HdBe-BloodPressure

CBBStatusURL
HdBe-BloodPressuredrafthttps://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-BloodPressure

measuring_method0..1CodeableConceptBinding
cuff_type0..1CodeableConceptBinding
measuring_location0..1CodeableConceptBinding
diastolic_endpoint0..1CodeableConceptBinding
systolic_blood_pressure1..1Quantity
diastolic_blood_pressure1..1Quantity
average_blood_pressure0..1Quantity
blood_pressure_date_time1..1dateTime
comment0..1string
position0..1CodeableConceptBinding

blood_pressure0..*
blood_pressure.measuring_methodCodeableConcept0..1
blood_pressure.cuff_typeCodeableConcept0..1
blood_pressure.measuring_locationCodeableConcept0..1
blood_pressure.diastolic_endpointCodeableConcept0..1
blood_pressure.systolic_blood_pressureQuantity1..1
blood_pressure.diastolic_blood_pressureQuantity1..1
blood_pressure.average_blood_pressureQuantity0..1
blood_pressure.blood_pressure_date_timedateTime1..1
blood_pressure.commentstring0..1
blood_pressure.positionCodeableConcept0..1



blood_pressure
DefinitionRoot concept of the BloodPressure information model. This root concept contains all data elements of the BloodPressure 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
blood_pressure.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
TypeSystem.String
Mappings
  • rim:n/a
blood_pressure.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
blood_pressure.measuring_method
DefinitionThe type of method used to measure blood pressure.
Cardinality0...1
TypeCodeableConcept
Binding

MeasuringMethod codes

MeasuringMethod (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
blood_pressure.cuff_type
DefinitionThe size of the cuff used in the measurement.
Cardinality0...1
TypeCodeableConcept
Binding

CuffType codes

CuffType (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
blood_pressure.measuring_location
DefinitionAnatomical location where the blood pressure was measured.
Cardinality0...1
TypeCodeableConcept
Binding

MeasuringLocation codes

MeasuringLocation (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
blood_pressure.diastolic_endpoint
DefinitionRegistration of the Korotkoff sound used to measure diastolic pressure with the auscultatory method.
Cardinality0...1
TypeCodeableConcept
Binding

DiastolicEndpoint codes

DiastolicEndpoint (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
blood_pressure.systolic_blood_pressure
DefinitionThe highest (peak) systematic arterial blood pressure in mm[Hg] - measured in the contraction stage or systole of the cardiac cycle.
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
blood_pressure.diastolic_blood_pressure
DefinitionThe lowest systematic arterial blood pressure in mm[Hg] - measured in the relaxation stage or diastole of the cardiac cycle.
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
blood_pressure.average_blood_pressure
DefinitionAverage blood pressure in mm[Hg] during one cycle of the heart contracting and relaxing. Estimated based on systolic and diastolic blood pressure. This estimate is unreliable in cases of circulatory disorders. This value can only be reliably determined when invasive blood pressure is measured.
Cardinality0...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
blood_pressure.blood_pressure_date_time
DefinitionThe date and time at which these blood pressure values were measured.
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
blood_pressure.comment
DefinitionComments on the measured blood pressure. Here, an explanation could be given, for example, of circumstances that may have influenced the patient’s blood pressure, such as pain, stress, exertion and sleep/wake cycles.
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
blood_pressure.position
DefinitionThe position of the patient when the blood pressure was measured.
Cardinality0...1
TypeCodeableConcept
Binding

Position codes

MeasuringPosition (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

blood_pressure
measuring_method
cuff_type
measuring_location
diastolic_endpoint
systolic_blood_pressure
diastolic_blood_pressure
average_blood_pressure
blood_pressure_date_time
comment
position

zib BloodPressure-v3.2.1 difference

Concept Category Description
cuff_type terminology Modified ValueSet to descendant of SNOMED CT values and added Unknown and Other value. (zib ticket #1719)
systolic_blood_pressure textual Added mm[Hg] as a unit to the definition.
diastolic_blood_pressure textual Added mm[Hg] as a unit to the definition.
average_blood_pressure textual Added mm[Hg] as a unit to the definition.
position terminology Changed name of ValueSet Position to MeasuringPosition because of duplicate Position ValueSet names. (zib ticket #892)



Terminology Bindings

PathNameStrengthURL
measuring_methodMeasuringMethodextensiblehttps://fhir.healthdata.be/ValueSet/MeasuringMethod
cuff_typeCuffTyperequiredhttps://fhir.healthdata.be/ValueSet/CuffType
measuring_locationMeasuringLocationextensiblehttps://fhir.healthdata.be/ValueSet/MeasuringLocation
diastolic_endpointDiastolicEndpointrequiredhttps://fhir.healthdata.be/ValueSet/DiastolicEndpoint
positionMeasuringPositionextensiblehttps://fhir.healthdata.be/ValueSet/MeasuringPosition