{ "description": "This profile is derived from the HL7 Vital Signs profile for oxygen saturation in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) OxygenSaturation v3.1, release 2017, and to provide extensions for missing concepts.", "_filename": "zib-OxygenSaturation.json", "package_name": "nictiz.fhir.nl.stu3.zib2017", "date": null, "derivation": "constraint", "publisher": "Nictiz", "fhirVersion": "3.0.2", "purpose": "Measuring and monitoring oxygen saturation is done to monitor the oxygenation, or the amount of bound oxygen in the arterial blood.", "name": "Zib OxygenSaturation", "mapping": [ { "uri": "https://zibs.nl/wiki/O2Saturation-v1.2(2015EN)", "name": "HCIM O2Saturation-v1.2(2015EN)", "identity": "hcim-o2saturation-v1.2-2015EN" }, { "uri": "https://zibs.nl/wiki/O2Saturation-v3.0(2016EN)", "name": "HCIM O2Saturation-v3.0(2016EN)", "identity": "hcim-o2saturation-v3.0-2016EN" }, { "uri": "https://zibs.nl/wiki/O2Saturation-v3.1(2017EN)", "name": "HCIM O2Saturation-v3.1(2017EN)", "identity": "hcim-o2saturation-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 OxygenSaturation", "package_version": "1.3.6", "status": "active", "id": "23f226a7-a9bf-4f50-be9a-5ed551507212", "kind": "resource", "url": "http://nictiz.nl/fhir/StructureDefinition/zib-OxygenSaturation", "version": "2.0.1", "differential": { "element": [ { "id": "Observation", "path": "Observation", "alias": [ "O2Saturatie" ], "short": "OxygenSaturation", "mapping": [ { "map": "NL-CM:12.10.1", "comment": "oxygenation, saturation, SpO2", "identity": "hcim-o2saturation-v1.2-2015EN" }, { "map": "NL-CM:12.10.1", "comment": "oxygenation, saturation, SpO2", "identity": "hcim-o2saturation-v3.0-2016EN" }, { "map": "NL-CM:12.10.1", "comment": "O2Saturation", "identity": "hcim-o2saturation-v3.1-2017EN" } ], "definition": "This profile defines how to represent Oxygen Saturation observations in FHIR using a standard LOINC code and UCUM units of measure.\r\n\r\nArterial oxygen saturation, also referred to as saturation, is an indicator for the amount of oxygen bound to the hemoglobin in the red blood cells of the arteries. The measurement is usually carried out as a transcutaneous measurement with a blood oxygen monitor or pulse oximeter. The saturation level is expressed as a percentage and should be over 95% in healthy people." }, { "id": "Observation.identifier", "path": "Observation.identifier", "mapping": [ { "map": "NL-CM:0.0.6", "comment": "IdentificationNumber", "identity": "hcim-basicelements-v1.0-2017EN" } ] }, { "id": "Observation.subject", "path": "Observation.subject", "mapping": [ { "map": "NL-CM:0.0.11", "comment": "Subject", "identity": "hcim-basicelements-v1.0-2017EN" } ] }, { "id": "Observation.effective[x]", "path": "Observation.effective[x]", "alias": [ "O2SaturatieDatumTijd" ], "short": "O2SaturationDateTime", "mapping": [ { "map": "NL-CM:12.10.3", "comment": "O2SaturationDateTime", "identity": "hcim-o2saturation-v1.2-2015EN" }, { "map": "NL-CM:12.10.3", "comment": "O2SaturationDateTime", "identity": "hcim-o2saturation-v3.0-2016EN" }, { "map": "NL-CM:12.10.3", "comment": "O2SaturationDateTime", "identity": "hcim-o2saturation-v3.1-2017EN" }, { "map": "NL-CM:0.0.14", "comment": "DateTime", "identity": "hcim-basicelements-v1.0-2017EN" } ], "definition": "The moment (date and time) of the SpO2 measurement." }, { "id": "Observation.performer", "path": "Observation.performer", "mapping": [ { "map": "NL-CM:0.0.7", "comment": "Author", "identity": "hcim-basicelements-v1.0-2017EN" } ] }, { "id": "Observation.valueQuantity:valueQuantity", "path": "Observation.valueQuantity", "alias": [ "SpO2Waarde" ], "short": "SpO2Value recorded with UCUM", "mapping": [ { "map": "NL-CM:12.10.2", "comment": "SpO2Value", "identity": "hcim-o2saturation-v1.2-2015EN" }, { "map": "NL-CM:12.10.2", "comment": "SpO2Value", "identity": "hcim-o2saturation-v3.0-2016EN" }, { "map": "NL-CM:12.10.2", "comment": "SpO2Value", "identity": "hcim-o2saturation-v3.1-2017EN" } ], "sliceName": "valueQuantity", "definition": "The element contains the value of the indirect, peripheral measured O2 saturation.\r\nThe O2 saturation gives a percentage expressing the extent to which the blood’s hemoglobin is saturated with oxygen, the ratio of oxygen-saturated hemoglobin to hemoglobin. The measurement is done in places where sufficient light can get through the skin, such as a finger, toe or earlobe." }, { "id": "Observation.comment", "path": "Observation.comment", "alias": [ "Toelichting" ], "short": "Comment", "mapping": [ { "map": "NL-CM:12.10.4", "comment": "Explanation", "identity": "hcim-o2saturation-v1.2-2015EN" }, { "map": "NL-CM:12.10.4", "comment": "Explanation", "identity": "hcim-o2saturation-v3.0-2016EN" }, { "map": "NL-CM:12.10.4", "comment": "Comment", "identity": "hcim-o2saturation-v3.1-2017EN" } ], "definition": "Comment on the saturation measurement." }, { "id": "Observation.component", "path": "Observation.component", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "code.coding.code", "type": "value" }, { "path": "code.coding.system", "type": "value" } ] } }, { "id": "Observation.component:extraOxygenAdministration", "path": "Observation.component", "sliceName": "extraOxygenAdministration" }, { "id": "Observation.component:extraOxygenAdministration.code.coding", "min": 1, "path": "Observation.component.code.coding" }, { "id": "Observation.component:extraOxygenAdministration.code.coding.system", "path": "Observation.component.code.coding.system", "fixedUri": "http://loinc.org" }, { "id": "Observation.component:extraOxygenAdministration.code.coding.code", "path": "Observation.component.code.coding.code", "fixedCode": "74206-4" }, { "path": "Observation.component.valueCodeableConcept", "definition": "Indication stating whether the measurement was done in a situation in which extra oxygen was administered.", "short": "ExtraOxygenAdministration", "mapping": [ { "map": "NL-CM:12.10.5", "comment": "ExtraOxygenAdministration", "identity": "hcim-o2saturation-v1.2-2015EN" }, { "map": "NL-CM:12.10.5", "comment": "ExtraOxygenAdministration", "identity": "hcim-o2saturation-v3.0-2016EN" }, { "map": "NL-CM:12.10.5", "comment": "ExtraOxygenAdministration", "identity": "hcim-o2saturation-v3.1-2017EN" } ], "type": [ { "code": "CodeableConcept" } ], "sliceName": "valueCodeableConcept", "binding": { "strength": "required", "description": "Yes/no Indicator", "valueSetReference": { "display": "v2 Yes/no Indicator", "reference": "http://hl7.org/fhir/v2/0136" } }, "alias": [ "ExtraZuurstofToediening" ], "id": "Observation.component:extraOxygenAdministration.value[x]:valueCodeableConcept" } ] }, "contact": [ { "name": "Nictiz", "telecom": [ { "use": "work", "value": "info@nictiz.nl", "system": "email" } ] } ], "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/oxygensat" }