KjConditionInfection profile

The KjConditionInfection is used for registration of the infectious disease the patient has.

To filter out this specific Condition type from all other Conditions, for e.g. privacy reasons, you can use the query parameter 'criticalInfoType' as described in the documentation for endpoints.

Profile elements

Note that for all FHIR elements which has coding, e.g. code.coding and category.coding, we prefer coding.display to always be set for completeness sake as well as coding.code and coding.system.

https://simplifier.net/kjernejournalr4/kjconditioninfection

Element Norwegian Text Description Comment
id Record id. Id + meta.versionId is the unique identifier.
meta.versionId Record version id.
clinicalStatus See below Used for Status, see below. Values can be active | inactive
verificationStatus See below Used for Status, see below. Values can be confirmed | refuted | entered-in-error
category.coding.code Smitte 10=Smitte Type of critical information.
code.coding Smittefarlig sykdom Clinical code for the infection.
code.coding.extension Extensions for extra information for this type of infection
http://nhn.no/kj/fhir/StructureDefinition/CodeInfoText - Code description text
http://nhn.no/kj/fhir/StructureDefinition/UrlInfectionInformation - URL to information
http://nhn.no/kj/fhir/StructureDefinition/UrlInfectionGuide - URL to guide		 These extensions is linked to the code and will not be stored in write operations.
See code example below.
code.text Spesifisering Text if no proper code is found. PS: As of February 2025 the Norwegian Helsedirektoratet has decided that specification text shold not be set for infection. This might change in the future. Please take contact for any questions.
subject Pasient Who has the condition.
onset Tidspunkt for hendelse Estimated or actual date, date-time, or age.
recordedDate Tidspunkt for første registrering Date record was first recorded.
recorder Hvem som gjorde første registrering Who recorded this condition first. Must always reference the original recorder of the resource. Use PractitionerRole contained reference.
note Kommentar Note.
extension.sourceOfInformation Kilde Source of information.
extension.updater Hvem som gjorde endring Who changed this version of the resource. Use PractitionerRole contained reference.
extension.updatedDateTime Tidspunkt endring When this version of the resource was changed.
extension.validUntil Gyldig til Optional valid until date. The infection may be displayed as inactive if its valid-until date has expired (the valid-until date is today or in the past).

Status

The status which the critical information record is in.

Status Norwegian Text Element Values Comment
Active Aktiv clinicalStatus=active and verificationStatus=confirmed Use when the registration is active.
Refuted Avkreftet clinicalStatus=inactive and verificationStatus=refuted Use when the registration is refuted.
Deleted Slettet clinicalStatus=null and verificationStatus=entered-in-error When an erroneous registration. Use the REST delete endpoint.
Inactive Inaktiv clinicalStatus=inactive and verificationStatus=confirmed Use to remove a duplicate registration.

Example

Condition infection

{
  "resourceType": "Condition",
  "id": "07f6b4cb-f784-4a33-8aa8-ec28f66c5d19",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2021-03-14T12:15:27.073+01:00",
    "profile": [ "http://nhn.no/kj/fhir/StructureDefinition/KjConditionInfection" ]
  },
  "contained": [ {
    "resourceType": "PractitionerRole",
    "id": "recorderRef",
    "practitioner": {
      "identifier": {
        "system": "urn:oid:2.16.578.1.12.4.1.4.4",
        "value": "222200063"
      },
      "display": "Fos Perez, Jack"
    },
    "organization": {
      "identifier": {
        "system": "urn:oid:2.16.578.1.12.4.1.4.101",
        "value": "100100223"
      },
      "display": "Andeby Legevakt"
    },
    "code": [ {
      "coding": [ {
        "system": "http://nhn.no/kj/fhir/CodeSystem/CategoriesOfHealthProfessionals",
        "code": "LE",
        "display": "Lege"
      } ]
    } ]
  } ],
  "extension": [ {
    "url": "http://nhn.no/kj/fhir/StructureDefinition/KjSourceOfInformation",
    "valueCoding": {
      "system": "http://nhn.no/kj/fhir/CodeSystem/SourceOfInformation",
      "code": "1",
      "display": "Resultat av tester / analyser"
    }
  } ],
  "clinicalStatus": {
    "coding": [ {
      "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
      "code": "active",
      "display": "Active"
    } ]
  },
  "verificationStatus": {
    "coding": [ {
      "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
      "code": "confirmed",
      "display": "Confirmed"
    } ]
  },
  "category": [ {
    "coding": [ {
      "system": "http://nhn.no/kj/fhir/CodeSystem/SubcategoriesOfCriticalInformation",
      "code": "10",
      "display": "Smitte"
    } ]
  } ],
  "code": {
    "coding": [ {
      "system": "http://nhn.no/kj/fhir/CodeSystem/TypeOfInfection",
      "code": "1",
      "display": "Sykdom forårsaket av meticillin-resistente gule stafylokokker (MRSA)"
    } ]
  },
  "subject": {
    "reference": "Patient/13116900216"
  },
  "onsetDateTime": "2021-03-02T00:00:00+01:00",
  "recordedDate": "2021-03-14T12:15:27+01:00",
  "recorder": {
    "reference": "#recorderRef"
  }
}

Coding extension

 "code": {
    "coding": [ {
      "extension": [ {
        "url": "http://nhn.no/kj/fhir/StructureDefinition/CodeInfoText",
        "valueReference": {
          "reference": "Bakterier kan utvikle resistens mot ett eller flere antibiotika. Bakterier som er resistente mot to eller flere antibiotika kalles multiresistente."
        }
      }, {
        "url": "http://nhn.no/kj/fhir/StructureDefinition/UrlInfectionGuide",
        "valueReference": {
          "reference": "https://www.fhi.no/nettpub/smittevernveilederen/"
        }
      } ],
      "system": "http://nhn.no/kj/fhir/CodeSystem/TypeOfInfection",
      "code": "4",
      "display": "Sykdom forårsaket av annen multiresistent mikrobe"
    } ]
  }