StructureDefinition-UKCore-Observation-ACVPU

Canonical_URLCurrent_VersionLast_UpdatedDescription
https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-ACVPU1.0.02023-09-12

Defines the additional constraints and extensions on the UK Core Observation profile


Profile_Purpose

To provide implementers with additional support when implementing gathering of a patients ACVPU (level of consciousness) status, and to provide a consistent structure to how the data is presented.

url1..1System.StringFixed Value
valueReferenceReference(UK Core Observation)
url1..1System.StringFixed Value
valueCodecode
url1..1System.StringFixed Value
valueStringstring
url1..1System.StringFixed Value
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
statusΣ ?!1..1codeBindingFixed Value
category1..1CodeableConceptBinding
systemΣ0..1uri
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
effectiveDateTimedateTime
effectivePeriodPeriod
effectiveTimingTiming
effectiveInstantinstant
issuedΣ0..1instant
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
authorStringstring
authorReferenceReference(UK Core Organization | UK Core Patient | UK Core Practitioner | UK Core RelatedPerson)
timeΣ0..1dateTime
textΣ1..1markdown
bodySite0..1CodeableConceptBinding
method0..1CodeableConceptBinding
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string

Table View

Observation..
Observation.status..
Observation.category1..1
Observation.code..
Observation.code.coding..
Observation.code.coding.code..
Observation.subjectReference(UK Core Patient)1..
Observation.effective[x]1..
Observation.value[x]CodeableConcept..
Observation.component..0


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="UKCore-Observation-ACVPU" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-ACVPU" />
    <version value="1.0.0" />
    <name value="UKCoreObservationACVPU" />
    <title value="UK Core Observation ACVPU" />
    <status value="draft" />
    <date value="2023-09-12" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="ukcore@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <description value="Defines the additional constraints and extensions on the UK Core Observation profile" />
    <purpose value="To provide implementers with additional support when implementing gathering of a patients ACVPU (level of consciousness) status, and to provide a consistent structure to how the data is presented." />
    <copyright value="Copyright &#169; 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the &quot;License&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Observation" />
    <baseDefinition value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
    <derivation value="constraint" />
    <differential>
        <element id="Observation.status">
            <path value="Observation.status" />
            <fixedCode value="final" />
        </element>
        <element id="Observation.category">
            <path value="Observation.category" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Observation.code.coding.code">
            <path value="Observation.code.coding.code" />
            <fixedCode value="1104441000000107" />
        </element>
        <element id="Observation.subject">
            <path value="Observation.subject" />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
            </type>
        </element>
        <element id="Observation.effective[x]">
            <path value="Observation.effective[x]" />
            <min value="1" />
        </element>
        <element id="Observation.value[x]">
            <path value="Observation.value[x]" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="preferred" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ACVPU" />
            </binding>
        </element>
        <element id="Observation.component">
            <path value="Observation.component" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "UKCore-Observation-ACVPU",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-ACVPU",
    "version": "1.0.0",
    "name": "UKCoreObservationACVPU",
    "title": "UK Core Observation ACVPU",
    "status": "draft",
    "date": "2023-09-12",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "ukcore@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "Defines the additional constraints and extensions on the UK Core Observation profile",
    "purpose": "To provide implementers with additional support when implementing gathering of a patients ACVPU (level of consciousness) status, and to provide a consistent structure to how the data is presented.",
    "copyright": "Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Observation",
    "baseDefinition": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Observation.status",
                "path": "Observation.status",
                "fixedCode": "final"
            },
            {
                "id": "Observation.category",
                "path": "Observation.category",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Observation.code.coding.code",
                "path": "Observation.code.coding.code",
                "fixedCode": "1104441000000107"
            },
            {
                "id": "Observation.subject",
                "path": "Observation.subject",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient"
                        ]
                    }
                ]
            },
            {
                "id": "Observation.effective[x]",
                "path": "Observation.effective[x]",
                "min": 1
            },
            {
                "id": "Observation.value[x]",
                "path": "Observation.value[x]",
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "preferred",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ACVPU"
                }
            },
            {
                "id": "Observation.component",
                "path": "Observation.component",
                "max": "0"
            }
        ]
    }
}

Examples

Responds to Voice - An example to illustrate recording a patients level of consiousness.
Example UKCore-Observation-PatientConsciousness

Usage

This Profile has the following derived profiles:


This Profile is referenced in the following Extensions:


This Profile is referenced in the following Profiles:

Example Usage Scenarios

The following are example usage scenarios for the UK Core Observation ACVPU profile:

  • Query and retrieve a patient's level of consciousness
  • Record or update a patient's level of consciousness

Profile Specific Implementation Guidance:

This is a derived profile of UKCore-Observation and this page only shows the differences between the two. Refer to the base Profile for more implementation guidance.

Minimum Viable Content

The minimum viable content that all provider and consumer systems SHALL support are the elements within the corresponding UKCore-Observation table, along with the following.

Element Reason
Observation.status A status of final SHALL be present.
Observation.category A category SHALL be present.
Observation.code A SNOMED CT concept SHALL be present.
Observation.subject A UKCore-Patient SHALL be present.
Observation.effective[x] An effective time or date SHALL be present.
Observation.value[x] A SNOMED CT concept for the level of consciousness SHALL be present.

Bindings (differential)

More information about the bindings to UK Core ValueSets, and other ValueSets different to UK Core Observation can be found below.

Context Strength Link
Observation.value[x] Preferred ValueSet UKCore-ACVPU

status

The following value SHALL be used:

  • Observation.status = final

code

Observation.code.coding

The following SHALL be used for this profile:

  • Observation.code.coding.system = http://snomed.info/sct
  • Observation.code.coding.code = 1104441000000107
  • Observation.code.coding.display = Alert Confusion Voice Pain Unresponsive scale score

subject

The cardinality of this element is 1..1, and the resource being referenced SHALL conform to the Profile UKCore-Patient.


effective[x]

The cardinality of this element is 1..1, and it SHALL be present.


value[x]

The cardinality of this element is 1..1, and it SHALL be a valueCodeableConcept from ValueSet UKCore-ACVPU


component

This element has a cardinality of 0..0, and SHALL NOT be present.