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HdBe-Hartfrequentie

WARNING This page contains a draft CBB, as raw output from the zib export and automatic conversion to CBB. It requires thorough review and adaption to the Belgian realm. This CBB is merely added for informative use.

CBBConceptStatus
HdBe-HeartRate

De hartfrequentie is het aantal slagen per minuut dat het hart maakt.

Purpose

Het verkrijgen van informatie over de bloedcirculatie en hartfunctie door middel van het meten van de hartslag.

Evidence Base

Hartfrequentie (elektrisch of auscultatoir ritme van de ventrikels) en polsfrequentie (voelbare output in perifere arterie) zijn fysiologisch verschillende zaken, maar leveren bij normale circulatie dezelfde waarden op (slagen per minuut) en worden daarom door veel zorgverleners (en leken) door elkaar heen gebruikt. Dit is in feite niet correct, want de polsfrequentie kan lager zijn dan de hartfrequentie. In de dagelijkse praktijk wordt niettemin de pols vooral gepalpeerd om de hartfrequentie te meten, en ook als hartfrequentie genoteerd. Om deze reden biedt de bouwsteen Hartfrequentie, naast de bouwsteen Polsfrequentie, de mogelijkheid palpatie als HartslagMeetMethode op te geven.

Instructions

Een Holter registratie is een 24 uurs ECG: een ECG met een zeer lange meetperiode. References

  1. Parelsnoer DCM Hartslag v0.98. [Online] Beschikbaar op: http://www.nictiz.nl/uploaded/FILES/htmlcontent/dcm/parelsnoer/Hartslag%20v0.64.pdf [Geraadpleegd: 19 februari 2015].
  2. openEHR-EHR-OBSERVATION.heart_rate.v1 [Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 19 februari 2015].
draft

id0..1string
extensionI0..*Extension
HeartRateValueI1..1Quantity
HeartRateDateTime1..1dateTime
HeartRateMeasurementMethod0..1CodeableConceptBinding
Comment0..1string
HeartbeatRegularity0..1CodeableConceptBinding
InterpretationHeartRate0..1CodeableConceptBinding

HeartRate0..*
HeartRate.HeartRateValueQuantity1..1
HeartRate.HeartRateDateTimedateTime1..1
HeartRate.HeartRateMeasurementMethodCodeableConcept0..1
HeartRate.Commentstring0..1
HeartRate.HeartbeatRegularityCodeableConcept0..1
HeartRate.InterpretationHeartRateCodeableConcept0..1


HeartRate
DefinitionRoot concept of the HeartRate information model. This root concept contains all data elements of the HeartRate information model.
Cardinality0...*
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
HeartRate.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
HeartRate.extension
DefinitionMay 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.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
HeartRate.HeartRateValue
DefinitionThe heart rate measured as the number of heartbeats per minute.
Cardinality1...1
TypeQuantity
Comments

The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • qty-3: If a code for the unit is present, the system SHALL also be present
    code.empty() or system.exists()
Mappings
  • rim: n/a
  • v2: SN (see also Range) or CQ
  • rim: PQ, IVL<PQ>, MO, CO, depending on the values
HeartRate.HeartRateDateTime
DefinitionDate and time of the heart rate measurement.
Cardinality1...1
TypedateTime
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
HeartRate.HeartRateMeasurementMethod
DefinitionThe method used to count and observe the heart rate.
Cardinality0...1
TypeCodeableConcept
Binding

HeartRateMeasurementMethod codes

HeartRateMeasurementMethod (extensible)
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
HeartRate.Comment
DefinitionComment on any problems or factors that may influence the measurement.
Cardinality0...1
Typestring
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
HeartRate.HeartbeatRegularity
DefinitionRegularity of the heartbeat.
Cardinality0...1
TypeCodeableConcept
Binding

HeartbeatRegularity codes

HeartbeatRegularity (required)
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
HeartRate.InterpretationHeartRate
DefinitionInterpretation heart rate
Cardinality0...1
TypeCodeableConcept
Binding

InterpretationHeartRate codes

InterpretationHeartRate (extensible)
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

Example instances

[CBB name]
[Concept name ] [example value]

// example of NameInformation

## Example instances

| NameInformation      |                   |
|----------------------|-------------------|
| FirstNames | Johanna Petronella Maria   
| Initials | J.P.M. 
| GivenName | Jo 
| NameUsage | Geslachtsnaam partner gevolgd door eigen geslachtsnaam
| LastName.Prefix | van
| LastName.LastName | Putten
| LastNamePartner.PartnerPrefix | van der
| LastNamePartner.PartnerLastName | Giessen
| Titles |

zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference

Concept Category Description
[element.path] [category of change] [Description of change]([Reference to ticket/issue/zulip chat using MarkDown link])



Terminology Bindings

PathNameStrengthURL
HeartRateMeasurementMethodHeartRateMeasurementMethodextensiblehttps://fhir.healthdata.be/ValueSet/HeartRateMeasurementMethod
HeartbeatRegularityHeartbeatRegularityrequiredhttps://fhir.healthdata.be/ValueSet/HeartbeatRegularity
InterpretationHeartRateInterpretationHeartRateextensiblehttps://fhir.healthdata.be/ValueSet/InterpretationHeartRate