<status value="active" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="email" /> <value value="info@nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="This profile represents a single blood glucose self measurement based on the seven-point scale (SMBG)." /> <copyright value="CC0" /> <fhirVersion value="3.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> </element> <element id="Observation.extension"> <path value="Observation.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.extension:eventTiming"> <path value="Observation.extension" /> <sliceName value="eventTiming" /> <short value="Approximate time of observation" /> <definition value="Regular life events the observation is tied to. This is useful for recording imprecise or "fuzzy" times when the observation occurred. For example, a blood glucose measurement "after breakfast". It is interpreted as relative to the `effectiveTime` element or the `issued` element if `effectiveTime` is absent. For example the blood glucose measurement could be reported that same day ("today after breakfast") or some other day ("yesterday after breakfast")." /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/observation-eventTiming" /> </type> <mustSupport value="true" /> </element> <element id="Observation.extension:eventTiming.url"> <path value="Observation.extension.url" /> <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-eventTiming" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <constraint> <key value="bg-1" /> <severity value="error" /> <human value="Observation.code SHALL have at least one coding based on LOINC" /> <expression value="coding.where(system = 'http://loinc.org').exists()" /> <xpath value="f:coding[f:system/@value = 'http://loinc.org']" /> </constraint> <constraint> <key value="bg-2" /> <severity value="error" /> <human value="Observation.code MAY have a maximum of one coding based on NHG Table 45" /> <expression value="coding.where(system = 'https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen').count() <= 1" /> <xpath value="count(f:coding[f:system/@value = 'https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen']) <= 1" /> </constraint> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Observation.code.coding:fastingGlucoseloinc"> <path value="Observation.code.coding" /> <sliceName value="fastingGlucoseloinc" /> <max value="1" /> </element> <element id="Observation.code.coding:fastingGlucoseloinc.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.code.coding:fastingGlucoseloinc.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <fixedCode value="41604-0" /> </element> <element id="Observation.code.coding:fastingGlucoseloinc.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.code.coding.display" /> <min value="1" /> <!-- Work around problem for now: the display is not part of the discriminator and this would be validated without taking the slice into account --> <!--<fixedString value="Fasting Glucose [moles/volume] in capillary blood by Glucometer"/>--> </element> <element id="Observation.code.coding:generalGlucoseloinc"> <path value="Observation.code.coding" /> <sliceName value="generalGlucoseloinc" /> <min value="0" /> <max value="1" /> </element> <element id="Observation.code.coding:generalGlucoseloinc.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.code.coding:generalGlucoseloinc.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <fixedCode value="14743-9" /> </element> <element id="Observation.code.coding:generalGlucoseloinc.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.code.coding.display" /> <min value="1" /> <!-- Work around problem for now: the display is not part of the discriminator and this would be validated without taking the slice into account --> <!--<fixedString value="Glucose [moles/volume] in capillary blood by Glucometer"/>--> </element> <element id="Observation.code.coding:postMealGlucoseloinc"> <path value="Observation.code.coding" /> <sliceName value="postMealGlucoseloinc" /> <min value="0" /> <max value="1" /> </element> <element id="Observation.code.coding:postMealGlucoseloinc.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.code.coding:postMealGlucoseloinc.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <fixedCode value="14760-3" /> </element> <element id="Observation.code.coding:postMealGlucoseloinc.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.code.coding.display" /> <min value="1" /> <!-- Work around problem for now: the display is not part of the discriminator and this would be validated without taking the slice into account --> <!--<fixedString value="Glucose [Moles/volume] in Capillary blood -\-2 hours post meal"/>--> </element> <!-- Fasting glucose --> <element id="Observation.code.coding:fastingGlucoseNhgtable45"> <path value="Observation.code.coding" /> <sliceName value="fastingGlucoseNhgtable45" /> <definition value="The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to fastingGlucoseloinc" /> <max value="1" /> </element> <element id="Observation.code.coding:fastingGlucoseNhgtable45.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen" /> </element> <element id="Observation.code.coding:fastingGlucoseNhgtable45.code"> <path value="Observation.code.coding.code" /> <definition value="NHG Table 45 code 382, mnemonic GLUC BC NU, glucose nuchter, draagbare meter" /> <min value="1" /> <fixedCode value="382" /> </element> <element id="Observation.code.coding:fastingGlucoseNhgtable45.display"> <path value="Observation.code.coding.display" /> <min value="1" /> </element> <!-- General Glucose portable device --> <element id="Observation.code.coding:generalGlucosePortableDeviceNhgtable45"> <path value="Observation.code.coding" /> <sliceName value="generalGlucosePortableDeviceNhgtable45" /> <definition value="The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to generalGlucoseloinc" /> <max value="1" /> </element> <element id="Observation.code.coding:generalGlucosePortableDeviceNhgtable45.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen" /> </element> <element id="Observation.code.coding:generalGlucosePortableDeviceNhgtable45.code"> <path value="Observation.code.coding.code" /> <definition value="NHG Table 45 code 3221, mnemonic GDC BC SR, glucose dagcurve (GDC), draagbare meter" /> <min value="1" /> <fixedCode value="3221" /> </element> <element id="Observation.code.coding:generalGlucosePortableDeviceNhgtable45.display"> <path value="Observation.code.coding.display" /> <min value="1" /> </element> <!-- General Glucose --> <element id="Observation.code.coding:generalGlucoseNhgtable45"> <path value="Observation.code.coding" /> <sliceName value="generalGlucoseNhgtable45" /> <definition value="The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to generalGlucoseloinc" /> <max value="1" /> </element> <element id="Observation.code.coding:generalGlucoseNhgtable45.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen" /> </element> <element id="Observation.code.coding:generalGlucoseNhgtable45.code"> <path value="Observation.code.coding.code" /> <definition value="NHG Table 45 code 355, mnemonic GDC B SR, glucose dagcurve (GDC)" /> <min value="1" /> <fixedCode value="355" /> </element> <element id="Observation.code.coding:generalGlucoseNhgtable45.display"> <path value="Observation.code.coding.display" /> <min value="1" /> </element> <!-- Post Diner --> <element id="Observation.code.coding:postDinerGlucoseNhgtable45"> <path value="Observation.code.coding" /> <sliceName value="postDinerGlucoseNhgtable45" /> <definition value="The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to postMealGlucoseloinc" /> <max value="1" /> </element> <element id="Observation.code.coding:postDinerGlucoseNhgtable45.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen" /> </element> <element id="Observation.code.coding:postDinerGlucoseNhgtable45.code"> <path value="Observation.code.coding.code" /> <definition value="NHG Table 45 code 3222, menmonic GLUC BC TA, glucose (dagcurve) 2u na diner, draagb.m" /> <min value="1" /> <fixedCode value="3222" /> </element> <element id="Observation.code.coding:postDinerGlucoseNhgtable45.display"> <path value="Observation.code.coding.display" /> <min value="1" /> </element> <!-- Post Lunch --> <element id="Observation.code.coding:postLunchGlucoseNhgtable45"> <path value="Observation.code.coding" /> <sliceName value="postLunchGlucoseNhgtable45" /> <definition value="The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to postMealGlucoseloinc" /> <max value="1" /> </element> <element id="Observation.code.coding:postLunchGlucoseNhgtable45.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen" /> </element> <element id="Observation.code.coding:postLunchGlucoseNhgtable45.code"> <path value="Observation.code.coding.code" /> <definition value="NHG Table 45 code 3223, menmonic GLUC BC TM, glucose (dagcurve) 2u na lunch, draagb.m" /> <min value="1" /> <fixedCode value="3223" /> </element> <element id="Observation.code.coding:postLunchGlucoseNhgtable45.display"> <path value="Observation.code.coding.display" /> <min value="1" /> </element> <!-- Post Breakfast --> <element id="Observation.code.coding:postBreakfastGlucoseNhgtable45"> <path value="Observation.code.coding" /> <sliceName value="postBreakfastGlucoseNhgtable45" /> <definition value="The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to postMealGlucoseloinc" /> <max value="1" /> </element> <element id="Observation.code.coding:postBreakfastGlucoseNhgtable45.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen" /> </element> <element id="Observation.code.coding:postBreakfastGlucoseNhgtable45.code"> <path value="Observation.code.coding.code" /> <definition value="NHG Table 45 code 3224, menmonic GLUC BC TO, glucose (dagcurve) 2u na ontbijt, drgb.m" /> <min value="1" /> <fixedCode value="3223" /> </element> <element id="Observation.code.coding:postBreakfastGlucoseNhgtable45.display"> <path value="Observation.code.coding.display" /> <min value="1" /> </element> <!-- Before Lunch --> <element id="Observation.code.coding:beforeLunchGlucoseNhgtable45"> <path value="Observation.code.coding" /> <sliceName value="beforeLunchGlucoseNhgtable45" /> <definition value="The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to generalGlucoseloinc" /> <max value="1" /> </element> <element id="Observation.code.coding:beforeLunchGlucoseNhgtable45.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen" /> </element> <element id="Observation.code.coding:beforeLunchGlucoseNhgtable45.code"> <path value="Observation.code.coding.code" /> <definition value="NHG Table 45 code 3225, menmonic GLUC BC TL, glucose (dagcurve) voor de lunch, drgb.m" /> <min value="1" /> <fixedCode value="3225" /> </element> <element id="Observation.code.coding:beforeLunchGlucoseNhgtable45.display"> <path value="Observation.code.coding.display" /> <min value="1" /> </element> <!-- Before Night --> <element id="Observation.code.coding:beforeNightGlucoseNhgtable45"> <path value="Observation.code.coding" /> <sliceName value="beforeNightGlucoseNhgtable45" /> <definition value="The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to generalGlucoseloinc" /> <max value="1" /> </element> <element id="Observation.code.coding:beforeNightGlucoseNhgtable45.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen" /> </element> <element id="Observation.code.coding:beforeNightGlucoseNhgtable45.code"> <path value="Observation.code.coding.code" /> <definition value="NHG Table 45 code 3226, menmonic GLUC BC TN, glucose (dagcurve) voor de nacht, drgb.m" /> <min value="1" /> <fixedCode value="3226" /> </element> <element id="Observation.code.coding:beforeNightGlucoseNhgtable45.display"> <path value="Observation.code.coding.display" /> <min value="1" /> </element> <!-- Before Diner --> <element id="Observation.code.coding:beforeDinerGlucoseNhgtable45"> <path value="Observation.code.coding" /> <sliceName value="beforeDinerGlucoseNhgtable45" /> <definition value="The mapping of the LOINC code to NHG Table 45 MAY be included for primary care systems as second coding next to generalGlucoseloinc" /> <max value="1" /> </element> <element id="Observation.code.coding:beforeDinerGlucoseNhgtable45.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="https://referentiemodel.nhg.org/tabellen/nhg-tabel-45-diagnostische-bepalingen" /> </element> <element id="Observation.code.coding:beforeDinerGlucoseNhgtable45.code"> <path value="Observation.code.coding.code" /> <definition value="NHG Table 45 code 3227, menmonic GLUC BC TD, glucose (dagcurve)voor het diner, drgb.m" /> <min value="1" /> <fixedCode value="3227" /> </element> <element id="Observation.code.coding:beforeDinerGlucoseNhgtable45.display"> <path value="Observation.code.coding.display" /> <min value="1" /> </element> <element id="Observation.value[x]"> <path value="Observation.valueQuantity" /> <type> <code value="Quantity" /> </type> </element> </differential> </StructureDefinition>