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HdBe-Meting

CBB	Concept	Status
HdBe-Measurement	Een meting legt de uitkomst vast van een bepaling van een fysiologische eigenschap van de patient. Een meting wordt aan de patiënt uitgevoerd. Metingen, die uitgevoerd worden aan patiëntmateriaal, vallen hier niet onder. Dit is een blauwdruk voor CBB. Voor daadwerkelijk gebruik zal voor afgeleide CBBs invulling gegeven moeten worden aan betekenisvolle elementnamen en vulling van de waardelijsten. Purpose De meting en bijhorende documentatie van fysiologische observaties zijn een belangrijk instrument voor het beoordelen van de toestand van een patient. Instructions Met deze blauwdruk kunnen enkelvoudige CBBs gemaakt worden die één meting met één of meer uitslagen modelleren. Indien een CBB meer dan één meting moet modelleren zal gekozen moeten worden voor een model waar deze blauwdruk meer dan één keer voorkomt.	draft

CBB

Concept

Status

HdBe-Measurement

Een meting legt de uitkomst vast van een bepaling van een fysiologische eigenschap van de patient. Een meting wordt aan de patiënt uitgevoerd. Metingen, die uitgevoerd worden aan patiëntmateriaal, vallen hier niet onder. Dit is een blauwdruk voor CBB. Voor daadwerkelijk gebruik zal voor afgeleide CBBs invulling gegeven moeten worden aan betekenisvolle elementnamen en vulling van de waardelijsten.

Purpose

De meting en bijhorende documentatie van fysiologische observaties zijn een belangrijk instrument voor het beoordelen van de toestand van een patient.

Instructions

Met deze blauwdruk kunnen enkelvoudige CBBs gemaakt worden die één meting met één of meer uitslagen modelleren. Indien een CBB meer dan één meting moet modelleren zal gekozen moeten worden voor een model waar deze blauwdruk meer dan één keer voorkomt.

draft

Measurement			Measurement	Element id Measurement Short description Meting Definition Dit is het rootconcept van de bouwsteen Meting. Het concept bevat alle gegevenselementen van de bouwsteen Meting. 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 [MeetNaam] Definition Naam van de meting als gecodeerde waarde (naam en code). Bij enkelvoudige metingen wordt deze waarde toegekend aan het rootconcept. Als er echter meerdere variaties van de meting bestaan die onder dezelfde omstandigheden uitgevoerd worden (meetmethode, condities, etc) kan met de bijbehorende codelijst een (mini) categorie CBB gemaakt worden. 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 [MeetWaarde] Definition Het resultaat van de meting. Afhankelijk van het type meting kan dit een numerieke waarde zijn, een ordinale waarde, een gecodeerde waarde of zelf een tekstuele uitslag. Een meting kan meer dan één uitslag of waarneming als resultaat hebben die onderling ook nog van type kunnen verschillen, b.v hartslag frequentie en regelmatigheid. 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 MeetMethode Definition De wijze waarop de meting uitgevoerd is en de methode die daarbij gebruikt is. 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 [MeetHulpmiddel] Definition Hulpmiddel dat toegepast is bij de uitvoering van de meting. Het gaat hierbij om een verbijzondering van de meetmethode. 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 [MeetConditie] Definition De omstandigheden waaronder de meting is gedaan. Dit kan zowel betrekking hebben op de patient als op de omgeving waarin de patient zich bevond. 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 [Meet]DatumBeginTijd Definition De datum en eventueel de tijd waarop het uitvoeren van de meting aanvangt. 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 [Meet]DatumEindTijd Definition De datum en eventueel de tijd waarop het uitvoeren van de meting is voltooid. 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 Toelichting Definition Een opmerking over het resultaat van de meting of de uitvoering ervan. Het kan b.v. informatie bevatten over significante, onverwachte en onbetrouwbare resultaten als dit belangrijk is voor de interpretatie van het resultaat. 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 [MeasurementValue] Definition Anatomische locatie en als van toepassing lateraliteit die de focus van de meting is, b.v. rechter 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-Meting

Purpose

Instructions

Example instances

zib Measurement 1.0 difference

Terminology Bindings