{
  "description": "This profile is derived from the HL7 Vital Signs profile for pulse rate in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) PulseRate, version 3.1 and to provide extensions for missing concepts.",
  "_filename": "zib-PulseRate.json",
  "package_name": "nictiz.fhir.nl.stu3.zib2017",
  "date": null,
  "derivation": "constraint",
  "publisher": "Nictiz",
  "fhirVersion": "3.0.1",
  "purpose": "The pulse rate is expressed in the number of tangible pulsations of an artery per minute, usually the a. radialis, a. carotis or a. femoralis.",
  "name": "Zib PulseRate",
  "mapping": [ {
    "uri": "https://zibs.nl/wiki/PulseRate-v3.1(2017EN)",
    "name": "HCIM PulseRate-v3.1(2017EN)",
    "comment": "Known issue: due to missing terminology, there's no component mapping for NL-CM:12.7.5 (https://bits.nictiz.nl/projects/ZIB/issues/ZIB-689)",
    "identity": "hcim-pulserate-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 PulseRate",
  "package_version": "1.1.1",
  "status": "active",
  "id": "b8854582-ff67-4ae6-b8f8-ea9858ae4e93",
  "kind": "resource",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-PulseRate",
  "version": "1.1.0",
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "alias": [ "Polsfrequentie" ],
      "short": "PulseRate",
      "mapping": [ {
        "map": "NL-CM:12.7.1",
        "comment": "PulseRate",
        "identity": "hcim-pulserate-v3.1-2017EN"
      } ],
      "definition": "This profile defines how to represent pulse rate observations in FHIR using a standard LOINC code and UCUM units of measure.\r\nThe element contains the value of the pulse rate measured. The pulse rate is expressed in the number of tangible pulsations of an artery per minute, usually the a. radialis, a. carotis or a. femoralis."
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "alias": [ "Polsfrequentie" ],
      "short": "PulseRate",
      "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 element contains the value of the pulse rate measured. The pulse rate is expressed in the number of tangible pulsations of an artery per minute, usually the a. radialis, a. carotis or a. femoralis."
    }, {
      "id": "Observation.code.coding",
      "path": "Observation.code.coding",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "code",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.code.coding:PulseRate",
      "path": "Observation.code.coding",
      "sliceName": "PulseRate"
    }, {
      "id": "Observation.code.coding:PulseRate.system",
      "path": "Observation.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.code.coding:PulseRate.code",
      "path": "Observation.code.coding.code",
      "fixedCode": "8893-0",
      "definition": "Heart rate Peripheral artery by Palpation"
    }, {
      "id": "Observation.subject",
      "path": "Observation.subject",
      "alias": [ "Patiënt" ],
      "short": "Patient"
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "alias": [ "PolsfrequentieDatumTijd" ],
      "short": "PulseRateDateTime",
      "mapping": [ {
        "map": "NL-CM:12.7.3",
        "comment": "PulseRateDateTime",
        "identity": "hcim-pulserate-v3.1-2017EN"
      } ],
      "definition": "Date and time of the pulse frequency measurement."
    }, {
      "id": "Observation.valueQuantity:valueQuantity",
      "min": 1,
      "path": "Observation.valueQuantity",
      "alias": [ "PolsfrequentieWaarde" ],
      "short": "PulseRateValue",
      "mapping": [ {
        "map": "NL-CM:12.7.2",
        "comment": "PulseRateValue",
        "identity": "hcim-pulserate-v3.1-2017EN"
      } ],
      "sliceName": "valueQuantity",
      "definition": "The pulse frequency measured as the number of tangible pulsations of an artery per minute."
    }, {
      "id": "Observation.comment",
      "path": "Observation.comment",
      "alias": [ "Toelichting" ],
      "short": "Explanation",
      "mapping": [ {
        "map": "NL-CM:12.7.4",
        "comment": "Comment",
        "identity": "hcim-pulserate-v3.1-2017EN"
      } ],
      "definition": "Explanation of any problems or factors that may influence the measurement. Further explanation can be provided here as well."
    }, {
      "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:PulseRegularity",
      "max": "1",
      "path": "Observation.component",
      "short": "PulseRegularity",
      "sliceName": "PulseRegularity"
    }, {
      "id": "Observation.component:PulseRegularity.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:PulseRegularity.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding"
    }, {
      "id": "Observation.component:PulseRegularity.code.coding.system",
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:PulseRegularity.code.coding.code",
      "path": "Observation.component.code.coding.code",
      "fixedCode": "44969-4",
      "definition": "Heart rate rhythm palpation"
    }, {
      "path": "Observation.component.valueCodeableConcept",
      "definition": "Regular or irregular rhythm.",
      "short": "PulseRegularity",
      "mapping": [ {
        "map": "NL-CM:12.7.5",
        "comment": "PulseRegularity. See also issue that fixes the missing terminology association: https://bits.nictiz.nl/projects/ZIB/issues/ZIB-689",
        "identity": "hcim-pulserate-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "description": "PolsRegelmatigheidCodelijst",
        "valueSetReference": {
          "display": "PolsRegelmatigheidCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.7.1--20171231000000"
        }
      },
      "alias": [ "PolsRegelmatigheid" ],
      "id": "Observation.component:PulseRegularity.value[x]:valueCodeableConcept"
    } ]
  },
  "contact": [ {
    "name": "Nictiz",
    "telecom": [ {
      "use": "work",
      "value": "info@nictiz.nl",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-VitalSigns"
}