V.3.1.0 rc1 (#112)

* Prepared for 2.3.0

* fixed template

* Initial commit of DkCoreBasicParameter

#86

* Updated DkCoreBasicParameter and included ValueSets

* Updated the IEEEBasicParameter ValueSet: Removed supplemental codes and added descriptions.

* Fixed errors and warnings related to observations

* BasicParameter examples

* Added use of DAR

* Update DkCoreObservation.fsh

#93 and #88 are handled

* Updated naming and added examples

* Updated Observation.coding.system

#94 and #85

* loinc, and snomed ct codes in basic observation corrected

* Condition-instance with SKS Tillægskode added #100

* fixing DkCoreCondition - handling of unconfirmed conditions #98

* Updated Patient instances, version number, removed LPR3

#103, #102 and #101 are handled

* Update DkCoreObservation.fsh

#94

* Updated observation values and description of profile

* Update StructureDefinition-dk-core-observation-intro.md

#95 and #96 are handled

* adding vital signs panel

* Link to Vital signs panel added

* Added DAR documentation

* Addition of eCPR-identifiers and Patient.identifier slice

* Added description of eCPR and update of instances

* Update DkCoreeCprIdentifier.fsh

* Solved warnings associated with extension, that could be used anywhere

* Updated after FHIR SIG review

* Fixed QA-errors, updated template

Invariant on Observation and ^constraint.requirement = "link"

* Updated Conscious-examples and link

* Technical FHIRPath correction value. and Observation.

* Updated Observation-instances due to publisher update

* Updated Observation-instances to accommodate update of publisher

* Added note about consequences of new FHIR validator

* Corrected misspelling in TechniquesSCTCodes

* Updated link to eCPR, added link to hl7.dk and release-note

* Update sushi-config.yaml

* Update StructureDefinition-dk-core-observation-intro.md

---------

Co-authored-by: Jens Kristian Villadsen <jenskristianvilladsen@gmail.com>
Co-authored-by: Jacob Andersen <jacob.andersen@alexandra.dk>
Co-authored-by: kirstinerosenbeck <kirstine.rosenbeck@gmail.com>

ig.ini

@@ -1,4 +1,3 @@
 [IG]
 ig = fsh-generated/resources/ImplementationGuide-hl7.fhir.dk.core.json
 template = https://github.com/hl7dk/dk-ig-template
-;template = fhir.base.template#current 

input/fsh/DkCoreBasicParameter.fsh

@@ -0,0 +1,328 @@
+Profile: DkCoreBasicObservation
+Parent: dk-core-observation
+Id: dk-core-basic-observation
+Title: "Danish Core Basic Observation Profile"
+Description: "HL7 Denmark core profile for basic observations, which is a profiling of DkCoreObservation."
+* category 1..1
+* category = $observation-category#vital-signs
+* code.coding[LOINC] 1..
+* code.coding[LOINC] from LoincBasicObservation (extensible)
+* code.coding[SNOMEDCT] from SCTBasicObservation (extensible)
+* code.coding[NPU] from NPUBasicObservation (extensible)
+* code.coding[IEEE] from IEEEBasicObservation (extensible)
+* valueQuantity.system from UCUMBasicUnits (extensible)
+* component.valueQuantity.system from UCUMBasicUnits (extensible)
+
+
+
+Instance: ObservationRespiratoryBasicObservation
+InstanceOf: DkCoreBasicObservation
+Title: "John's Respiratory rate measurement (Basic observation)"
+Description: "A simple basic observation of a hyperventilating patient"
+Usage: #example
+* category = $observation-category#vital-signs
+* status = #final
+* code.coding[LOINC] = $LOINC#9279-1 "Respiratory rate"
+* valueQuantity.value = 50
+* valueQuantity.code = #/min
+* valueQuantity.system = $ucum
+* valueQuantity.unit = "/min"
+* effectiveDateTime = 2023-11-20T18:00:00+01:00
+* subject = Reference(john)
+* performer = Reference(AbrahamLaege)
+
+Instance: ObservationOxySatBasicObservationOrg
+InstanceOf: DkCoreBasicObservation
+Title: "John's oxygen saturation measurement (Basic observation)"
+Usage: #example
+* category = $observation-category#vital-signs
+* status = #final
+* code.coding[LOINC] = $LOINC#2708-6 "Oxygen saturation in Arterial blood"
+* code.coding[IEEE] = $IEEEx73#150456 "MDC_PULS_OXIM_SAT_O2"
+* valueQuantity.value = 97.0
+* valueQuantity.code = #%
+* valueQuantity.system = $ucum
+* valueQuantity.unit = "%"
+* effectiveDateTime = 2023-11-01T12:00:00+01:00
+* subject = Reference(john)
+* performer = Reference(AbrahamLaege)
+
+Instance: ObservationOxySatObservation
+InstanceOf: DkCoreObservation
+Title: "John's oxygen saturation measurement (Observation)"
+Description: """
+This example suggests a way to handle the oxygen saturation case, where the original measurement
+was reported in '%' by a device or typed in manually, and then 'translated' to the NPU system,
+which requires the value to be unitless.
+"""
+Usage: #example
+* category = $observation-category#vital-signs
+* status = #final
+* code.coding[NPU] = $NPU#NPU27280 "Hb(Fe; O₂-bind.;aB)—Oxygen(O₂); sat.(Pulse oximetry) = ?"
+* valueQuantity.value = 0.97
+* valueQuantity.code = #1
+* valueQuantity.system = $ucum
+* subject = Reference(john)
+* performer = Reference(AbrahamLaege)
+* effectiveDateTime = 2023-11-01T12:00:00+01:00
+* contained[0] = ObservationOxySatBasicObservationOrg
+* derivedFrom = Reference(ObservationOxySatBasicObservationOrg)
+
+
+/* **************
+ *
+ * TOBS example
+ *
+ * ************** */
+
+Instance: ElseConsciousness
+InstanceOf: DkCoreObservation
+Usage: #example
+* status = #final
+* code = $sct#6942003
+* subject = Reference(else)
+* valueCodeableConcept.coding[+] = $sct#450847001
+* method = $sct#733985002 "Reported (qualifier value)"
+* effectiveDateTime = "2023-09-12T17:45:00.000Z"
+* performer = Reference(SidselSygeplejerske)
+
+Instance: ElseBloodPressure
+InstanceOf: DkCoreBasicObservation
+Usage: #example
+* status = #final
+* category = $observation-category#vital-signs
+* code.coding[SNOMEDCT] = $sct#75367002
+* code.coding[LOINC] = $LOINC#85354-9
+* subject = Reference(else)
+* component[0].code.coding[LOINC] = $LOINC#8480-6
+* component[=].code.coding[SNOMEDCT] = $sct#407554009
+* component[=].valueQuantity = 147 'mm[Hg]' "mmHg"
+* component[+].code.coding[LOINC] = $LOINC#8462-4
+* component[=].code.coding[SNOMEDCT] = $sct#407555005
+* component[=].valueQuantity = 95 'mm[Hg]' "mmHg"
+* method = $sct#272391002 "Measurement technique (qualifier value)"
+* effectiveDateTime = "2023-09-12T17:45:00.000Z"
+* performer = Reference(SidselSygeplejerske)
+
+
+Instance: ElseBodyTemperature
+InstanceOf: DkCoreBasicObservation
+Usage: #example
+* status = #final
+* category = $observation-category#vital-signs
+* code.coding[SNOMEDCT] = $sct#276885007
+* code.coding[LOINC] = $LOINC#8310-5
+* subject = Reference(else)
+* method = $sct#272391002 "Measurement technique (qualifier value)"
+* effectiveDateTime = "2023-09-12T17:45:00.000Z"
+* valueQuantity = 38.7 'Cel' "grader celcius"
+* performer = Reference(SidselSygeplejerske)
+
+Instance: ElseHeartRate
+InstanceOf: DkCoreBasicObservation
+Usage: #example
+* status = #final
+* category = $observation-category#vital-signs
+* code.coding[SNOMEDCT] = $sct#364075005
+* code.coding[LOINC] = $LOINC#8867-4
+* subject = Reference(else)
+* method = $sct#272391002 "Measurement technique (qualifier value)"
+* effectiveDateTime = "2023-09-12T17:45:00.000Z"
+* valueQuantity = 92 '/min' "slag/minut"
+* performer = Reference(SidselSygeplejerske)
+
+Instance: ElseRespirationRate
+InstanceOf: DkCoreBasicObservation
+Usage: #example
+* status = #final
+* category = $observation-category#vital-signs
+* code.coding[SNOMEDCT] = $sct#86290005
+* code.coding[LOINC] = $LOINC#9279-1
+* subject = Reference(else)
+* method = $sct#272391002 "Measurement technique (qualifier value)"
+* effectiveDateTime = "2023-09-12T17:45:00.000Z"
+* valueQuantity = 19 '/min' "/min"
+* performer = Reference(SidselSygeplejerske)
+
+Instance: ElsesTOBSscore
+InstanceOf: DkCoreObservation
+Usage: #example
+* status = #final
+* code.coding = $Medcom#MCS88125 "Pt—Tidlig Opsporing af Begyndende Sygdom (TOBS) score; antal (værdi 0-15) = ?"
+* subject = Reference(else)
+* effectiveDateTime = "2023-09-12T17:45:00.000Z"
+* valueQuantity.value = 3
+* valueQuantity.code = #1
+* valueQuantity.system = $ucum
+* performer = Reference(SidselSygeplejerske)
+
+
+Instance: ElsesTOBS
+InstanceOf: Bundle
+Title: "Else's TOBS measurements"
+Description: "An example of TOBS (Danish: Tidlig opsporing af begyndende sygdom), which includes level of consciousness, heart rate, respiration rate, blood pressure and temperature."
+Usage: #example
+* type = #collection
+* timestamp = "2023-09-12T17:45:00.000Z"
+* entry[+].fullUrl = "Patient/else"
+* entry[=].resource = else
+* entry[+].fullUrl = "Observation/ElseConsciousness"
+* entry[=].resource = ElseConsciousness
+* entry[+].fullUrl = "Observation/ElseBloodPressure"
+* entry[=].resource = ElseBloodPressure
+* entry[+].fullUrl = "Observation/ElseBodyTemperature"
+* entry[=].resource = ElseBodyTemperature
+* entry[+].fullUrl = "Observation/ElseHeartRate"
+* entry[=].resource = ElseHeartRate
+* entry[+].fullUrl = "Observation/ElseRespirationRate"
+* entry[=].resource = ElseRespirationRate
+* entry[+].fullUrl = "Observation/ElsesTOBSscore"
+* entry[=].resource = ElsesTOBSscore
+* entry[+].fullUrl = "Practitioner/SidselSygeplejerske"
+* entry[=].resource = SidselSygeplejerske
+
+/* **************
+*
+* TOKS eksempel inkl. GCS
+*
+* ************** */
+
+Instance: MaxConsciousness
+InstanceOf: DkCoreObservation
+Usage: #example
+* status = #final
+* category = $observation-category#vital-signs
+* code.coding[0] = $sct#6942003
+* code.coding[LOINC] = $LOINC#80288-4
+* subject = Reference(Max)
+* valueCodeableConcept.coding = $sct#450847001
+* method = $sct#733985002 "Reported (qualifier value)"
+* effectiveDateTime = "2023-08-08T13:30:00.000Z"
+
+Instance: MaxRespirationRate
+InstanceOf: DkCoreBasicObservation
+Usage: #example
+* status = #final
+* code.coding[SNOMEDCT] = $sct#86290005
+* code.coding[LOINC] = $LOINC#9279-1
+* subject = Reference(Max)
+* method = $sct#272391002 "Measurement technique (qualifier value)"
+* effectiveDateTime = "2023-08-08T13:30:00.000Z"
+* valueQuantity = 13 '/min' "/min"
+
+Instance: MaxHeartRate
+InstanceOf: DkCoreBasicObservation
+Usage: #example
+* status = #final
+* category = $observation-category#vital-signs
+* code.coding[SKS] = $SKS#ZZ3140
+* code.coding[LOINC] = $LOINC#8867-4
+* subject = Reference(Max)
+* effectiveDateTime = "2023-08-08T13:30:00.000Z"
+* method = $sct#272391002 "Measurement technique (qualifier value)"
+* valueQuantity = 68 '/min' "slag/minut"
+
+Instance: MaxBodyTemperature
+InstanceOf: DkCoreBasicObservation
+Usage: #example
+* status = #final
+* category = $observation-category#vital-signs
+* code.coding[SKS] = $SKS#ZZ0253
+* code.coding[LOINC] = $LOINC#8310-5
+* subject = Reference(Max)
+* effectiveDateTime = "2023-08-08T13:30:00.000Z"
+* method = $sct#272391002 "Measurement technique (qualifier value)"
+* valueQuantity = 37 'Cel' "grader celcius"
+
+Instance: MaxBloodPressure
+InstanceOf: DkCoreBasicObservation
+Usage: #example
+* status = #final
+* category = $observation-category#vital-signs
+* code.coding[SKS] = $SKS#ZZ3160
+* code.coding[LOINC] = $LOINC#85354-9
+* subject = Reference(Max)
+* effectiveDateTime = "2023-08-08T13:30:00.000Z"
+* method = $sct#272391002 "Measurement technique (qualifier value)"
+* component[0].code.coding[0] = $LOINC#8480-6
+* component[=].code.coding[+] = $sct#407554009
+* component[=].valueQuantity = 156 'mm[Hg]' "mmHg"
+* component[+].code.coding[0] = $LOINC#8462-4
+* component[=].code.coding[+] = $sct#407555005
+* component[=].valueQuantity = 78 'mm[Hg]' "mmHg"
+
+Instance: MaxSaturation
+InstanceOf: DkCoreBasicObservation
+Usage: #example
+* category = $observation-category#vital-signs
+* status = #final
+* code.coding[LOINC] = $LOINC#2708-6 "Oxygen saturation in Arterial blood"
+* valueQuantity = 99.0 '%' "%"
+* subject = Reference(Max)
+* effectiveDateTime = "2023-08-08T13:30:00.000Z"
+* method = $sct#272391002 "Measurement technique (qualifier value)"
+
+Instance: MaxGlasgowComaScale
+InstanceOf: DkCoreObservation
+Usage: #example
+* status = #final
+* code.coding[LOINC] = $LOINC#9269-2
+* code.coding[+] = $sct#248241002
+* subject = Reference(Max)
+* valueQuantity = 13 '{score}'
+* referenceRange[0].high = 8 '{score}'
+* referenceRange[=].type.text = "Severe TBI"
+* referenceRange[+].low = 9 '{score}'
+* referenceRange[=].high = 12 '{score}'
+* referenceRange[=].type.text = "Moderate TBI"
+* referenceRange[+].low = 13 '{score}'
+* referenceRange[=].type.text = "Mild TBI"
+* effectiveDateTime = "2023-08-08T13:30:00.000Z"
+* component[0].code = $LOINC#9268-4 "Glasgow coma score motor"
+* component[=].valueCodeableConcept.coding = $LOINC#LA6566-9 "Localizing pain"
+* component[+].code = $LOINC#9270-0 "Glasgow coma score verbal"
+* component[=].valueCodeableConcept.coding = $LOINC#LA6560-2 "Confused"
+* component[+].code = $LOINC#9267-6 "Glasgow coma score eye opening"
+* component[=].valueCodeableConcept.coding = $LOINC#LA6556-0 "Eyes open spontaneously"
+
+
+Instance: MaxTOKS
+InstanceOf: Bundle
+Title: "Max TOKS measurements, including Glasgow Coma Scale assesment"
+Description: "An example of TOBS (Danish: Tidlig opsporing af begyndende sygdom), which includes level of consciousness, heart rate, respiration rate, blood pressure and temperature."
+Usage: #example
+* type = #collection
+* timestamp = "2023-08-08T13:30:00.000Z"
+* entry[+].fullUrl = "Patient/Max"
+* entry[=].resource = Max
+* entry[+].fullUrl = "Observation/MaxConsciousness"
+* entry[=].resource = MaxConsciousness
+* entry[+].fullUrl = "Observation/MaxBloodPressure"
+* entry[=].resource = MaxBloodPressure
+* entry[+].fullUrl = "Observation/MaxBodyTemperature"
+* entry[=].resource = MaxBodyTemperature
+* entry[+].fullUrl = "Observation/MaxHeartRate"
+* entry[=].resource = MaxHeartRate
+* entry[+].fullUrl = "Observation/MaxRespirationRate"
+* entry[=].resource = MaxRespirationRate
+* entry[+].fullUrl = "Observation/MaxGlasgowComaScale"
+* entry[=].resource = MaxGlasgowComaScale
+
+/* **************
+*
+* Vital signs panel
+*
+* ************** */
+
+Instance: MaxVitalSignsPanel
+InstanceOf: DkCoreBasicObservation
+Usage: #example
+* category = $observation-category#vital-signs
+* status = #final
+* code.coding[LOINC] = $LOINC#85353-1 "Vital signs, weight, height, head circumference, oxygen saturation and BMI panel"
+* subject = Reference(Max)
+* effectiveDateTime = "2023-08-08T13:30:00.000Z"
+* hasMember[+] = Reference(MaxBloodPressure)
+* hasMember[+] = Reference(MaxRespirationRate)
+* hasMember[+] = Reference(MaxHeartRate)
+* hasMember[+] = Reference(MaxBodyTemperature)