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HdBe-Measurement

CBB	Description	Status
HdBe-Measurement	A measurement records the result of a examination of a physiological characteristic of the patient. A measurement is performed on the patient. Measurements performed on specimen taken from a patient are not included. This is a template for information models For actual use, meaningful element names and value set concepts must be defined for derived CBB's. Purpose The measurement and documentation of physiological observations are an important tool for evaluating a patient condition. Instructions With this template, single CBBs can be made that model one measurement with one or more results. If a CBB has to model more than one measurement, a model will have to be chosen where this template occurs more than once.	draft

CBB

Description

Status

HdBe-Measurement

A measurement records the result of a examination of a physiological characteristic of the patient. A measurement is performed on the patient. Measurements performed on specimen taken from a patient are not included. This is a template for information models For actual use, meaningful element names and value set concepts must be defined for derived CBB's.

Purpose

The measurement and documentation of physiological observations are an important tool for evaluating a patient condition.

Instructions

With this template, single CBBs can be made that model one measurement with one or more results. If a CBB has to model more than one measurement, a model will have to be chosen where this template occurs more than once.

draft

Measurement			Measurement	Element id Measurement Short description Measurement Definition Root concept of the Measurement information model. This concept contains all data elements of the Measurement information model. Data type Measurement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id Measurement.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Measurement.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
MeasurementName		0..1	CodeableConcept	Element id Measurement.MeasurementName Short description [MeasurementName] Definition Name of the measurement as coded description (name and code). In single measurements, this value is assigned to the rootconcept. However, if there are several variations of the measurement that are carried out under the same circumstances (measurement method, conditions, etc.), a (mini) category HCIM can be created with the associated code list. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
MeasurementValue[x]		1..*		Element id Measurement.MeasurementValue[x] Short description [MeasurementValue] Definition The result of the measurement. Depending on the type of measurement, this can be a numerical value, an ordinal value, a coded description or even a textual result. A measurement may result in more than one result or observation that may also differ in type, e.g. heart rate frequency and regularity. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
MeasurementValueString			string	Data type string
MeasurementValueInteger			integer	Data type integer
MeasurementValueDecimal			decimal	Data type decimal
MeasurementValueCodeableConcept			CodeableConcept	Data type CodeableConcept
MeasurementMethod		0..1	CodeableConcept	Element id Measurement.MeasurementMethod Short description MeasurementMethod Definition The way in which the measurement was carried out and the method used. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
MeasurementAncillary[x]		0..*		Element id Measurement.MeasurementAncillary[x] Short description [MeasurementAncillary] Definition Ancillary item that was used in the measurement. It describes a more detailed specification of the measurement method. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
MeasurementAncillaryString			string	Data type string
MeasurementAncillaryCodeableConcept			CodeableConcept	Data type CodeableConcept
MeasurementCondition[x]		0..*		Element id Measurement.MeasurementCondition[x] Short description [MeasurementCondition] Definition The circumstances under which the measurement was taken. This can relate to the patient as well as to the environment of the patient was. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
MeasurementConditionString			string	Data type string
MeasurementConditionCodeableConcept			CodeableConcept	Data type CodeableConcept
MeasurementDateStartTime		0..1	dateTime	Element id Measurement.MeasurementDateStartTime Short description [Measurement]DateStartTime Definition The date end if applicable the time at which the execution of the measurement starts. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
MeasurementDateEndTime		0..1	dateTime	Element id Measurement.MeasurementDateEndTime Short description [Measurement]DateEndTime Definition The date end if applicable the time at which the execution of the measurement ends. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
Comment		0..*	string	Element id Measurement.Comment Short description Comment Definition A comment about the result or the execution of the measurement. It may e.g. include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
AnatomicalLocation	I	0..1	Reference(HdBe-AnatomicalLocation)	Element id Measurement.AnatomicalLocation Short description [AnatomischeLocatieMeting]::AnatomischeLocatie Definition Anatomical location and if applicable laterality as focus of the measurment, e.g. right arm. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-AnatomicalLocation) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

Measurement		0..*
Measurement.MeasurementName	CodeableConcept	0..1
Measurement.MeasurementValue[x]	string, integer, decimal, CodeableConcept	1..*
Measurement.MeasurementMethod	CodeableConcept	0..1
Measurement.MeasurementAncillary[x]	string, CodeableConcept	0..*
Measurement.MeasurementCondition[x]	string, CodeableConcept	0..*
Measurement.MeasurementDateStartTime	dateTime	0..1
Measurement.MeasurementDateEndTime	dateTime	0..1
Measurement.Comment	string	0..*
Measurement.AnatomicalLocation	Reference(HdBe-AnatomicalLocation)	0..1

Measurement
Definition	Root concept of the Measurement information model. This concept contains all data elements of the Measurement information model.
Cardinality	0...*
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Measurement.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Measurement.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
Measurement.MeasurementName
Definition	Name of the measurement as coded description (name and code). In single measurements, this value is assigned to the rootconcept. However, if there are several variations of the measurement that are carried out under the same circumstances (measurement method, conditions, etc.), a (mini) category HCIM can be created with the associated code list.
Cardinality	0...1
Type	CodeableConcept
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Measurement.MeasurementValue[x]
Definition	The result of the measurement. Depending on the type of measurement, this can be a numerical value, an ordinal value, a coded description or even a textual result. A measurement may result in more than one result or observation that may also differ in type, e.g. heart rate frequency and regularity.
Cardinality	1...*
Type	string
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Measurement.MeasurementMethod
Definition	The way in which the measurement was carried out and the method used.
Cardinality	0...1
Type	CodeableConcept
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Measurement.MeasurementAncillary[x]
Definition	Ancillary item that was used in the measurement. It describes a more detailed specification of the measurement method.
Cardinality	0...*
Type	string
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Measurement.MeasurementCondition[x]
Definition	The circumstances under which the measurement was taken. This can relate to the patient as well as to the environment of the patient was.
Cardinality	0...*
Type	string
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Measurement.MeasurementDateStartTime
Definition	The date end if applicable the time at which the execution of the measurement starts.
Cardinality	0...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Measurement.MeasurementDateEndTime
Definition	The date end if applicable the time at which the execution of the measurement ends.
Cardinality	0...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Measurement.Comment
Definition	A comment about the result or the execution of the measurement. It may e.g. include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result.
Cardinality	0...*
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Measurement.AnatomicalLocation
Definition	Anatomical location and if applicable laterality as focus of the measurment, e.g. right arm.
Cardinality	0...1
Type	Reference(HdBe-AnatomicalLocation)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

Example instances

EDSS
Measurement_MeasurementDateStartTime_EDSS	2022-02-20
Measurement_MeasurementValue_EDSSVisualFunction	5
Measurement_MeasurementValue_EDSSBrainStemFunction	1
Measurement_MeasurementValue_EDSSPyramidalFunction	0
Measurement_MeasurementValue_EDSSCerebellarFunction	3
Measurement_MeasurementValue_EDSSSensoryFunction	2
Measurement_MeasurementValue_EDSSBowelBladderFunction	2
Measurement_MeasurementValue_EDSSCerebralFunction	3
Measurement_MeasurementValue_EDSSAmbulationIndex	5

Measurement_T25FW
Measurement_MeasurementDateStartTime_T25FW	2022-02-22
Measurement_MeasurementValue_T25FWTimeAttempt1	No
Measurement_MeasurementValue_T25FWTimeAttempt2	Yes

Measurement_9HPT
Measurement_MeasurementDateStartTime_9HPT	2022-02-26
Measurement_MeasurementValue_9HPTRightAttempt1	Yes
Measurement_MeasurementValue_9HPTRightAttempt2	No
Measurement_MeasurementValue_9HPTLeftAttempt1	No
Measurement_MeasurementValue_9HPTLeftAttempt2	No

Measurement_PASAT
Measurement_MeasurementDateStartTime_PASAT	2022-03-20
Measurement_MeasurementValue_PASAT	45

zib Measurement 1.0 difference

Concept	Category	Description
`Measurement.MeasurementDateEndTime`	textual	Fixed element name to be correct English by replacing Measurement.MeasurementDateEindTime with Measurement.MeasurementDateEndTime.

HdBe-Measurement

Purpose

Instructions

Example instances

zib Measurement 1.0 difference

Terminology Bindings