{
"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": "2.2.14",
"status": "active",
"id": "4b3e259d-ac51-465a-bc26-08c3d8792053",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure",
"version": "3.0.4",
"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",
"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",
"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",
"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",
"type": "pattern"
} ]
}
}, {
"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.",
"patternCodeableConcept": {
"coding": [ {
"code": "8480-6",
"system": "http://loinc.org"
} ]
}
}, {
"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.",
"patternCodeableConcept": {
"coding": [ {
"code": "8462-4",
"system": "http://loinc.org"
} ]
}
}, {
"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:AverageBloodPressureSNOMED",
"max": "1",
"path": "Observation.component",
"comment": "There are two slices defined for the AverageBloodPressure concept of zib BloodPressure (NL-CM:12.4.4), one called averageBloodPressureSNOMED and one called averageBloodPressureLOINC. These slices are defined to indicate that the `Observation.component` for this concept may be identified using either SNOMED code 6797001 or LOINC code 8478-0. Sending systems can choose one of these codes, while receiving systems need to recognize them both. The actual _value_ communicated in `.valueCodeableConcept` is not affected by this choice.\r\n\r\nPlease note that this way of modelling prevents the use of an `Observation.component` that identifies the average blood pressure using both SNOMED code 6797001 and LOINC code 8478-0. This is a modelling error that cannot be fixed in a backwards compatible way.",
"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.",
"patternCodeableConcept": {
"coding": [ {
"code": "6797001",
"system": "http://snomed.info/sct"
} ]
}
}, {
"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:AverageBloodPressureLOINC",
"max": "1",
"path": "Observation.component",
"comment": "There are two slices defined for the AverageBloodPressure concept of zib BloodPressure (NL-CM:12.4.4), one called averageBloodPressureSNOMED and one called averageBloodPressureLOINC. These slices are defined to indicate that the `Observation.component` for this concept may be identified using either SNOMED code 6797001 or LOINC code 8478-0. Sending systems can choose one of these codes, while receiving systems need to recognize them both. The actual _value_ communicated in `.valueCodeableConcept` is not affected by this choice.\r\n\r\nPlease note that this way of modelling prevents the use of an `Observation.component` that identifies the average blood pressure using both SNOMED code 6797001 and LOINC code 8478-0. This is a modelling error that cannot be fixed in a backwards compatible way.",
"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.",
"patternCodeableConcept": {
"coding": [ {
"code": "8478-0",
"system": "http://loinc.org"
} ]
}
}, {
"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: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 SNOMED code or code that is used locally in a system.",
"patternCodeableConcept": {
"coding": [ {
"code": "85549003",
"system": "http://snomed.info/sct"
} ]
}
}, {
"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:cuffTypeSNOMED",
"max": "1",
"path": "Observation.component",
"comment": "There are two slices defined for the CuffType concept of zib BloodPressure (NL-CM:12.4.9), one called cuffTypeSNOMED and one called cuffTypeLOINC. These slices are defined to indicate that the `Observation.component` for this concept may be identified using either SNOMED code 70665002 or LOINC code 8358-4. Sending systems can choose one of these codes, while receiving systems need to recognize them both. The actual _value_ communicated in `.valueCodeableConcept` is not affected by this choice.\r\n\r\nPlease note that this way of modelling prevents the use of an `Observation.component` that identifies the cuff type using both SNOMED code 70665002 and LOINC code 8358-4. This is a modelling error that cannot be fixed in a backwards compatible way.",
"sliceName": "cuffTypeSNOMED"
}, {
"id": "Observation.component:cuffTypeSNOMED.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.",
"patternCodeableConcept": {
"coding": [ {
"code": "70665002",
"system": "http://snomed.info/sct"
} ]
}
}, {
"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:cuffTypeLOINC",
"max": "1",
"path": "Observation.component",
"comment": "There are two slices defined for the CuffType concept of zib BloodPressure (NL-CM:12.4.9), one called cuffTypeSNOMED and one called cuffTypeLOINC. These slices are defined to indicate that the `Observation.component` for this concept may be identified using either SNOMED code 70665002 or LOINC code 8358-4. Sending systems can choose one of these codes, while receiving systems need to recognize them both. The actual _value_ communicated in `.valueCodeableConcept` is not affected by this choice.\r\n\r\nPlease note that this way of modelling prevents the use of an `Observation.component` that identifies the cuff type using both SNOMED code 70665002 and LOINC code 8358-4. This is a modelling error that cannot be fixed in a backwards compatible way.",
"sliceName": "cuffTypeLOINC"
}, {
"id": "Observation.component:cuffTypeLOINC.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.",
"patternCodeableConcept": {
"coding": [ {
"code": "8358-4",
"system": "http://loinc.org"
} ]
}
}, {
"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:positionSNOMED",
"max": "1",
"path": "Observation.component",
"comment": "There are two slices defined for the Position concept of zib BloodPressure (NL-CM:12.4.11), one called positionSNOMED and one called positionLOINC. These slices are defined to indicate that the `Observation.component` for this concept may be identified using either SNOMED code 424724000 or LOINC code 8361-8. Sending systems can choose one of these codes, while receiving systems need to recognize them both. The actual _value_ communicated in `.valueCodeableConcept` is not affected by this choice.\r\n\r\nPlease note that this way of modelling prevents the use of an `Observation.component` that identifies the position using both SNOMED code 424724000 and LOINC code 8361-8. This is a modelling error that cannot be fixed in a backwards compatible way.",
"sliceName": "positionSNOMED"
}, {
"id": "Observation.component:positionSNOMED.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.",
"patternCodeableConcept": {
"coding": [ {
"code": "424724000",
"system": "http://snomed.info/sct"
} ]
}
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "The position of the patient when the blood pressure was measured.",
"short": "Position",
"mapping": [ {
"map": "NL-CM:12.4.11",
"comment": "Position",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.11",
"comment": "Position",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.11",
"comment": "Position",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "HoudingCodelijst",
"valueSetReference": {
"display": "HoudingCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.4.5--20171231000000"
}
},
"alias": [ "Houding" ],
"id": "Observation.component:positionSNOMED.value[x]:valueCodeableConcept"
}, {
"id": "Observation.component:positionLOINC",
"max": "1",
"path": "Observation.component",
"comment": "There are two slices defined for the Position concept of zib BloodPressure (NL-CM:12.4.11), one called positionSNOMED and one called positionLOINC. These slices are defined to indicate that the `Observation.component` for this concept may be identified using either SNOMED code 424724000 or LOINC code 8361-8. Sending systems can choose one of these codes, while receiving systems need to recognize them both. The actual _value_ communicated in `.valueCodeableConcept` is not affected by this choice.\r\n\r\nPlease note that this way of modelling prevents the use of an `Observation.component` that identifies the position using both SNOMED code 424724000 and LOINC code 8361-8. This is a modelling error that cannot be fixed in a backwards compatible way.",
"sliceName": "positionLOINC"
}, {
"id": "Observation.component:positionLOINC.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.",
"patternCodeableConcept": {
"coding": [ {
"code": "8361-8",
"system": "http://loinc.org"
} ]
}
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "The position of the patient when the blood pressure was measured.",
"short": "Position",
"mapping": [ {
"map": "NL-CM:12.4.11",
"comment": "Position",
"identity": "hcim-bloodpressure-v1.2-2015EN"
}, {
"map": "NL-CM:12.4.11",
"comment": "Position",
"identity": "hcim-bloodpressure-v3.0-2016EN"
}, {
"map": "NL-CM:12.4.11",
"comment": "Position",
"identity": "hcim-bloodpressure-v3.1-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "HoudingCodelijst",
"valueSetReference": {
"display": "HoudingCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.4.5--20171231000000"
}
},
"alias": [ "Houding" ],
"id": "Observation.component:positionLOINC.value[x]:valueCodeableConcept"
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-VitalSigns"
}