Finnish PHR Spirometry Study Profile

Finnish PHR profile for Diagnostic Report to be used to collect all Finnish PHR sprirometry results into a one resource. Read more about FHIR® Diagnostic Report.

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 Finnish PHR Spirometry Study

Mandatory elements table for Finnish PHR Spirometry Study profile
Content Name in structure Description / Type of information
Unique identifier identifier

At least one globally unique identifier has to be provided for the medication administration, in addition other identifiers may be given as well.

This identifier may be used to uniquely identify the medication administration if the application doesn't receive an id for the medication administration provided by Kanta PHR.

Status status The status of the medication administration.
Only completed medication administrations are stored in Kanta PHR, thus the status SHALL always be 'completed' from the FHIR Diagnostic Report Status ValueSet. Read more about the FHIR Diagnostic Report Status ValueSet.
Category of the report category Identifies what kind of report it is. The code SHALL be from the HL7 Diagnostic Service Section Codes ValueSet. Read more about the HL7 Diagnostic Service Section Codes ValueSet
Code of the report code Code describing that this is a spirometry study report. The code SHOULD be from LOINC Diagnostic Report Codes ValueSet Read more about the LOINC Diagnostic Report Codes ValueSet
Who the report is for subject Identifies the patient whose intended care is described by the plan. 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.
Date and time effective[x] Date and time when the spirometry study has been created and when the last measurement has been performed

Optional elements for Finnish PHR Spirometry Study

Optional elements table for Finnish PHR Spirometry Study profile
Content Name in structure Description / Type of information
Spirometry study type extension:SpirometryStudytype Spirometry study type describes the purpose of the study in an upper level (choices: Screening, PEF-monitoring, FEV-monitoring, Diagnostic). Type is presented as value code from spirometryStudyTypeValueSet. Read more about the Spirometry Study Type Extension.
Spirometry study protocol extension:SpirometryStudyProtocol Spirometry study protocol describes procedure of the study. (for example: "two week PEF-monitoring", "post-bronchodilatation study"). Used protocol is presented as a text. Read more about the Spirometry Study Protocol Extension.
Results of the study result References to "Finnish PHR Spirometry Measurement" observations that are related to the study. Read more about the Spirometry Measurement profile.
Spirometry summary report presentedForm Spirometry summary report (PDF in a base64binary).

Elements not in use for Finnish PHR Spirometry Study

  • basedOn
  • encounter
  • issued
  • performer
  • resultInterpeter
  • specimen
  • imagingStudy
  • media
  • conclusion
  • conclusionCode

Elements in the Spirometry Study profile filled by the Kanta PHR platform

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

Finnish PHR Spirometry Result Narrative guide

Narrative SHALL contain following mandatory information taken from the elements of the resource instance:

  • Code: <DiagnosticReport.code.coding.code> (<DiagnosticReport.code.coding.display>)
  • Time:<DiagnosticReport.effective[ x ].start>, end: <DiagnosticReport.effective[ x ].end>
  • Study type: <DiagnosticReport.extension:spirometryStudyType.coding.code> (<DiagnosticReport.extension:spirometryStudyType.coding.display>)

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

  • If Spirometry Study contains result references, it can contain result table

Example:

Code: Spirometry study (18759-1)
Time: start:  start: 2019-02-21 11:30, end: 2019-02-21 11:40 
Study type:  Quick test spirometry (quick-test)
Results in narrative table for Finnish PHR Spirometry Study profile
PEF (L/min) FEV1 (L) FVC (L)
Date and time Value %ref Z-score Value %ref Z-score Value %ref Z-score
2019-02-22 8:30 510 92.7 -0.45 4.33 94.1 -0.46 5.57 92.2 -0.55
2019-02-22 8:45 523 95.7 -0.25 4.53 97.1 -0.26 5.67 95.2 -0.25

Examples of Finnish PHR Spirometry Study resources in Simplifier