{ "resourceType": "StructureDefinition", "id": "fiphr-heartrate-update-stu3", "meta": { "versionId": "0.03", "lastUpdated": "2017-09-25T18:36:00+00:00" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-summary", "valueMarkdown": "### Complete Summary of the Mandatory Requirements\n\n1. One status in `Observation.status`which has a [required](http://hl7.org/fhir/terminologies.html#extensible) binding to:\n - [ObservationStatus] value set.\n1. A category in `Observation.category` which must have:\n - a fixed `Observation.category.coding.system`=\"http://hl7.org/fhir/observation-category\"\n - a fixed `Observation.category.coding.code`= \"vital-signs\"\n\n1. A code in `Observation.code`\n - a fixed `Observation.code.coding.system`= \"http://loinc.org\"\n - a LOINC code in `Observation.code.coding.code` which has an [extensible](http://hl7.org/fhir/terminologies.html#extensible) binding to:\n - [Vital Signs] value set.\n \n1. One patient in `Observation.subject`\n1. A date and time in `effectiveDateTime` or `effectivePeriod`\n1. Either one `Observation.valueQuantity` or, if there is no value, one code in `Observation.DataAbsentReason`\n - Each Observation.valueQuantity must have:\n - One numeric value in `Observation.valueQuantity.value`\n - a fixed `Observation.valueQuantity.system`=\"http://unitsofmeasure\"\n - a UCUM unit code in `Observation.valueQuantity.code` which has an [required] binding to:\n - [Vital Signs Units] value set.\n - Observation.DataAbsentReason is bound to [Observation Value\n Absent Reason] value set.\n\n1. When using a panel code to group component observations (Note: See\n the comments regarding blood pressure in the table above), one or\n more `Observation.component.code` each of which must have:\n - a fixed\n `Observation.component.code.coding.system` =\"\"\n - a LOINC code in `Observation.code.coding.code` which has an [extensible] binding to:\n - [Vital Signs Units] value set.\n\n1. Either one `Observation.component.valueQuantity` or, if there is\n no value, one code in `Observation.component.DataAbsentReason`\n - Each Observation.component.valueQuantity must have:\n - One numeric value in\n `Observation.component.valueQuantity.value`\n - a fixed `Observation.component.valueQuantity.system`= \"\"\n - a UCUM unit code in\n `Observation.component.valueQuantity.code` which has an [required] binding to:\n - [Vital Signs Units] value set.\n - Observation.component.DataAbsentReason is bound to [Observation\n Value Absent Reason] value set.\n\n1. When using a panel code to group observations, one or more reference\n to Vitals Signs Observations in `Observation.related.target`\n - a fixed `Observation.related.type`= \"has-member\"\n\n [Vital Signs]: valueset-observation-vitalsignresult.html\n [Vital Signs Units]: valueset-ucum-vitals-common.html\n [extensible]: terminologies.html#extensible\n [ObservationStatus]: valueset-observation-status.html\n [Observation Value Absent Reason]: valueset-observation-valueabsentreason.html\n[required]: terminologies.html#required" } ], "url": "http://phr.kanta.fi/StructureDefinition/fiphr-heartrate-update-stu3", "version": "0.03", "name": "Finnish PHR Heart Rate profile", "status": "draft", "experimental": true, "date": "2017-02-07T14:44:17+00:00", "publisher": "W2E", "description": "Finnish PHR profile for heart rate measurement. Finnish PHR profile for Observation used in heart rate measurements. The profile is based on the Finnish PHR vitalsigns profile.", "purpose": "This profile is used for storing heart rate measurement results in the Finnish PHR.", "fhirVersion": "3.0.1", "kind": "resource", "abstract": false, "type": "Observation", "baseDefinition": "http://phr.kanta.fi/StructureDefinition/fiphr-vitalsigns-stu3", "derivation": "constraint", "differential": { "element": [ { "id": "Observation", "path": "Observation", "short": "Finnish PHR Heart Rate profile", "definition": "Finnish PHR profile for Observation used in heart rate measurements. The profile is based on the Finnish PHR observation profile." }, { "id": "Observation.id", "path": "Observation.id", "short": "Logical id of this artifact.", "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." }, { "id": "Observation.extension", "path": "Observation.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "Observation.extension:heartRateRhytm", "path": "Observation.extension", "sliceName": "heartRateRhytm", "definition": "True: Rhythm is regular False: Rhythm is irregular.", "comment": ".", "requirements": "In Finnish PHR: Need possibility to store information of irregular rhythm.", "max": "1", "type": [ { "code": "Extension", "profile": "http://phr.kanta.fi/StructureDefinition/fiphr-boolean" } ], "mustSupport": false }, { "id": "Observation.code.coding", "path": "Observation.code.coding", "slicing": { "discriminator": [ { "type": "value", "path": "Observation.code.coding.code" } ], "rules": "open" } }, { "id": "Observation.code.coding:heartRate", "path": "Observation.code.coding", "sliceName": "heartRateRhythm", "short": "Observation of heart rate", "definition": "Measurement of heart rate in beats/min." }, { "id": "Observation.code.coding:heartRate.code", "path": "Observation.code.coding.code", "fixedCode": "8867-4" }, { "id": "Observation.code.coding:heartRateAverage24h", "path": "Observation.code.coding", "sliceName": "heartRateAverage24h", "short": "Average heart rate BPM in 24 hours", "definition": "Measured average of heart rate in beats/min during a 24 hour period." }, { "id": "Observation.code.coding:heartRateAverage24h.code", "path": "Observation.code.coding.code", "fixedCode": "41924-2" }, { "id": "Observation.code.coding:heartRateMinimum24h", "path": "Observation.code.coding", "sliceName": "heartRateMinimum24h", "short": "Minimum heart rate BPM in 24 hours", "definition": "Measured minimum of heart rate in beats/min during a 24 hour period." }, { "id": "Observation.code.coding:heartRateMinimum24h.code", "path": "Observation.code.coding.code", "fixedCode": "8883-1" }, { "id": "Observation.code.coding:heartRateMaximum24h", "path": "Observation.code.coding", "sliceName": "heartRateMaximum24h", "short": "Maximum heart rate BPM in 24 hours", "definition": "Measured maximum of heart rate in beats/min during a 24 hour period." }, { "id": "Observation.code.coding:heartRateMaximum24h.code", "path": "Observation.code.coding.code", "fixedCode": "8873-2" }, { "id": "Observation.value[x]:valueQuantity", "path": "Observation.valueQuantity", "sliceName": "valueQuantity", "min": 1, "type": [ { "code": "Quantity" } ] }, { "id": "valueQuantity:valueQuantity.value", "path": "Observation.valueQuantity.value", "min": 1 }, { "id": "Observation.value[x]:valueQuantity.comparator", "path": "Observation.valueQuantity.comparator", "max": "0" }, { "id": "valueQuantity:valueQuantity.unit", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Observation.valueQuantity.unit", "short": "Finnish PHR: The unit presentation of the measured heart rate in beats/min", "definition": "Finnish PHR: A human-readable form of the unit.presentation of the measured heart rate in beats/min.", "requirements": "Unit is mandatory in FinnishPHR vital-signs Observations", "min": 1, "fixedString": "beats/min" }, { "id": "valueQuantity:valueQuantity.system", "path": "Observation.valueQuantity.system", "min": 1, "fixedUri": "http://unitsofmeasure.org" }, { "id": "Observation.value[x]:valueQuantity.code", "path": "Observation.valueQuantity.code", "min": 1, "fixedCode": "{Beats}/min" }, { "id": "Observation.component", "path": "Observation.component", "max": "0" } ] } }