Blutdruck

Mit diesem Profil lassen sich unterschiedliche Messungen zum Blutdruck erfassen, wobei z.B. systolischer und diastolischer Blutdruck gemeinsam in einer Instanz angegeben werden sollen (ggf. auch systolischer allein, s.u.).

Alle bestätigungsrelevanten Systeme für dieses Modul müssen Ressourcen verarbeiten können, die zu diesem Profil konform sind.

Profil

NameCanonical
ISiKBlutdruckhttps://gematik.de/fhir/isik/StructureDefinition/ISiKBlutdruck

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusS Σ ?!1..1codeBinding
VSCatS1..1CodeableConceptBindingPattern
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemΣ1..1uriPattern
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemΣ1..1uriPattern
versionΣ0..1string
codeΣ1..1codePattern
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ I1..1Reference(Patient)
focusΣ I0..*Reference(Resource)
encounterS Σ I0..1Reference(Encounter)
effectiveDateTimedateTime
effectivePeriodPeriod
issuedΣ0..1instant
performerS Σ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
dataAbsentReasonS I0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..1CodeableConcept
methodS0..1CodeableConcept
specimenI0..1Reference(Specimen)
deviceS I0..1Reference(Device | DeviceMetric)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConcept
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
id0..1string
extensionI0..*Extension
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1string
systemΣ I1..1uriPattern
codeΣ1..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
id0..1string
extensionI0..*Extension
codingS Σ0..*CodingPattern
textΣ0..1string
id0..1string
extensionI0..*Extension
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1string
systemΣ I1..1uriPattern
codeΣ1..1codePattern
dataAbsentReasonS I0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
id0..1string
extensionI0..*Extension
codingS Σ0..*CodingPattern
textΣ0..1string
id0..1string
extensionI0..*Extension
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1string
systemΣ I1..1uriPattern
codeΣ1..1codePattern
dataAbsentReasonS I0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
id0..1string
extensionI0..*Extension
codingS Σ0..*CodingPattern
textΣ0..1string
id0..1string
extensionI0..*Extension
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1string
systemΣ I1..1uriPattern
codeΣ1..1codePattern
dataAbsentReasonS I0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)

Hinweis: In Fällen, in denen fachlich motiviert ausschließlich ein systolischer Blutdruck erhoben wird (z.B. in der Intensivmedizin), kann für den Slice zur Diastole (DiastolicBP) das Element .dataAbsentReason (mit dem Code 'not-performed') verwendet werden.

Beispiele

Valides Minimalbeispiel für das Profil ISiKBlutdruck:

{
    "resourceType": "Observation",
    "id": "ISiKBlutdruckExample",
    "meta": {
        "profile":  [
            "https://gematik.de/fhir/isik/StructureDefinition/ISiKBlutdruck",
            "http://fhir.de/StructureDefinition/observation-de-vitalsign-blutdruck"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "85354-9",
                "display": "Blood pressure panel with all children optional"
            },
            {
                "system": "http://snomed.info/sct",
                "code": "75367002",
                "display": "Blood pressure (observable entity)"
            }
        ],
        "text": "Systolischer und Diastolischer Blutdruck"
    },
    "component":  [
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "8480-6"
                    }
                ]
            },
            "valueQuantity": {
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]",
                "value": 107,
                "unit": "mmHg"
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "8462-4"
                    }
                ]
            },
            "valueQuantity": {
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]",
                "value": 60,
                "unit": "mmHg"
            }
        },
        {
            "valueQuantity": {
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]",
                "value": 80,
                "unit": "mmHg"
            },
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "8478-0"
                    }
                ]
            }
        }
    ],
    "status": "final",
    "subject": {
        "reference": "Patient/PatientinMusterfrau"
    },
    "effectiveDateTime": "2012-09-17",
    "performer":  [
        {
            "reference": "Practitioner/example"
        }
    ],
    "interpretation":  [
        {
            "coding":  [
                {
                    "code": "L",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                    "display": "low"
                }
            ],
            "text": "Below low normal"
        }
    ],
    "bodySite": {
        "coding":  [
            {
                "code": "368209003",
                "system": "http://snomed.info/sct",
                "display": "Right arm"
            }
        ]
    }
}