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{
"resourceType": "StructureDefinition",
"url": "https://gen.kanta.fi/fhir/StructureDefinition/KantaObservationVariation",
"version": "1.1.0",
"name": "KantaObservationVariation",
"title": "KantaObservationVariation",
"status": "draft",
"date": "2025-11-19",
"publisher": "Kela",
"description": "Profiili, jota käytetään yksittäisen toimintakykyarvioon käytetyn toimintakyvyn muutoksen ilmoittamiseen. Profiili ei ole itsenäinen vaan sitä käytetään profiilin KantaObservationAssessment aliprofiilina.",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Observation",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Observation",
"path": "Observation",
"short": "Tiedot henkilön toimintakyvyssä tapahtuneesta muutoksesta."
},
{
"id": "Observation.id",
"path": "Observation.id",
"short": "Toimintakykyhavainnon yksilöivä tunnus"
},
{
"id": "Observation.meta",
"path": "Observation.meta"
},
{
"id": "Observation.meta.profile",
"path": "Observation.meta.profile",
"min": 1,
"max": "1",
"fixedCanonical": "https://gen.kanta.fi/fhir/StructureDefinition/KantaObservationVariation"
},
{
"id": "Observation.language",
"path": "Observation.language",
"max": "0"
},
{
"id": "Observation.extension:observationFunctionalAmendment",
"path": "Observation.extension",
"sliceName": "observationFunctionalAmendment",
"type": [
{
"code": "Extension",
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/extension/ObservationFunctionalAmendment"
]
}
],
"isModifier": false
},
{
"id": "Observation.identifier",
"path": "Observation.identifier",
"max": "0"
},
{
"id": "Observation.basedOn",
"path": "Observation.basedOn",
"max": "0"
},
{
"id": "Observation.partOf",
"path": "Observation.partOf",
"max": "0"
},
{
"id": "Observation.status",
"path": "Observation.status",
"fixedCode": "final"
},
{
"id": "Observation.category",
"path": "Observation.category",
"short": "Toimintakyvyn muutoksen ICF-aihekoodi",
"definition": "Toimintakykyhavainnon aihe luokituksen THL - ICF Toimintakykykäsitteiden luokitus (1.2.246.537.6.48) arvona ja/tai tekstimuotoinen kuvaus",
"max": "0"
},
{
"id": "Observation.category.id",
"path": "Observation.category.id",
"max": "0"
},
{
"id": "Observation.category.coding.id",
"path": "Observation.category.coding.id",
"max": "0"
},
{
"id": "Observation.category.coding.system",
"path": "Observation.category.coding.system",
"min": 1
},
{
"id": "Observation.category.coding.version",
"path": "Observation.category.coding.version",
"max": "0"
},
{
"id": "Observation.category.coding.code",
"path": "Observation.category.coding.code",
"min": 1
},
{
"id": "Observation.category.coding.display",
"path": "Observation.category.coding.display",
"min": 1
},
{
"id": "Observation.category.coding.userSelected",
"path": "Observation.category.coding.userSelected",
"max": "0"
},
{
"id": "Observation.category.text",
"path": "Observation.category.text",
"short": "Toimintakyvyn muutoksen havainnon aiheen kuvaus",
"definition": "Kenttään kuvataan henkilön toimintakyvyn muutosta koskevan havainnon aihetta, ilmiötä tai käsitettä."
},
{
"id": "Observation.code",
"path": "Observation.code",
"binding": {
"strength": "required",
"valueSet": "https://gen.kanta.fi/ValueSet/figen-vs-capacityconcept"
}
},
{
"id": "Observation.code.coding",
"path": "Observation.code.coding",
"short": "Toimintakyvyn muutoksen ICF-aihekoodi",
"max": "1"
},
{
"id": "Observation.code.coding.system",
"path": "Observation.code.coding.system",
"min": 1
},
{
"id": "Observation.code.coding.code",
"path": "Observation.code.coding.code",
"short": "ICF-luokituksen koodiarvo",
"definition": "Valuesetin Value Set Functional Capacity Concept Code mukainen koodiarvo.",
"min": 1
},
{
"id": "Observation.code.coding.display",
"path": "Observation.code.coding.display",
"short": "Koodiarvon nimi",
"definition": "Valuesetin Value Set Functional Capacity Concept Code mukainen koodiarvon nimi. Arvon nimen on vastattava annettua koodiarvoa.",
"min": 1
},
{
"id": "Observation.code.text",
"path": "Observation.code.text",
"short": "Toimintakykyhavainnon aiheen kuvaus",
"definition": "Kenttään kirjataan lisätietoja, joilla tarkennetaan kenttään Toimintakykyhavainnon ICF-aihekoodi valittua luokituksen luokkaa. Jos em. kenttää ei ole käytetty, tähän kenttään voidaan kuvata asiakkaan toimintakykyä koskevan havainnon aihetta vapaamuotoisesti."
},
{
"id": "Observation.subject",
"path": "Observation.subject",
"max": "0"
},
{
"id": "Observation.focus",
"path": "Observation.focus",
"max": "0"
},
{
"id": "Observation.encounter",
"path": "Observation.encounter",
"max": "0"
},
{
"id": "Observation.effective[x]",
"path": "Observation.effective[x]",
"short": "Toimintakyvyn havainnointipäivämäärä",
"max": "0",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Observation.issued",
"path": "Observation.issued",
"max": "0"
},
{
"id": "Observation.performer",
"path": "Observation.performer",
"max": "0"
},
{
"id": "Observation.value[x]",
"path": "Observation.value[x]",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"valueSet": "https://gen.kanta.fi/ValueSet/figen-vs-changeoffunctionalcapacity"
}
},
{
"id": "Observation.value[x].coding",
"path": "Observation.value[x].coding",
"short": "Toimintakyvyssä tapahtunut muutos luokituksen arvona"
},
{
"id": "Observation.value[x].coding.system",
"path": "Observation.value[x].coding.system",
"min": 1
},
{
"id": "Observation.value[x].coding.code",
"path": "Observation.value[x].coding.code",
"short": "Toimintakyvyn muutoksen koodiarvo",
"definition": "Valuesetin Kanta Change Of Functional Capacity Code mukainen koodiarvo.",
"min": 1
},
{
"id": "Observation.value[x].coding.display",
"path": "Observation.value[x].coding.display",
"short": "Koodiarvon nimi",
"definition": "Valuesetin Kanta Change Of Functional Capacity Code mukainen koodiarvon nimi. Arvon nimen on vastattava annettua koodiarvoa.",
"min": 1
},
{
"id": "Observation.dataAbsentReason",
"path": "Observation.dataAbsentReason",
"max": "0"
},
{
"id": "Observation.interpretation",
"path": "Observation.interpretation",
"max": "0"
},
{
"id": "Observation.note",
"path": "Observation.note",
"short": "Lisätiedot"
},
{
"id": "Observation.note.text",
"path": "Observation.note.text",
"short": "Lisätietoteksti",
"definition": "Tekstimuotoiset lisätiedot, jos tarpeen"
},
{
"id": "Observation.bodySite",
"path": "Observation.bodySite",
"max": "0"
},
{
"id": "Observation.method",
"path": "Observation.method",
"binding": {
"strength": "required",
"description": "Value Set Kanta Functional Capacity Observation Method",
"valueSet": "https://gen.kanta.fi/ValueSet/figen-vs-observationmethod"
}
},
{
"id": "Observation.method.coding",
"path": "Observation.method.coding",
"short": "Havainnointimenetelmä",
"definition": "Tieto sisältää luokituksen THL - Toimintakykymittarit (1.2.246.537.6.160112) arvona ilmoitetun henkilön toimintakyvyn muutoksen havainnoinnissa käytetyn menetelmän tai mittarin",
"max": "1"
},
{
"id": "Observation.method.coding.system",
"path": "Observation.method.coding.system",
"min": 1
},
{
"id": "Observation.method.coding.code",
"path": "Observation.method.coding.code",
"short": "Havainnointimenetelmän koodiarvo",
"definition": "Valuesetin Kanta Functional Capacity Observation Method mukainen havainnointimenetelmän koodiarvo. ",
"min": 1
},
{
"id": "Observation.method.coding.display",
"path": "Observation.method.coding.display",
"short": "Koodiarvon nimi",
"definition": "Valuesetin Kanta Functional Capacity Observation Method mukainen havainnointimenetelmän koodiarvon nimi. Arvon nimen on vastattava annettua koodiarvoa.",
"min": 1
},
{
"id": "Observation.method.text",
"path": "Observation.method.text",
"short": "Lisätiedot havainnointimenetelmästä",
"definition": "Lisätietoja henkilön toimintakyvyn muutoksen havainnoinnissa käytetystä menetelmästä tai mittarista sekä valitun luokan tarkempi kuvaus."
},
{
"id": "Observation.specimen",
"path": "Observation.specimen",
"max": "0"
},
{
"id": "Observation.device",
"path": "Observation.device",
"max": "0"
},
{
"id": "Observation.referenceRange",
"path": "Observation.referenceRange",
"max": "0"
},
{
"id": "Observation.hasMember",
"path": "Observation.hasMember",
"max": "0"
},
{
"id": "Observation.derivedFrom",
"path": "Observation.derivedFrom",
"max": "0"
},
{
"id": "Observation.component",
"path": "Observation.component",
"max": "0"
}
]
}
}
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