Updated Patient instances, version number, removed LPR3

#103, #102 and #101 are handled

input/fsh/DkCoreBasicParameter.fsh

@@ -1,7 +1,7 @@
 Profile: DkCoreBasicObservation
 Parent: dk-core-observation
 Id: dk-core-basic-observation
-Title: "Danish Core Basic Observations"
+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
@@ -89,14 +89,14 @@ InstanceOf: DkCoreBasicObservation
 Usage: #example
 * status = #final
 * category = $observation-category#vital-signs
-* code.coding[0] = $sct#75367002
+* 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[+] = $sct#407554009
+* component[=].code.coding[SNOMEDCT] = $sct#407554009
 * component[=].valueQuantity = 128 'mm[Hg]' "mmHg"
 * component[+].code.coding[LOINC] = $LOINC#8462-4
-* component[=].code.coding[+] = $sct#407555005
+* component[=].code.coding[SNOMEDCT] = $sct#407555005
 * component[=].valueQuantity = 80 'mm[Hg]' "mmHg"
 * method = $sct#272391002 "Measurement technique (qualifier value)"
 * effectiveDateTime = "2023-09-12T17:45:00.000Z"
@@ -108,7 +108,7 @@ InstanceOf: DkCoreBasicObservation
 Usage: #example
 * status = #final
 * category = $observation-category#vital-signs
-* code.coding[0] = $sct#276885007
+* code.coding[SNOMEDCT] = $sct#276885007
 * code.coding[LOINC] = $LOINC#8310-5
 * subject = Reference(else)
 * method = $sct#272391002 "Measurement technique (qualifier value)"
@@ -121,7 +121,7 @@ InstanceOf: DkCoreBasicObservation
 Usage: #example
 * status = #final
 * category = $observation-category#vital-signs
-* code.coding[0] = $sct#364075005
+* code.coding[SNOMEDCT] = $sct#364075005
 * code.coding[LOINC] = $LOINC#8867-4
 * subject = Reference(else)
 * method = $sct#272391002 "Measurement technique (qualifier value)"
@@ -134,14 +134,27 @@ InstanceOf: DkCoreBasicObservation
 Usage: #example
 * status = #final
 * category = $observation-category#vital-signs
-* code.coding[0] = $sct#86290005
+* 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 = 13 '/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"
@@ -170,89 +183,89 @@ Usage: #example
 *
 * ************** */
 
-Instance: MogensensConsciousness
+Instance: MaxConsciousness
 InstanceOf: DkCoreObservation
 Usage: #example
 * status = #final
 * category = $observation-category#vital-signs
 * code.coding[0] = $sct#86290005
 * code.coding[LOINC] = $LOINC#9279-1
-* subject = Reference(mogensen)
+* subject = Reference(Max)
 * valueCodeableConcept.coding[+] = $sct#450847001
 * method = $sct#733985002 "Reported (qualifier value)"
 * effectiveDateTime = "2023-08-08T13:30:00.000Z"
 
-Instance: MogensensRespirationRate
+Instance: MaxRespirationRate
 InstanceOf: DkCoreBasicObservation
 Usage: #example
 * status = #final
-* code.coding[0] = $sct#86290005
+* code.coding[SNOMEDCT] = $sct#86290005
 * code.coding[LOINC] = $LOINC#9279-1
-* subject = Reference(mogensen)
+* subject = Reference(Max)
 * method = $sct#272391002 "Measurement technique (qualifier value)"
 * effectiveDateTime = "2023-08-08T13:30:00.000Z"
 * valueQuantity = 13 '/min' "/min"
 
-Instance: MogensensHeartRate
+Instance: MaxHeartRate
 InstanceOf: DkCoreBasicObservation
 Usage: #example
 * status = #final
 * category = $observation-category#vital-signs
-* code.coding[0] = $sct#364075005
+* code.coding[SKS] = $SKS#ZZ3140
 * code.coding[LOINC] = $LOINC#8867-4
-* subject = Reference(mogensen)
+* subject = Reference(Max)
 * effectiveDateTime = "2023-08-08T13:30:00.000Z"
 * method = $sct#272391002 "Measurement technique (qualifier value)"
 * valueQuantity = 68 '/min' "slag/minut"
 
-Instance: MogensensBodyTemperature
+Instance: MaxBodyTemperature
 InstanceOf: DkCoreBasicObservation
 Usage: #example
 * status = #final
 * category = $observation-category#vital-signs
-* code.coding[0] = $sct#276885007
+* code.coding[SKS] = $SKS#ZZ0253
 * code.coding[LOINC] = $LOINC#8310-5
-* subject = Reference(mogensen)
+* subject = Reference(Max)
 * effectiveDateTime = "2023-08-08T13:30:00.000Z"
 * method = $sct#272391002 "Measurement technique (qualifier value)"
 * valueQuantity = 37 'Cel' "grader celcius"
 
-Instance: MogensensBloodPressure
+Instance: MaxBloodPressure
 InstanceOf: DkCoreBasicObservation
 Usage: #example
 * status = #final
 * category = $observation-category#vital-signs
-* code.coding[0] = $sct#75367002
+* code.coding[SKS] = $SKS#ZZ3160
 * code.coding[LOINC] = $LOINC#85354-9
-* subject = Reference(mogensen)
+* subject = Reference(Max)
 * effectiveDateTime = "2023-08-08T13:30:00.000Z"
 * method = $sct#272391002 "Measurement technique (qualifier value)"
-* component[0].code.coding[LOINC] = $LOINC#8480-6
+* component[0].code.coding[0] = $LOINC#8480-6
 * component[=].code.coding[+] = $sct#407554009
 * component[=].valueQuantity = 156 'mm[Hg]' "mmHg"
-* component[+].code.coding[LOINC] = $LOINC#8462-4
+* component[+].code.coding[0] = $LOINC#8462-4
 * component[=].code.coding[+] = $sct#407555005
 * component[=].valueQuantity = 78 'mm[Hg]' "mmHg"
 
-Instance: MogensensSaturation
+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(mogensen)
+* subject = Reference(Max)
 * effectiveDateTime = "2023-08-08T13:30:00.000Z"
 * method = $sct#272391002 "Measurement technique (qualifier value)"
 
-Instance: MogensensGlasgowComaScale
+Instance: MaxGlasgowComaScale
 InstanceOf: DkCoreObservation
 Usage: #example
 * status = #final
 * code.coding[LOINC] = $LOINC#9269-2
 * code.coding[+] = $sct#248241002
-* subject = Reference(mogensen)
-* valueQuantity = 13 '{score}' "{score}"
+* subject = Reference(Max)
+* valueQuantity = 13 '{score}'
 * referenceRange[0].high = 8 '{score}'
 * referenceRange[=].type.text = "Severe TBI"
 * referenceRange[+].low = 9 '{score}'
@@ -269,24 +282,24 @@ Usage: #example
 * component[=].valueCodeableConcept.coding = $LOINC#LA6556-0 "Eyes open spontaneously"
 
 
-Instance: MogensensTOKS
+Instance: MaxTOKS
 InstanceOf: Bundle
-Title: "Mogensens TOKS measurements, including Glasgow Coma Scale assesment"
+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/mogensen"
-* entry[=].resource = mogensen
-* entry[+].fullUrl = "Observation/MogensensConsciousness"
-* entry[=].resource = MogensensConsciousness
-* entry[+].fullUrl = "Observation/MogensensBloodPressure"
-* entry[=].resource = MogensensBloodPressure
-* entry[+].fullUrl = "Observation/MogensensBodyTemperature"
-* entry[=].resource = MogensensBodyTemperature
-* entry[+].fullUrl = "Observation/MogensensHeartRate"
-* entry[=].resource = MogensensHeartRate
-* entry[+].fullUrl = "Observation/MogensensRespirationRate"
-* entry[=].resource = MogensensRespirationRate
-* entry[+].fullUrl = "Observation/MogensensGlasgowComaScale"
-* entry[=].resource = MogensensGlasgowComaScale
+* 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

input/fsh/DkCorePatient.fsh

@@ -75,6 +75,8 @@ Description: "Example of a patient with confidential adress and name"
 Usage: #example
 * text.div = "<div xmlns=\"http://www.w3.org/1999/xhtml\">This instance is an example of a Danish citizen who has requested name and address protection (Navne- og adressebeskyttelse), why the instance is marked with a security label. Only personnel using systems in public/official affairs are allowed to see name and address for the citizen, why these information are included in the profile.<p></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"Confidential\"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-dk-core-patient.html\">Danish Core Patient Profile</a></p><p style=\"margin-bottom: 0px\">Security Labels: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-Confidentiality http://terminology.hl7.org/CodeSystem/v3-Confidentiality}\">http://terminology.hl7.org/CodeSystem/v3-Confidentiality</span></p></div><p><b>identifier</b>: id: 1502779995</p><p><b>name</b>: Hans Hansen (OFFICIAL)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1976-08-09</p><p><b>address</b>: Julianevej 22 6000 Kolding (HOME)</p></div>"
 * text.status = #additional
+* meta.security.code = $v3-Confidentiality#R
+* meta.security.display = "Restricted"
 * identifier.system = "urn:oid:1.2.208.176.1.2"
 * identifier.value = "1502779995"
 * name.use = #official
@@ -122,16 +124,17 @@ Usage: #example
 * generalPractitioner.identifier.value = "487341000016005"
 * generalPractitioner.display = "Charlottenlund Lægehus"
 
-Instance: mogensen
+Instance: Max
 InstanceOf: DkCorePatient
 Title: "Example of valid patient with danish marital status"
 Description: "Example of valid patient with danish marital status"
 Usage: #example
 * identifier.system = "urn:oid:1.2.208.176.1.2"
 * identifier.value = "0107729995"
 * name.use = #official
-* name.family = "Mogensen"
-* name.given = "Jan"
+* name.family = "Berggren"
+* name.given[0] = "Max"
+* name.given[1] = "Test"
 * name.prefix = "Mr"
 * gender = #male
 * birthDate = "1972-07-01"

input/fsh/Lpr3Identifier.fsh

@@ -1,4 +1,4 @@
-Profile: Lpr3Identifier
+/* Profile: Lpr3Identifier
 Parent: Identifier
 Id: lpr3-Identifier
 Title: "LPR3 Identifier"
@@ -17,4 +17,4 @@ Description: "Identifier holding a LPR3 identifier for an organization"
 Invariant: uuidv5
 Description: "LPR3 episode of care identifiers must conform to a UUIDv5"
 Severity: #error
-Expression: "value.matches('urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[5][a-fA-F0-9]{3}-[89aAbB][a-fA-F0-9]{3}-[a-fA-F0-9]{12}')"
+Expression: "value.matches('urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[5][a-fA-F0-9]{3}-[89aAbB][a-fA-F0-9]{3}-[a-fA-F0-9]{12}')" */

input/fsh/aliases.fsh

@@ -24,3 +24,4 @@ Alias: $observation-bodyweight = http://hl7.org/fhir/StructureDefinition/bodywei
 Alias: $observation-heartrate = http://hl7.org/fhir/StructureDefinition/heartrate
 Alias: $observation-bp = http://hl7.org/fhir/StructureDefinition/bp
 Alias: $LOINC-vitalsigns = http://hl7.org/fhir/ValueSet/observation-vitalsignresult
+Alias: $v3-Confidentiality = http://terminology.hl7.org/CodeSystem/v3-Confidentiality

input/pagecontent/StructureDefinition-dk-core-basic-observation-intro.md

@@ -28,8 +28,8 @@ The table below includes instances of the DkCoreBasicObservation used to represe
 
 Example | Description
 ----------------- | ------------------------ 
-[Glasgow Coma Scale (GCS)](./Bundle-MogensensGlasgowComaScale.html) | This example includes the relevant observation related to Glasgow Coma Scale. This scale is used to assess the level of consciousness in people with brain damage.
-[TOKS (Danish: Tidlig opsporing af kritisk sygdom)](./Bundle-MogensensTOKS.html) | TOKS is a scoring system used to determine if a patient is in a critical state at a early state. The example includes basic observations, such as heartrate, temperature and more, as well as a Glasgow Coma Scale. 
+[Glasgow Coma Scale (GCS)](./Bundle-MaxGlasgowComaScale.html) | This example includes the relevant observation related to Glasgow Coma Scale. This scale is used to assess the level of consciousness in people with brain damage.
+[TOKS (Danish: Tidlig opsporing af kritisk sygdom)](./Bundle-MaxTOKS.html) | TOKS is a scoring system used to determine if a patient is in a critical state at a early state. The example includes basic observations, such as heartrate, temperature and more, as well as a Glasgow Coma Scale. 
 [TOBS (Danish: Tidlig opsporing af begyndende sygdom)](./Bundle-ElsesTOBS.html) | TOBS is a scoring system used to determine if a citizen is in the early state of illnesses. The example includes basic observations, such as heartrate, temperature and more, as well as a reference to the performer of the observations. 
 [Vital signs panel](./Bundle-VitalSignPanel.html) | ... 
 [John's oxygen saturation measurement (Basic observation)](./Observation-ObservationOxySatBasicObservationOrg.html) | 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.

sushi-config.yaml

@@ -8,7 +8,7 @@ name: DKCore
 title: "HL7 FHIR Implementation Guide: DK Core"
 description: A FHIR Implementation Guide for the Danish common needs across healthcare sectors
 status: draft # active
-version: 2.3.0
+version: 3.1.0
 fhirVersion: 4.0.1
 copyrightYear: 2021+
 license: CC0-1.0