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