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tmsMedcomjkiddojacandKirstinerosenbeck
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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 <[email protected]> Co-authored-by: Jacob Andersen <[email protected]> Co-authored-by: kirstinerosenbeck <[email protected]>
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‎ig.ini

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

‎input/fsh/DkCoreBasicParameter.fsh

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

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