 Fat intake Measured 9079-5 Protein intake Estimated 9080-3 Protein intake Measured - In addition, other codes for the same meaning from other codesystems can be used.
Time for observation	effectiveDateTime	Clinically relevant time for the observation.
Actual result	valueQuantity	The amount of macronutrient intake. SHALL always be provided with the unit of measurement g.

Finnish PHR Macronutrient Intake Profile 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>)
Note: <Observation.note>
Reference range: <Observation.referenceRange>

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

Example:

Code: Carbohydrate intake Measured (9060-5)
Time: 17.05.2019 21:00
Result: 300 g

Examples of Finnish PHR Macronutrient Intake resources in Simplifier

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Finnish PHR Calorie Intake Profile

Finnish PHR profile for FHIR® Observation used in calorie intake measurements.

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).

Finnish PHR Calorie Intake profile in Simplifier

The Finnish PHR Calorie Intake Profile constrains the Finnish PHR Nutrition Base Profile as follows:

Mandatory elements for Finnish PHR Calorie Intake

Mandatory elements table for Finnish PHR Calorie Intake profile
Content	Name in structure	Type of information
Code for calorie intake	code	A calorie intake observation SHALL have the LOINC code 9052-2 Calorie intake total from Finnish PHR Nutrition Valueset. Read more about the LOINC code system Read more about the Finnish PHR Nutrition ValueSet. - In addition, other codes for the same meaning from other codesystems can be used.
Time for observation	effectiveDateTime	Clinically relevant time for the observation.
Actual result	valueQuantity	The amount of the calorie intake. SHALL always be provided with the unit of measurement kcal.

Finnish PHR Calorie Intake Profile 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>)
Note: <Observation.note>
Method: <Observation.method>
Reference range: <Observation.referenceRange>

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

Example:

Code: Calorie intake total (9052-2)
Time: 17.05.2019 21:00
Result: 1800 kcal

Examples of Finnish PHR Macronutrient Intake resources in Simplifier

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