{
"description": "This profile is derived from the HL7 Vital Signs profile for Blood Pressure in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) BloodPresurre version 3.1, release 2017 and to provide extensions for missing concepts if needed.\\r\\n\\r\\nThe blood pressure is a parameter for determining the condition of the blood circulation and is expressed in systolic and diastolic pressure in mmHg.",
"_filename": "zib-BloodPressure.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.2",
"purpose": "Blood pressure is measured to gain an indication of the health condition of the patient’s cardiovascular system.",
"name": "Zib BloodPressure",
"mapping": [ {
"uri": "https://zibs.nl/wiki/BloodPressure-v1.2(2015EN)",
"name": "HCIM BloodPressure-v1.2(2015EN)",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"uri": "https://zibs.nl/wiki/BloodPressure-v3.0(2016EN)",
"name": "HCIM BloodPressure-v3.0(2016EN)",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"uri": "https://zibs.nl/wiki/BloodPressure-v3.1(2017EN)",
"name": "HCIM BloodPressure-v3.1(2017EN)",
"identity": "hcim-bloodpressure-v3.1-2017EN"
}, {
"uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
"name": "HCIM BasicElements-v1.0(2017EN)",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM BloodPressure",
"package_version": "2.2.4",
"status": "active",
"id": "05bb333b-c5ae-41a9-b32a-861ee2d0ec6d",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure",
"version": "3.0.2",
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"alias": [ "Bloeddruk" ],
"short": "BloodPressure",
"mapping": [ {
"map": "NL-CM:12.4.1",
"comment": "BloodPressure",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.1",
"comment": "BloodPressure",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.1",
"comment": "BloodPressure",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ],
"definition": "The FHIR BloodPressure profile sets a minimum expectations for the Observation Resource to record, search and fetch the blood pressure associated with a patient."
}, {
"id": "Observation.code.coding",
"min": 1,
"path": "Observation.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "value"
}, {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.code.coding:bloodPressureCode",
"max": "1",
"min": 1,
"path": "Observation.code.coding",
"sliceName": "bloodPressureCode"
}, {
"id": "Observation.code.coding:bloodPressureCode.system",
"min": 1,
"path": "Observation.code.coding.system",
"fixedUri": "http://loinc.org"
}, {
"id": "Observation.code.coding:bloodPressureCode.code",
"min": 1,
"path": "Observation.code.coding.code",
"comment": "Please note: the zib/HCIM uses the LOINC code 55284-4 rather than 85354-9. However, this latter code is used in the VitalSigns profile, and it has been chosen to align to this commonly used profile. Future versions of the zib/HCIM will use this code as well.",
"fixedCode": "85354-9"
}, {
"id": "Observation.code.coding:bloodPressureCode.display",
"path": "Observation.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Blood pressure panel with all children optional"
}, {
"id": "Observation.effective[x]",
"path": "Observation.effective[x]",
"alias": [ "BloeddrukDatumTijd" ],
"short": "BloodPressureDateTime",
"mapping": [ {
"map": "NL-CM:12.4.5",
"comment": "BloodPressureDateTime",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.5",
"comment": "BloodPressureDateTime",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.5",
"comment": "BloodPressureDateTime",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ]
}, {
"id": "Observation.comment",
"path": "Observation.comment",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:12.4.6",
"comment": "Explanation",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.6",
"comment": "Explanation",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.6",
"comment": "Comment",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ],
"definition": "Comments on the measured blood pressure. Here, an explanation could be given, for example, of circumstances that may have influenced the patient’s blood pressure, such as pain, stress, exertion and sleep/wake cycles."
}, {
"id": "Observation.bodySite",
"path": "Observation.bodySite",
"alias": [ "MeetLocatie" ],
"short": "MeasuringLocation",
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "BodySite"
} ],
"description": "MeetLocatieCodelijst",
"valueSetReference": {
"display": "MeetLocatieCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.4.4--20171231000000"
}
},
"mapping": [ {
"map": "NL-CM:12.4.10",
"comment": "MeasuringLocation",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.10",
"comment": "MeasuringLocation",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.10",
"comment": "MeasuringLocation",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ],
"definition": "Anatomical location where the blood pressure was measured."
}, {
"id": "Observation.method",
"path": "Observation.method",
"alias": [ "Meetmethode" ],
"short": "MeasuringMethod",
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ObservationMethod"
} ],
"description": "MeetmethodeCodelijst",
"valueSetReference": {
"display": "MeetmethodeCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.4.1--20171231000000"
}
},
"mapping": [ {
"map": "NL-CM:12.4.7",
"comment": "MeasuringMethod",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.7",
"comment": "MeasuringMethod",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.7",
"comment": "MeasuringMethod",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ],
"definition": "The type of method used to measure blood pressure."
}, {
"id": "Observation.component",
"min": 2,
"path": "Observation.component",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "code.coding.code",
"type": "value"
}, {
"path": "code.coding.system",
"type": "value"
} ]
}
}, {
"id": "Observation.component:SystolicBP",
"max": "1",
"min": 1,
"path": "Observation.component",
"sliceName": "SystolicBP"
}, {
"id": "Observation.component:SystolicBP.code",
"path": "Observation.component.code",
"comment": "Additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system."
}, {
"id": "Observation.component:SystolicBP.code.coding",
"min": 1,
"path": "Observation.component.code.coding"
}, {
"id": "Observation.component:SystolicBP.code.coding.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
}, {
"id": "Observation.component:SystolicBP.code.coding.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "8480-6"
}, {
"id": "Observation.component:SystolicBP.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Systolic blood pressure"
}, {
"path": "Observation.component.valueQuantity",
"min": 1,
"definition": "The highest (peak) systematic arterial blood pressure - measured in the contraction stage or systole of the cardiac cycle.",
"short": "SystolicBloodPressure recorded with UCUM",
"mapping": [ {
"map": "NL-CM:12.4.2",
"comment": "SystolicBloodPressure",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.2",
"comment": "SystolicBloodPressure",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.2",
"comment": "SystolicBloodPressure",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ],
"type": [ {
"code": "Quantity"
} ],
"sliceName": "valueQuantity",
"alias": [ "SystolischeBloeddruk" ],
"id": "Observation.component:SystolicBP.value[x]:valueQuantity"
}, {
"id": "Observation.component:SystolicBP.value[x]:valueQuantity.code",
"path": "Observation.component.valueQuantity.code",
"fixedCode": "mm[Hg]"
}, {
"id": "Observation.component:DiastolicBP",
"max": "1",
"min": 1,
"path": "Observation.component",
"sliceName": "DiastolicBP"
}, {
"id": "Observation.component:DiastolicBP.code",
"path": "Observation.component.code",
"alias": [ "DiastolischeBloeddruk" ],
"short": "DiastolicBloodPressure recorded with UCUM",
"comment": "Additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system.",
"definition": "The lowest systematic arterial blood pressure - measured in the relaxation stage or diastole of the cardiac cycle."
}, {
"id": "Observation.component:DiastolicBP.code.coding",
"min": 1,
"path": "Observation.component.code.coding"
}, {
"id": "Observation.component:DiastolicBP.code.coding.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
}, {
"id": "Observation.component:DiastolicBP.code.coding.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "8462-4"
}, {
"id": "Observation.component:DiastolicBP.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Diastolic blood pressure"
}, {
"id": "Observation.component:DiastolicBP.value[x]:valueQuantity",
"path": "Observation.component.valueQuantity",
"type": [ {
"code": "Quantity"
} ],
"mapping": [ {
"map": "NL-CM:12.4.3",
"comment": "DiastolicBloodPressure",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.3",
"comment": "DiastolicBloodPressure",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.3",
"comment": "DiastolicBloodPressure",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ],
"sliceName": "valueQuantity"
}, {
"id": "Observation.component:DiastolicBP.value[x]:valueQuantity.code",
"path": "Observation.component.valueQuantity.code",
"fixedCode": "mm[Hg]"
}, {
"id": "Observation.component:AverageBloodPressureLOINC",
"max": "1",
"path": "Observation.component",
"sliceName": "AverageBloodPressureLOINC"
}, {
"id": "Observation.component:AverageBloodPressureLOINC.code",
"path": "Observation.component.code",
"comment": "Additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system."
}, {
"id": "Observation.component:AverageBloodPressureLOINC.code.coding",
"min": 1,
"path": "Observation.component.code.coding"
}, {
"id": "Observation.component:AverageBloodPressureLOINC.code.coding.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
}, {
"id": "Observation.component:AverageBloodPressureLOINC.code.coding.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "8478-0"
}, {
"id": "Observation.component:AverageBloodPressureLOINC.code.coding.display",
"path": "Observation.component.code.coding.display",
"defaultValueString": "Mean blood pressure"
}, {
"id": "Observation.component:AverageBloodPressureLOINC.value[x]:valueQuantity",
"path": "Observation.component.valueQuantity",
"type": [ {
"code": "Quantity"
} ],
"alias": [ "GemiddeldeBloeddruk" ],
"short": "AverageBloodPressure recorded with UCUM",
"mapping": [ {
"map": "NL-CM:12.4.4",
"comment": "AverageBloodPressure",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.4",
"comment": "AverageBloodPressure",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.4",
"comment": "AverageBloodPressure",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ],
"sliceName": "valueQuantity",
"definition": "Average blood pressure during one cycle of the heart contracting and relaxing.\r\nEstimated based on systolic and diastolic blood pressure. This estimate is unreliable in cases of circulatory disorders. This value can only be reliably determined when invasive blood pressure is measured."
}, {
"id": "Observation.component:AverageBloodPressureLOINC.value[x]:valueQuantity.code",
"path": "Observation.component.valueQuantity.code",
"fixedCode": "mm[Hg]"
}, {
"id": "Observation.component:AverageBloodPressureSNOMED",
"max": "1",
"path": "Observation.component",
"sliceName": "AverageBloodPressureSNOMED"
}, {
"id": "Observation.component:AverageBloodPressureSNOMED.code",
"path": "Observation.component.code",
"comment": "Additional codes that translate or map to this code are allowed. For example a more granular SNOMED code or code that is used locally in a system."
}, {
"id": "Observation.component:AverageBloodPressureSNOMED.code.coding.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:AverageBloodPressureSNOMED.code.coding.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "6797001"
}, {
"id": "Observation.component:AverageBloodPressureSNOMED.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Mean blood pressure"
}, {
"id": "Observation.component:AverageBloodPressureSNOMED.value[x]:valueQuantity",
"path": "Observation.component.valueQuantity",
"type": [ {
"code": "Quantity"
} ],
"alias": [ "GemiddeldeBloeddruk" ],
"short": "AverageBloodPressure recorded with UCUM",
"mapping": [ {
"map": "NL-CM:12.4.4",
"comment": "AverageBloodPressure",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.4",
"comment": "AverageBloodPressure",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.4",
"comment": "AverageBloodPressure",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ],
"sliceName": "valueQuantity",
"definition": "Average blood pressure during one cycle of the heart contracting and relaxing.\r\nEstimated based on systolic and diastolic blood pressure. This estimate is unreliable in cases of circulatory disorders. This value can only be reliably determined when invasive blood pressure is measured."
}, {
"id": "Observation.component:AverageBloodPressureSNOMED.value[x]:valueQuantity.code",
"path": "Observation.component.valueQuantity.code",
"fixedCode": "mm[Hg]"
}, {
"id": "Observation.component:diastolicEndpoint",
"max": "1",
"path": "Observation.component",
"short": "DiastolicEndpoint",
"sliceName": "diastolicEndpoint"
}, {
"id": "Observation.component:diastolicEndpoint.code",
"path": "Observation.component.code",
"alias": [ "Component Test", "Component Name" ],
"comment": "Additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system."
}, {
"id": "Observation.component:diastolicEndpoint.code.coding",
"min": 1,
"path": "Observation.component.code.coding"
}, {
"id": "Observation.component:diastolicEndpoint.code.coding.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:diastolicEndpoint.code.coding.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "85549003"
}, {
"id": "Observation.component:diastolicEndpoint.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Korotkoff sounds"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "Registration of the Korotkoff sound used to measure diastolic pressure with the auscultatory method.",
"short": "DiastolicEndpoint",
"mapping": [ {
"map": "NL-CM:12.4.8",
"comment": "DiastolicEndpoint",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.8",
"comment": "DiastolicEndpoint",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.8",
"comment": "DiastolicEndpoint",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "DiastolischEindpuntCodelijst",
"valueSetReference": {
"display": "DiastolischEindpuntCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.4.2--20171231000000"
}
},
"alias": [ "DiastolischEindpunt" ],
"id": "Observation.component:diastolicEndpoint.value[x]:valueCodeableConcept"
}, {
"id": "Observation.component:cuffTypeLOINC",
"max": "1",
"path": "Observation.component",
"sliceName": "cuffTypeLOINC"
}, {
"id": "Observation.component:cuffTypeLOINC.code",
"path": "Observation.component.code",
"alias": [ "Component Test", "Component Name" ],
"comment": "Additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system."
}, {
"id": "Observation.component:cuffTypeLOINC.code.coding",
"min": 1,
"path": "Observation.component.code.coding"
}, {
"id": "Observation.component:cuffTypeLOINC.code.coding.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
}, {
"id": "Observation.component:cuffTypeLOINC.code.coding.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "8358-4"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "The size of the cuff used in the measurement.",
"short": "CuffType",
"mapping": [ {
"map": "NL-CM:12.4.9",
"comment": "CuffType",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.9",
"comment": "CuffType",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.9",
"comment": "CuffType",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "ManchetTypeCodelijst",
"valueSetReference": {
"display": "ManchetTypeCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.4.3--20171231000000"
}
},
"alias": [ "ManchetType" ],
"id": "Observation.component:cuffTypeLOINC.value[x]:valueCodeableConcept"
}, {
"id": "Observation.component:cuffTypeSNOMED",
"max": "1",
"path": "Observation.component",
"sliceName": "cuffTypeSNOMED"
}, {
"id": "Observation.component:cuffTypeSNOMED.code",
"path": "Observation.component.code",
"alias": [ "Component Test", "Component Name" ],
"comment": "Additional codes that translate or map to this code are allowed. For example a more granular SNOMED code or code that is used locally in a system."
}, {
"id": "Observation.component:cuffTypeSNOMED.code.coding.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:cuffTypeSNOMED.code.coding.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "70665002"
}, {
"id": "Observation.component:cuffTypeSNOMED.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Blood pressure cuff"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "The size of the cuff used in the measurement.",
"short": "CuffType",
"mapping": [ {
"map": "NL-CM:12.4.9",
"comment": "CuffType",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.9",
"comment": "CuffType",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.9",
"comment": "CuffType",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "ManchetTypeCodelijst",
"valueSetReference": {
"display": "ManchetTypeCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.4.3--20171231000000"
}
},
"alias": [ "ManchetType" ],
"id": "Observation.component:cuffTypeSNOMED.value[x]:valueCodeableConcept"
}, {
"id": "Observation.component:positionSNOMED",
"max": "1",
"path": "Observation.component",
"sliceName": "positionSNOMED"
}, {
"id": "Observation.component:positionSNOMED.code.coding",
"min": 1,
"path": "Observation.component.code.coding"
}, {
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