{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Jugularvenouspressure-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-jugularvenouspressure-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.jugular_venous_pressure.v0"
    }
  ],
  "version": "0",
  "name": "Jugularvenouspressure",
  "title": "Jugular venous pressure",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "The indirectly observed pressure over the venous system via visualization of the internal jugular vein.",
  "purpose": "To record the indirectly observed pressure over the venous system via visualization of the internal jugular vein.",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "openEHR",
      "uri": "http://openehr.org",
      "name": "openEHR Mapping"
    },
    {
      "identity": "openEHR-natural",
      "uri": "http://openehr.org",
      "name": "openEHR natural path"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "StructureDefinition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "snapshot": {
    "element": [
      {
        "id": "Jugular_venous_pressure",
        "path": "Jugular_venous_pressure",
        "short": "Jugular venous pressure",
        "definition": "The indirectly observed pressure over the venous system via visualization of the internal jugular vein.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.ItemTree",
        "path": "Jugular_venous_pressure.ItemTree",
        "short": "ItemTree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.ItemTree",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.ItemTree.Location_of_measurement",
        "path": "Jugular_venous_pressure.ItemTree.Location_of_measurement",
        "short": "Location of measurement",
        "definition": "was measured.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.ItemTree.Location_of_measurement",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Jugular_venous_pressure.ItemTree.Location_of_measurement.value",
        "path": "Jugular_venous_pressure.ItemTree.Location_of_measurement.value",
        "short": "Location of measurement",
        "definition": "was measured.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.ItemTree.Location_of_measurement.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.ItemTree.Device",
        "path": "Jugular_venous_pressure.ItemTree.Device",
        "short": "Device",
        "definition": "Details about the device used to record the measurement.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Jugular_venous_pressure.ItemTree.Device",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.ItemTree.Extension",
        "path": "Jugular_venous_pressure.ItemTree.Extension",
        "short": "Extension",
        "definition": "Additional information required to capture local content or to align with other reference models/formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Jugular_venous_pressure.ItemTree.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History",
        "path": "Jugular_venous_pressure.History",
        "short": "History",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event",
        "path": "Jugular_venous_pressure.History.Any_Event",
        "short": "Any Event",
        "definition": "Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree",
        "short": "ItemTree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
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          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.JVP_presence",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.JVP_presence",
        "short": "JVP presence",
        "definition": "The JVP is observed as present or absent.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.JVP_presence",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.JVP_presence.value",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.JVP_presence.value",
        "short": "JVP presence",
        "definition": "The JVP is observed as present or absent.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.JVP_presence.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Column_height",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Column_height",
        "short": "Column height",
        "definition": "The observed height of the jugular vein filling level.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Column_height",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Column_height.value",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Column_height.value",
        "short": "Column height",
        "definition": "The observed height of the jugular vein filling level.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Column_height.value",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Clinical_description",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Clinical_description",
        "short": "Clinical description",
        "definition": "Narrative description about finding on observation of the jugular venous pressure.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Clinical_description",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Clinical_description.value",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Clinical_description.value",
        "short": "Clinical description",
        "definition": "Narrative description about finding on observation of the jugular venous pressure.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Clinical_description.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Character",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Character",
        "short": "Character",
        "definition": "Description of the character of the jugular wave.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Character",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Character.value",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Character.value",
        "short": "Character",
        "definition": "Description of the character of the jugular wave.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Character.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Abdominojugular_test",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Abdominojugular_test",
        "short": "Abdominojugular test",
        "definition": "Observation of the change in the JVP in response to changes of abdominal pressure.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Abdominojugular_test",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Abdominojugular_test.value",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Abdominojugular_test.value",
        "short": "Abdominojugular test",
        "definition": "Observation of the change in the JVP in response to changes of abdominal pressure.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Abdominojugular_test.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Kussmaul_sign",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Kussmaul_sign",
        "short": "Kussmaul sign",
        "definition": "Observation of the paradoxical rise in jugular venous pressure (JVP) on inspiration, or a failure in the appropriate fall of the JVP with inspiration.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Kussmaul_sign",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Kussmaul_sign.value",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Kussmaul_sign.value",
        "short": "Kussmaul sign",
        "definition": "Observation of the paradoxical rise in jugular venous pressure (JVP) on inspiration, or a failure in the appropriate fall of the JVP with inspiration.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Kussmaul_sign.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Multimedia_representation",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Multimedia_representation",
        "short": "Multimedia representation",
        "definition": "Digital image, video, wave form or diagram representing the findings.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Multimedia_representation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Clinical_interpretation",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Clinical_interpretation",
        "short": "Clinical interpretation",
        "definition": "Single word, phrase or brief description that represents the clinical meaning and significance of the jugular venous pressure.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Clinical_interpretation",
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      },
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        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Clinical_interpretation.value",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Clinical_interpretation.value",
        "short": "Clinical interpretation",
        "definition": "Single word, phrase or brief description that represents the clinical meaning and significance of the jugular venous pressure.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Clinical_interpretation.value",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Comment",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Comment",
        "short": "Comment",
        "definition": "Additional narrative about the jugular venous pressure findings not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Comment",
          "min": 0,
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        }
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.ItemTree.Comment.value",
        "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Comment.value",
        "short": "Comment",
        "definition": "Additional narrative about the jugular venous pressure findings not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.ItemTree.Comment.value",
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        },
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            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.state_ItemTree",
        "path": "Jugular_venous_pressure.History.Any_Event.state_ItemTree",
        "short": "ItemTree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.state_ItemTree",
          "min": 0,
          "max": "1"
        },
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            "code": "BackboneElement"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.state_ItemTree.Body_position",
        "path": "Jugular_venous_pressure.History.Any_Event.state_ItemTree.Body_position",
        "short": "Body position",
        "definition": "Position of individual during measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.state_ItemTree.Body_position",
          "min": 0,
          "max": "1"
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      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.state_ItemTree.Body_position.value",
        "path": "Jugular_venous_pressure.History.Any_Event.state_ItemTree.Body_position.value",
        "short": "Body position",
        "definition": "Position of individual during measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.state_ItemTree.Body_position.value",
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        },
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            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.state_ItemTree.Confounding_factors",
        "path": "Jugular_venous_pressure.History.Any_Event.state_ItemTree.Confounding_factors",
        "short": "Confounding factors",
        "definition": "Comment on and record other incidental factors that may be contributing to the jugular venous pressure measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.state_ItemTree.Confounding_factors",
          "min": 0,
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        }
      },
      {
        "id": "Jugular_venous_pressure.History.Any_Event.state_ItemTree.Confounding_factors.value",
        "path": "Jugular_venous_pressure.History.Any_Event.state_ItemTree.Confounding_factors.value",
        "short": "Confounding factors",
        "definition": "Comment on and record other incidental factors that may be contributing to the jugular venous pressure measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Jugular_venous_pressure.History.Any_Event.state_ItemTree.Confounding_factors.value",
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        },
        "type": [
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            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
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        "isSummary": true
      }
    ]
  }
}