{
  "description": "This profile represents a single blood glucose self measurement based on the seven-point scale (SMBG).",
  "_filename": "vitalsigns-bloodglucose.json",
  "package_name": "nictiz.fhir.nl.stu3.zib2017",
  "date": null,
  "derivation": "constraint",
  "publisher": "Nictiz",
  "fhirVersion": "3.0.2",
  "name": "Vital Signs BloodGlucose",
  "abstract": false,
  "copyright": "CC0",
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "VitalSigns BloodGlucose",
  "package_version": "1.3.6",
  "status": "active",
  "id": "b001e243-e667-4fe4-91a0-0001b14a0dfe",
  "kind": "resource",
  "url": "http://nictiz.nl/fhir/StructureDefinition/vitalsign-bloodglucose",
  "version": "1.0.2",
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "short": "FHIR Blood Glucose Profile"
    }, {
      "id": "Observation.extension",
      "path": "Observation.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.extension:eventTiming",
      "max": "1",
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/observation-eventTiming"
      } ],
      "sliceName": "eventTiming",
      "mustSupport": true
    }, {
      "id": "Observation.extension:eventTiming.extension:code",
      "path": "Observation.extension.extension",
      "sliceName": "code"
    }, {
      "id": "Observation.extension:eventTiming.extension:code.valueCodeableConcept:valueCodeableConcept",
      "path": "Observation.extension.extension.valueCodeableConcept",
      "sliceName": "valueCodeableConcept"
    }, {
      "id": "Observation.extension:eventTiming.extension:offset",
      "path": "Observation.extension.extension",
      "sliceName": "offset"
    }, {
      "id": "Observation.extension:eventTiming.extension:offset.valueQuantity:valueQuantity",
      "path": "Observation.extension.extension.valueQuantity",
      "sliceName": "valueQuantity"
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "constraint": [ {
        "key": "bg-1",
        "human": "Observation.code SHALL have at least one coding based on LOINC",
        "xpath": "f:coding[f:system/@value = 'http://loinc.org']",
        "severity": "error",
        "expression": "coding.where(system = 'http://loinc.org').exists()"
      }, {
        "key": "bg-2",
        "human": "Observation.code MAY have a maximum of one coding based on NHG Table 45",
        "xpath": "count(f:coding[f:system/@value = 'https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen']) <= 1",
        "severity": "error",
        "expression": "coding.where(system = 'https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen').count() <= 1"
      } ]
    }, {
      "id": "Observation.code.coding",
      "min": 1,
      "path": "Observation.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "code",
          "type": "value"
        }, {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.code.coding:fastingGlucoseloinc",
      "max": "1",
      "path": "Observation.code.coding",
      "sliceName": "fastingGlucoseloinc"
    }, {
      "id": "Observation.code.coding:fastingGlucoseloinc.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.code.coding:fastingGlucoseloinc.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "41604-0"
    }, {
      "id": "Observation.code.coding:fastingGlucoseloinc.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ]
    }, {
      "id": "Observation.code.coding:generalGlucoseloinc",
      "max": "1",
      "path": "Observation.code.coding",
      "sliceName": "generalGlucoseloinc"
    }, {
      "id": "Observation.code.coding:generalGlucoseloinc.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.code.coding:generalGlucoseloinc.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "14743-9"
    }, {
      "id": "Observation.code.coding:generalGlucoseloinc.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ]
    }, {
      "id": "Observation.code.coding:postMealGlucoseloinc",
      "max": "1",
      "path": "Observation.code.coding",
      "sliceName": "postMealGlucoseloinc"
    }, {
      "id": "Observation.code.coding:postMealGlucoseloinc.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.code.coding:postMealGlucoseloinc.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "14760-3"
    }, {
      "id": "Observation.code.coding:postMealGlucoseloinc.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ]
    }, {
      "id": "Observation.code.coding:fastingGlucoseNhgtable45",
      "max": "1",
      "path": "Observation.code.coding",
      "sliceName": "fastingGlucoseNhgtable45",
      "definition": "The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to fastingGlucoseloinc"
    }, {
      "id": "Observation.code.coding:fastingGlucoseNhgtable45.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen"
    }, {
      "id": "Observation.code.coding:fastingGlucoseNhgtable45.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "382",
      "definition": "NHG Table 45 code 382, mnemonic GLUC BC NU, glucose nuchter, draagbare meter"
    }, {
      "id": "Observation.code.coding:fastingGlucoseNhgtable45.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ]
    }, {
      "id": "Observation.code.coding:generalGlucosePortableDeviceNhgtable45",
      "max": "1",
      "path": "Observation.code.coding",
      "sliceName": "generalGlucosePortableDeviceNhgtable45",
      "definition": "The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to generalGlucoseloinc"
    }, {
      "id": "Observation.code.coding:generalGlucosePortableDeviceNhgtable45.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen"
    }, {
      "id": "Observation.code.coding:generalGlucosePortableDeviceNhgtable45.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "3221",
      "definition": "NHG Table 45 code 3221, mnemonic GDC BC SR, glucose dagcurve (GDC), draagbare meter"
    }, {
      "id": "Observation.code.coding:generalGlucosePortableDeviceNhgtable45.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ]
    }, {
      "id": "Observation.code.coding:generalGlucoseNhgtable45",
      "max": "1",
      "path": "Observation.code.coding",
      "sliceName": "generalGlucoseNhgtable45",
      "definition": "The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to generalGlucoseloinc"
    }, {
      "id": "Observation.code.coding:generalGlucoseNhgtable45.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen"
    }, {
      "id": "Observation.code.coding:generalGlucoseNhgtable45.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "355",
      "definition": "NHG Table 45 code 355, mnemonic GDC B SR, glucose dagcurve (GDC)"
    }, {
      "id": "Observation.code.coding:generalGlucoseNhgtable45.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ]
    }, {
      "id": "Observation.code.coding:postDinerGlucoseNhgtable45",
      "max": "1",
      "path": "Observation.code.coding",
      "sliceName": "postDinerGlucoseNhgtable45",
      "definition": "The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to postMealGlucoseloinc"
    }, {
      "id": "Observation.code.coding:postDinerGlucoseNhgtable45.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen"
    }, {
      "id": "Observation.code.coding:postDinerGlucoseNhgtable45.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "3222",
      "definition": "NHG Table 45 code 3222, menmonic GLUC BC TA, glucose (dagcurve) 2u na diner, draagb.m"
    }, {
      "id": "Observation.code.coding:postDinerGlucoseNhgtable45.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ]
    }, {
      "id": "Observation.code.coding:postLunchGlucoseNhgtable45",
      "max": "1",
      "path": "Observation.code.coding",
      "sliceName": "postLunchGlucoseNhgtable45",
      "definition": "The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to postMealGlucoseloinc"
    }, {
      "id": "Observation.code.coding:postLunchGlucoseNhgtable45.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen"
    }, {
      "id": "Observation.code.coding:postLunchGlucoseNhgtable45.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "3223",
      "definition": "NHG Table 45 code 3223, menmonic GLUC BC TM, glucose (dagcurve) 2u na lunch, draagb.m"
    }, {
      "id": "Observation.code.coding:postLunchGlucoseNhgtable45.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ]
    }, {
      "id": "Observation.code.coding:postBreakfastGlucoseNhgtable45",
      "max": "1",
      "path": "Observation.code.coding",
      "sliceName": "postBreakfastGlucoseNhgtable45",
      "definition": "The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to postMealGlucoseloinc"
    }, {
      "id": "Observation.code.coding:postBreakfastGlucoseNhgtable45.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen"
    }, {
      "id": "Observation.code.coding:postBreakfastGlucoseNhgtable45.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "3224",
      "definition": "NHG Table 45 code 3224, menmonic GLUC BC TO, glucose (dagcurve) 2u na ontbijt, drgb.m"
    }, {
      "id": "Observation.code.coding:postBreakfastGlucoseNhgtable45.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ]
    }, {
      "id": "Observation.code.coding:beforeLunchGlucoseNhgtable45",
      "max": "1",
      "path": "Observation.code.coding",
      "sliceName": "beforeLunchGlucoseNhgtable45",
      "definition": "The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to generalGlucoseloinc"
    }, {
      "id": "Observation.code.coding:beforeLunchGlucoseNhgtable45.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen"
    }, {
      "id": "Observation.code.coding:beforeLunchGlucoseNhgtable45.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "3225",
      "definition": "NHG Table 45 code 3225, menmonic GLUC BC TL, glucose (dagcurve) voor de lunch, drgb.m"
    }, {
      "id": "Observation.code.coding:beforeLunchGlucoseNhgtable45.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ]
    }, {
      "id": "Observation.code.coding:beforeNightGlucoseNhgtable45",
      "max": "1",
      "path": "Observation.code.coding",
      "sliceName": "beforeNightGlucoseNhgtable45",
      "definition": "The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to generalGlucoseloinc"
    }, {
      "id": "Observation.code.coding:beforeNightGlucoseNhgtable45.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen"
    }, {
      "id": "Observation.code.coding:beforeNightGlucoseNhgtable45.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "3226",
      "definition": "NHG Table 45 code 3226, menmonic GLUC BC TN, glucose (dagcurve) voor de nacht, drgb.m"
    }, {
      "id": "Observation.code.coding:beforeNightGlucoseNhgtable45.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ]
    }, {
      "id": "Observation.code.coding:beforeDinerGlucoseNhgtable45",
      "max": "1",
      "path": "Observation.code.coding",
      "sliceName": "beforeDinerGlucoseNhgtable45",
      "definition": "The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to generalGlucoseloinc"
    }, {
      "id": "Observation.code.coding:beforeDinerGlucoseNhgtable45.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen"
    }, {
      "id": "Observation.code.coding:beforeDinerGlucoseNhgtable45.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "3227",
      "definition": "NHG Table 45 code 3227, menmonic GLUC BC TD, glucose (dagcurve)voor het diner, drgb.m"
    }, {
      "id": "Observation.code.coding:beforeDinerGlucoseNhgtable45.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ]
    }, {
      "id": "Observation.value[x]:valueQuantity",
      "path": "Observation.valueQuantity",
      "type": [ {
        "code": "Quantity"
      } ],
      "sliceName": "valueQuantity"
    } ]
  },
  "contact": [ {
    "name": "Nictiz",
    "telecom": [ {
      "use": "work",
      "value": "info@nictiz.nl",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation"
}