example - Insulin (Time block) settings :
Insulin sample :
Devices.DeviceModel
{
"resourceType": "Device", // Resource name value in FHIR for this profile
"id": "a6912957-4c05-4ece-8cc1-a7a16495ed01",
"meta": { // used for validation of the profile
"profile": [
"http://roche.com/fhir/iop/StructureDefinition/Devices_DeviceModel"
]
},
"type": { // hardcoded structure value in FHIR for the BG Device (Glucometer)
"coding": [
{
"system": "http://snomed.info/sct",
"code": "69805005",
"display": "Insulin pump"
}
]
},
"name" : [
{
"value" : "soloM Aviva"
}
],
"modelNumber": "923",
}
Devices.DeviceInstance
{
"resourceType": "Device", // Resource name value in FHIR for this profile
"id": "5f0990b9-1be2-4f69-9621-028b6abdf1b5",
"meta": { // used for validation of the profile
"profile": [
"http://roche.com/fhir/iop/StructureDefinition/Devices_DeviceInstance"
]
},
"serialNumber": "5050",
"extension": [
{
"extension": [
{
"url": "settingsTime",
"valuePeriod": {
"start": "2023-10-13T13:00:00Z",
"end": "2023-10-13T14:00:00Z"
}
},
{
"url": "settingsCode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://roche.com/fhir/iop/cs",
"code": "1055210001_bloodglucose",
"display": "1055210001_bloodglucose"
}
]
}
},
{
"url": "settingsValue",
"valueRange": [
{
"low": {
"value": 80,
"unit": "mg/dL",
"system": "http://unitsofmeasure.org",
"code": "mg/dL"
},
"high": {
"value": 200,
"unit": "mg/dL",
"system": "http://unitsofmeasure.org",
"code": "mg/dL"
}
}
]
}
],
"url": "http://roche.com/fhir/iop/StructureDefinition/DeviceSettings"
},
{
"extension": [
{
"url": "settingsTime",
"valuePeriod": {
"start": "2023-10-13T13:00:00Z",
"end": "2023-10-13T14:00:00Z"
}
},
{
"url": "settingsCode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "789483009",
"display": "Insulin sensitivity factor"
}
]
}
},
{
"url": "settingsValue",
"valueRatio": {
"numerator" : {
"value" : "40",
"unit" : "mg/dL",
"code" : "mg/dL",
"system" : "http://unitsofmeasure.org"
},
"denominator" : {
"value" : "1.3",
"unit" : "[iU]",
"code" : "[iU]",
"system" : "http://unitsofmeasure.org"
}
}
}
],
"url": "http://roche.com/fhir/iop/StructureDefinition/DeviceSettings"
},
{
"extension": [
{
"url": "settingsTime",
"valuePeriod": {
"start": "2023-10-13T13:00:00Z",
"end": "2023-10-13T14:00:00Z"
}
},
{
"url": "settingsCode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "789496005",
"display": "Insulin to carbohydrate ratio"
}
]
}
},
{
"url": "settingsValue",
"valueRatio": {
"numerator" : {
"value" : "10",
"unit" : "g",
"code" : "g",
"system" : "http://unitsofmeasure.org"
},
"denominator" : {
"value" : "1.3",
"unit" : "[iU]",
"code" : "[iU]",
"system" : "http://unitsofmeasure.org"
}
}
}
],
"url": "http://roche.com/fhir/iop/StructureDefinition/DeviceSettings"
},
{
"extension": [
{
"url": "settingsTime",
"valuePeriod": {
"start": "2023-10-13T13:00:00Z",
"end": "2023-10-13T14:00:00Z"
}
},
{
"url": "settingsCode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://roche.com/fhir/iop/cs",
"code": "39869006_hypoglycemia",
"display": "39869006_hypoglycemia"
}
]
}
},
{
"url": "settingsValue",
"valueBoolean": true
}
],
"url": "http://roche.com/fhir/iop/StructureDefinition/DeviceSettings"
},
{
"extension": [
{
"url": "settingsTime",
"valuePeriod": {
"start": "2023-10-13T13:00:00Z",
"end": "2023-10-13T14:00:00Z"
}
},
{
"url": "settingsCode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://roche.com/fhir/iop/cs",
"code": "39869006_hyperglycemia",
"display": "39869006_hyperglycemia"
}
]
}
},
{
"url": "settingsValue",
"valueBoolean": true
}
],
"url": "http://roche.com/fhir/iop/StructureDefinition/DeviceSettings"
},
{
"extension": [
{
"url": "settingsTime",
"valuePeriod": {
"start": "2023-10-13T14:00:00Z",
"end": "2023-10-13T15:00:00Z"
}
},
{
"url": "settingsCode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://roche.com/fhir/iop/cs",
"code": "1055210001_bloodglucose",
"display": "1055210001_bloodglucose"
}
]
}
},
{
"url": "settingsValue",
"valueRange": [
{
"low": {
"value": 85,
"unit": "mg/dL",
"system": "http://unitsofmeasure.org",
"code": "mg/dL"
},
"high": {
"value": 190,
"unit": "mg/dL",
"system": "http://unitsofmeasure.org",
"code": "mg/dL"
}
}
]
}
],
"url": "http://roche.com/fhir/iop/StructureDefinition/DeviceSettings"
},
{
"extension": [
{
"url": "settingsTime",
"valuePeriod": {
"start": "2023-10-13T14:00:00Z",
"end": "2023-10-13T15:00:00Z"
}
},
{
"url": "settingsCode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "789483009",
"display": "Insulin sensitivity factor"
}
]
}
},
{
"url": "settingsValue",
"valueRatio": {
"numerator" : {
"value" : "45",
"unit" : "mg/dL",
"code" : "mg/dL",
"system" : "http://unitsofmeasure.org"
},
"denominator" : {
"value" : "1.3",
"unit" : "[iU]",
"code" : "[iU]",
"system" : "http://unitsofmeasure.org"
}
}
}
],
"url": "http://roche.com/fhir/iop/StructureDefinition/DeviceSettings"
},
{
"extension": [
{
"url": "settingsTime",
"valuePeriod": {
"start": "2023-10-13T13:00:00Z",
"end": "2023-10-13T14:00:00Z"
}
},
{
"url": "settingsCode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "789496005",
"display": "Insulin to carbohydrate ratio"
}
]
}
},
{
"url": "settingsValue",
"valueRatio": {
"numerator" : {
"value" : "15",
"unit" : "g",
"code" : "g",
"system" : "http://unitsofmeasure.org"
},
"denominator" : {
"value" : "1.3",
"unit" : "[iU]",
"code" : "[iU]",
"system" : "http://unitsofmeasure.org"
}
}
}
],
"url": "http://roche.com/fhir/iop/StructureDefinition/DeviceSettings"
},
{
"extension": [
{
"url": "settingsTime",
"valuePeriod": {
"start": "2023-10-14T13:00:00Z",
"end": "2023-10-15T14:00:00Z"
}
},
{
"url": "settingsCode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://roche.com/fhir/iop/cs",
"code": "39869006_hypoglycemia",
"display": "39869006_hypoglycemia"
}
]
}
},
{
"url": "settingsValue",
"valueBoolean": false
}
],
"url": "http://roche.com/fhir/iop/StructureDefinition/DeviceSettings"
},
{
"extension": [
{
"url": "settingsTime",
"valuePeriod": {
"start": "2023-10-14T13:00:00Z",
"end": "2023-10-15T14:00:00Z"
}
},
{
"url": "settingsCode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://roche.com/fhir/iop/cs",
"code": "39869006_hyperglycemia",
"display": "39869006_hyperglycemia"
}
]
}
},
{
"url": "settingsValue",
"valueBoolean": false
}
],
"url": "http://roche.com/fhir/iop/StructureDefinition/DeviceSettings"
}
],
"parent": {
"reference": "Device/a6912957-4c05-4ece-8cc1-a7a16495ed01"
}
}
Notes :
- Device resource for Insulin pump needs to be send first
- once we have the device resource in place, Medication adminstration resource can be shared as it has a reference to the device(insulin pump) resource.