{
  "resourceType": "StructureDefinition",
  "id": "zib-HeartRate",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-HeartRate",
  "version": "2.1.3",
  "name": "Zib HeartRate",
  "title": "HCIM HeartRate",
  "status": "active",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "This profile is derived from the HL7 Vital Signs profile for heart rate in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or zib) HeartRate v3.1, release 2017, and to provide extensions for missing concepts.",
  "purpose": "Obtaining information on circulation and heart function by measuring the heartbeat.",
  "copyright": "CC0",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "hcim-heartrate-v3.1-2017EN",
      "uri": "https://zibs.nl/wiki/HeartRate-v3.1(2017EN)",
      "name": "HCIM HeartRate-v3.1(2017EN)"
    },
    {
      "identity": "hcim-basicelements-v1.0-2017EN",
      "uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
      "name": "HCIM BasicElements-v1.0(2017EN)"
    },
    {
      "identity": "hcim-heartrate-v3.0-2016EN",
      "uri": "https://zibs.nl/wiki/HeartRate-v3.0(2016EN)",
      "name": "HCIM HeartRate-v3.0(2016EN)"
    },
    {
      "identity": "hcim-heartrate-v1.2-2015EN",
      "uri": "https://zibs.nl/wiki/HeartRate-v1.2(2015EN)",
      "name": "HCIM HeartRate-v1.2(2015EN)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/heartrate",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "short": "HeartRate",
        "definition": "This profile defines how to represent Heart Rate observations in FHIR using a standard LOINC code and UCUM units of measure.\r\nThe heart frequency is the number of heartbeats per minute.",
        "alias": [
          "Hartfrequentie"
        ],
        "mapping": [
          {
            "identity": "hcim-heartrate-v1.2-2015EN",
            "map": "NL-CM:12.3.1",
            "comment": "HeartFrequency"
          },
          {
            "identity": "hcim-heartrate-v3.0-2016EN",
            "map": "NL-CM:12.3.1",
            "comment": "HeartRate"
          }
        ]
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.identifier",
        "mapping": [
          {
            "identity": "hcim-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.6",
            "comment": "IdentificationNumber"
          }
        ]
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "mapping": [
          {
            "identity": "hcim-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.11",
            "comment": "Subject"
          }
        ]
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "short": "HeartRateDateTime",
        "definition": "Date and time of the heart frequency measurement.",
        "alias": [
          "HartfrequentieDatumTijd"
        ],
        "mapping": [
          {
            "identity": "hcim-heartrate-v1.2-2015EN",
            "map": "NL-CM:12.3.4",
            "comment": "HeartFrequencyDateTime"
          },
          {
            "identity": "hcim-heartrate-v3.0-2016EN",
            "map": "NL-CM:12.3.4",
            "comment": "HeartFrequencyDateTime"
          },
          {
            "identity": "hcim-heartrate-v3.1-2017EN",
            "map": "NL-CM:12.3.4",
            "comment": "HeartRateDateTime"
          },
          {
            "identity": "hcim-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.14",
            "comment": "DateTime"
          }
        ]
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "mapping": [
          {
            "identity": "hcim-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.7",
            "comment": "Author"
          }
        ]
      },
      {
        "id": "Observation.valueQuantity:valueQuantity",
        "path": "Observation.valueQuantity",
        "sliceName": "valueQuantity",
        "short": "HeartRateValue",
        "definition": "The heart frequency measured as the number of heartbeats per minute.",
        "alias": [
          "HartfrequentieWaarde"
        ],
        "min": 1,
        "mapping": [
          {
            "identity": "hcim-heartrate-v1.2-2015EN",
            "map": "NL-CM:12.3.2",
            "comment": "HeartFrequencyValue"
          },
          {
            "identity": "hcim-heartrate-v3.0-2016EN",
            "map": "NL-CM:12.3.2",
            "comment": "HeartFrequencyValue"
          },
          {
            "identity": "hcim-heartrate-v3.1-2017EN",
            "map": "NL-CM:12.3.2",
            "comment": "HeartRateValue"
          }
        ]
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "short": "HeartbeatRegularity",
        "definition": "Regularity of the heartbeat.",
        "alias": [
          "HartslagRegelmatigheid"
        ],
        "binding": {
          "strength": "extensible",
          "description": "HartslagRegelmatigheidCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.3.1--20171231000000",
            "display": "HartslagRegelmatigheidCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-heartrate-v1.2-2015EN",
            "map": "NL-CM:12.3.5",
            "comment": "HeartbeatRegularity"
          },
          {
            "identity": "hcim-heartrate-v3.0-2016EN",
            "map": "NL-CM:12.3.5",
            "comment": "HeartbeatRegularity"
          },
          {
            "identity": "hcim-heartrate-v3.1-2017EN",
            "map": "NL-CM:12.3.5",
            "comment": "HeartbeatRegularity"
          }
        ]
      },
      {
        "id": "Observation.comment",
        "path": "Observation.comment",
        "short": "Comment",
        "definition": "Comment on any problems or factors that may influence the measurement. Further explanation can be provided here as well.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "hcim-heartrate-v1.2-2015EN",
            "map": "NL-CM:12.3.3",
            "comment": "Explanation"
          },
          {
            "identity": "hcim-heartrate-v3.0-2016EN",
            "map": "NL-CM:12.3.3",
            "comment": "Explanation"
          },
          {
            "identity": "hcim-heartrate-v3.1-2017EN",
            "map": "NL-CM:12.3.3",
            "comment": "Comment"
          }
        ]
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "short": "HeartRateMeasurementMethod",
        "definition": "The method used to count and observe the heartbeat.",
        "alias": [
          "HartslagMeetMethode"
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationMethod"
            }
          ],
          "strength": "extensible",
          "description": "HartslagMeetMethodeCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.3.2--20171231000000",
            "display": "HartslagMeetMethodeCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-heartrate-v1.2-2015EN",
            "map": "NL-CM:12.3.6",
            "comment": "HeartbeatMeasurementMethod"
          },
          {
            "identity": "hcim-heartrate-v3.0-2016EN",
            "map": "NL-CM:12.3.6",
            "comment": "HeartbeatMeasurementMethod"
          },
          {
            "identity": "hcim-heartrate-v3.1-2017EN",
            "map": "NL-CM:12.3.6",
            "comment": "HeartRateMeasurementMethod"
          }
        ]
      }
    ]
  }
}