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, type: pattern}
      min: 2
      slices:
        SystolicBP:
          match:
            code:
              coding:
              - {code: 8480-6, system: 'http://loinc.org'}
          schema:
            _required: true
            index: 11
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 8480-6, system: 'http://loinc.org'}
                index: 12
              value:
                short: SystolicBloodPressure recorded with UCUM
                choices: [valueQuantity]
                index: 14
              valueQuantity: {short: SystolicBloodPressure recorded with UCUM, type: Quantity, choiceOf: value, index: 15}
              value[x]:
                elements:
                  code:
                    pattern: {type: Code, value: 'mm[Hg]'}
                    index: 16
            required: [value, valueQuantity]
        cuffTypeSNOMED:
          match:
            code:
              coding:
              - {code: '70665002', system: 'http://snomed.info/sct'}
          schema:
            index: 40
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '70665002', system: 'http://snomed.info/sct'}
                index: 41
              value:
                short: CuffType
                choices: [valueCodeableConcept]
                index: 43
              valueCodeableConcept: {type: CodeableConcept, short: CuffType, choiceOf: value, index: 44}
        diastolicEndpoint:
          match:
            code:
              coding:
              - {code: '85549003', system: 'http://snomed.info/sct'}
          schema:
            short: DiastolicEndpoint
            index: 35
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '85549003', system: 'http://snomed.info/sct'}
                index: 36
              value:
                short: DiastolicEndpoint
                choices: [valueCodeableConcept]
                index: 38
              valueCodeableConcept: {type: CodeableConcept, short: DiastolicEndpoint, choiceOf: value, index: 39}
        positionSNOMED:
          match:
            code:
              coding:
              - {code: '424724000', system: 'http://snomed.info/sct'}
          schema:
            index: 50
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '424724000', system: 'http://snomed.info/sct'}
                index: 51
              value:
                short: Position
                choices: [valueCodeableConcept]
                index: 53
              valueCodeableConcept: {type: CodeableConcept, short: Position, choiceOf: value, index: 54}
        AverageBloodPressureSNOMED:
          match:
            code:
              coding:
              - {code: '6797001', system: 'http://snomed.info/sct'}
          schema:
            index: 23
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '6797001', system: 'http://snomed.info/sct'}
                index: 24
              value:
                short: AverageBloodPressure recorded with UCUM
                choices: [valueQuantity]
                index: 26
              valueQuantity: {type: Quantity, short: AverageBloodPressure recorded with UCUM, choiceOf: value, index: 27}
              value[x]:
                elements:
                  code:
                    pattern: {type: Code, value: 'mm[Hg]'}
                    index: 28
        cuffTypeLOINC:
          match:
            code:
              coding:
              - {code: 8358-4, system: 'http://loinc.org'}
          schema:
            index: 45
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 8358-4, system: 'http://loinc.org'}
                index: 46
              value:
                short: CuffType
                choices: [valueCodeableConcept]
                index: 48
              valueCodeableConcept: {type: CodeableConcept, short: CuffType, choiceOf: value, index: 49}
        DiastolicBP:
          match:
            code:
              coding:
              - {code: 8462-4, system: 'http://loinc.org'}
          schema:
            _required: true
            index: 17
            elements:
              code:
                short: DiastolicBloodPressure recorded with UCUM
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 8462-4, system: 'http://loinc.org'}
                index: 18
              value:
                choices: [valueQuantity]
                index: 20
              valueQuantity: {type: Quantity, choiceOf: value, index: 21}
              value[x]:
                elements:
                  code:
                    pattern: {type: Code, value: 'mm[Hg]'}
                    index: 22
        AverageBloodPressureLOINC:
          match:
            code:
              coding:
              - {code: 8478-0, system: 'http://loinc.org'}
          schema:
            index: 29
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 8478-0, system: 'http://loinc.org'}
                index: 30
              value:
                short: AverageBloodPressure recorded with UCUM
                choices: [valueQuantity]
                index: 32
              valueQuantity: {type: Quantity, short: AverageBloodPressure recorded with UCUM, choiceOf: value, index: 33}
              value[x]:
                elements:
                  code:
                    pattern: {type: Code, value: 'mm[Hg]'}
                    index: 34
        positionLOINC:
          match:
            code:
              coding:
              - {code: 8361-8, system: 'http://loinc.org'}
          schema:
            index: 55
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 8361-8, system: 'http://loinc.org'}
                index: 56
              value:
                short: Position
                choices: [valueCodeableConcept]
                index: 58
              valueCodeableConcept: {type: CodeableConcept, short: Position, choiceOf: value, index: 59}
package_version: 2.3.1
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure
base: http://nictiz.nl/fhir/StructureDefinition/zib-VitalSigns
version: 3.0.6