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.'
package_name: nictiz.fhir.nl.stu3.zib2017
derivation: constraint
name: Zib BloodPressure
type: Observation
elements:
  code:
    elements:
      coding:
        index: 0
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          - {path: code, type: value}
          min: 1
          slices:
            bloodPressureCode:
              match: {system: 'http://loinc.org', code: 85354-9}
              schema:
                _required: true
                index: 1
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://loinc.org'}
                    index: 2
                  code:
                    pattern: {type: Code, value: 85354-9}
                    index: 3
                  display: {defaultValueString: Blood pressure panel with all children optional, index: 4}
                required: [system, code]
    required: [coding]
  effective:
    short: BloodPressureDateTime
    choices: []
    index: 6
  comment: {short: Comment, index: 7}
  bodySite: {short: MeasuringLocation, index: 8}
  method: {short: MeasuringMethod, index: 9}
  component:
    array: true
    min: 2
    index: 10
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: code.coding.code, type: value}
      - {path: code.coding.system, type: value}
      min: 2
      slices:
        SystolicBP:
          match:
            code:
              coding: {code: 8480-6, system: 'http://loinc.org'}
          schema:
            _required: true
            index: 11
            elements:
              code:
                index: 12
                elements:
                  coding:
                    index: 13
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://loinc.org'}
                        index: 14
                      code:
                        pattern: {type: Code, value: 8480-6}
                        index: 15
                      display: {defaultValueString: Systolic blood pressure, index: 16}
                    required: [system, code]
                required: [coding]
              valueQuantity:
                short: SystolicBloodPressure recorded with UCUM
                type: Quantity
                index: 17
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema:
                        short: SystolicBloodPressure recorded with UCUM
                        type: Quantity
                        _required: true
                        index: 17
                        elements:
                          code:
                            pattern: {type: Code, value: 'mm[Hg]'}
                            index: 18
            required: [valueQuantity]
        cuffTypeSNOMED:
          match:
            code:
              coding: {code: '70665002', system: 'http://snomed.info/sct'}
          schema:
            index: 54
            elements:
              code:
                index: 55
                elements:
                  coding:
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 56
                      code:
                        pattern: {type: Code, value: '70665002'}
                        index: 57
                      display: {defaultValueString: Blood pressure cuff, index: 58}
                    required: [system, code]
              valueCodeableConcept:
                short: CuffType
                type: CodeableConcept
                index: 59
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {short: CuffType, type: CodeableConcept, index: 59}
        diastolicEndpoint:
          match:
            code:
              coding: {code: '85549003', system: 'http://snomed.info/sct'}
          schema:
            short: DiastolicEndpoint
            index: 41
            elements:
              code:
                index: 42
                elements:
                  coding:
                    index: 43
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 44
                      code:
                        pattern: {type: Code, value: '85549003'}
                        index: 45
                      display: {defaultValueString: Korotkoff sounds, index: 46}
                    required: [system, code]
                required: [coding]
              valueCodeableConcept:
                short: DiastolicEndpoint
                type: CodeableConcept
                index: 47
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {short: DiastolicEndpoint, type: CodeableConcept, index: 47}
        positionSNOMED:
          match:
            code:
              coding: {code: '424724000', system: 'http://snomed.info/sct'}
          schema:
            index: 60
            elements:
              code:
                elements:
                  coding:
                    index: 61
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 62
                      code:
                        pattern: {type: Code, value: '424724000'}
                        index: 63
                      display: {defaultValueString: Body position for blood pressure measurement, index: 64}
                    required: [system, code]
                required: [coding]
              valueCodeableConcept:
                short: Position
                type: CodeableConcept
                index: 65
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {short: Position, type: CodeableConcept, index: 65}
        AverageBloodPressureSNOMED:
          match:
            code:
              coding: {code: '6797001', system: 'http://snomed.info/sct'}
          schema:
            index: 34
            elements:
              code:
                index: 35
                elements:
                  coding:
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 36
                      code:
                        pattern: {type: Code, value: '6797001'}
                        index: 37
                      display: {defaultValueString: Mean blood pressure, index: 38}
                    required: [system, code]
              valueQuantity:
                type: Quantity
                short: AverageBloodPressure recorded with UCUM
                index: 39
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema:
                        type: Quantity
                        short: AverageBloodPressure recorded with UCUM
                        index: 39
                        elements:
                          code:
                            pattern: {type: Code, value: 'mm[Hg]'}
                            index: 40
        cuffTypeLOINC:
          match:
            code:
              coding: {code: 8358-4, system: 'http://loinc.org'}
          schema:
            index: 48
            elements:
              code:
                index: 49
                elements:
                  coding:
                    index: 50
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://loinc.org'}
                        index: 51
                      code:
                        pattern: {type: Code, value: 8358-4}
                        index: 52
                    required: [system, code]
                required: [coding]
              valueCodeableConcept:
                short: CuffType
                type: CodeableConcept
                index: 53
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {short: CuffType, type: CodeableConcept, index: 53}
        DiastolicBP:
          match:
            code:
              coding: {code: 8462-4, system: 'http://loinc.org'}
          schema:
            _required: true
            index: 19
            elements:
              code:
                short: DiastolicBloodPressure recorded with UCUM
                index: 20
                elements:
                  coding:
                    index: 21
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://loinc.org'}
                        index: 22
                      code:
                        pattern: {type: Code, value: 8462-4}
                        index: 23
                      display: {defaultValueString: Diastolic blood pressure, index: 24}
                    required: [system, code]
                required: [coding]
              valueQuantity:
                type: Quantity
                index: 25
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema:
                        type: Quantity
                        index: 25
                        elements:
                          code:
                            pattern: {type: Code, value: 'mm[Hg]'}
                            index: 26
        AverageBloodPressureLOINC:
          match:
            code:
              coding: {code: 8478-0, system: 'http://loinc.org'}
          schema:
            index: 27
            elements:
              code:
                index: 28
                elements:
                  coding:
                    index: 29
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://loinc.org'}
                        index: 30
                      code:
                        pattern: {type: Code, value: 8478-0}
                        defaultValueCode: Mean blood pressure
                        index: 31
                    required: [system, code]
                required: [coding]
              valueQuantity:
                type: Quantity
                short: AverageBloodPressure recorded with UCUM
                index: 32
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema:
                        type: Quantity
                        short: AverageBloodPressure recorded with UCUM
                        index: 32
                        elements:
                          code:
                            pattern: {type: Code, value: 'mm[Hg]'}
                            index: 33
        positionLOINC:
          match:
            code:
              coding: {code: 8361-8, system: 'http://loinc.org'}
          schema:
            index: 66
            elements:
              code:
                elements:
                  coding:
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://loinc.org'}
                        index: 67
                      code:
                        pattern: {type: Code, value: 8361-8}
                        index: 68
                      display: {defaultValueString: Body position with respect to gravity, index: 69}
                    required: [system, code]
              valueCodeableConcept:
                short: Position
                type: CodeableConcept
                index: 70
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {short: Position, type: CodeableConcept, index: 70}
package_version: 2.0.0
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure
base: http://nictiz.nl/fhir/StructureDefinition/zib-VitalSigns
version: 3.0.0