Connectathon 11 Snapshot

This page is part of the FHIR Specification (v1.2.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

H.?? StructureDefinition: hspc-diastolicbp

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/hspc-diastolicbp

The HSPC specific profile for the observation of the diastolic blood pressure.

This profile was published on Mon, Jul 20, 2015 00:00+1000 as a draft by HSPC.

H.??.1 Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Observation.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*Observation
... reliability 0..0
... code 1..1CodeableConceptFixed Value: {"coding":[{"system":"http://loinc.org","code":"8462-4","display":"Diastolic blood pressure"}]}
... issued 0..0
... performer 0..*Reference(HSPC ProviderPractitioner | HSPCOrganization | HSPC-Patient | RelatedPerson)
... valueQuantity 1..1Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, Period
.... system uriFixed Value: http://unitsofmeasure.org
.... code codeFixed Value: mm[Hg]
... dataAbsentReason 0..0
... interpretation 0..1CodeableConceptBinding: Abnormal Interpretation Numeric Nom (preferred)
... bodySite 0..1CodeableConceptBinding: HSPC Systolic Blood Pressure Measurement Body Location Precoodinated (preferred)
... method 0..1CodeableConceptBinding: HSPC Blood Pressure Measurement Method/Device Value Set (preferred)
... specimen 0..0
... device 0..0
... referenceRange 0..0
... hspc-extensionsbodyPosition 0..*CodeableConceptbodyPosition
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsbodyPosition
Binding: HSPC Systolic Blood Pressure Measurement Body Position (preferred)
... hspc-extensionsassociatedPrecondition 0..*CodeableConceptAssociated Precondition
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsassociatedPrecondition
Binding: HSPC Vital Sign Associated Precondition (preferred)
... hspc-extensionsdeltaFlag 0..1CodeableConceptDelta Flag
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsdeltaFlag
Binding: Abnormal Interpretation Numeric Nom (preferred)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*ObservationMeasurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: Component code SHALL not be same as observation code
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... hspc-extensionsbodyPosition 0..*CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsbodyPosition
Binding: HSPC Systolic Blood Pressure Measurement Body Position (preferred)
... hspc-extensionsassociatedPrecondition 0..*CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsassociatedPrecondition
Binding: HSPC Vital Sign Associated Precondition (preferred)
... hspc-extensionsdeltaFlag 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsdeltaFlag
Binding: Abnormal Interpretation Numeric Nom (preferred)
... hspc-extensionsfocalSubject ?!0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsfocalSubject
Binding: HSPC FocalSubject (preferred)
... identifier 0..*IdentifierUnique Id for this particular observation
... status ?! ∑1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 0..1CodeableConceptClassification of type of observation
Binding: Observation Category Codes (example)
... code ∑1..1CodeableConceptType of observation (code / type)
Binding: LOINC Codes (example)
Fixed Value: {"coding":[{"system":"http://loinc.org","code":"8462-4","display":"Diastolic blood pressure"}]}
... subject ∑0..1Reference(Patient | Group | Device | Location)Who and/or what this is about
... encounter 0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] ∑0..1dateTime, PeriodClinically relevant time/time-period for observation
... performer ∑0..*Reference(HSPC ProviderPractitioner | HSPCOrganization | HSPC-Patient | RelatedPerson)Who is responsible for the observation
... value[x] ∑1..1Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, PeriodActual result
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Abnormal Interpretation Numeric Nom (preferred)
... comments 0..1stringComments about result
... bodySite 0..1CodeableConceptObserved body part
Binding: HSPC Systolic Blood Pressure Measurement Body Location Precoodinated (preferred)
... method 0..1CodeableConceptHow it was done
Binding: HSPC Blood Pressure Measurement Method/Device Value Set (preferred)
... related ∑0..*BackboneElementResource related to this observation
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required)
.... target 1..1Reference(Observation | QuestionnaireResponse)Resource that is related to this one
... component ∑0..*BackboneElementComponent results
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... code ∑ I1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example)
.... value[x] ∑0..1Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, PeriodActual component result
.... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible)
.... referenceRange 0..*See Observation.referenceRangeProvides guide for interpretation of component result

doco Documentation for this format

todo

Differential View

This structure is derived from Observation.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*Observation
... reliability 0..0
... code 1..1CodeableConceptFixed Value: {"coding":[{"system":"http://loinc.org","code":"8462-4","display":"Diastolic blood pressure"}]}
... issued 0..0
... performer 0..*Reference(HSPC ProviderPractitioner | HSPCOrganization | HSPC-Patient | RelatedPerson)
... valueQuantity 1..1Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, Period
.... system uriFixed Value: http://unitsofmeasure.org
.... code codeFixed Value: mm[Hg]
... dataAbsentReason 0..0
... interpretation 0..1CodeableConceptBinding: Abnormal Interpretation Numeric Nom (preferred)
... bodySite 0..1CodeableConceptBinding: HSPC Systolic Blood Pressure Measurement Body Location Precoodinated (preferred)
... method 0..1CodeableConceptBinding: HSPC Blood Pressure Measurement Method/Device Value Set (preferred)
... specimen 0..0
... device 0..0
... referenceRange 0..0
... hspc-extensionsbodyPosition 0..*CodeableConceptbodyPosition
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsbodyPosition
Binding: HSPC Systolic Blood Pressure Measurement Body Position (preferred)
... hspc-extensionsassociatedPrecondition 0..*CodeableConceptAssociated Precondition
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsassociatedPrecondition
Binding: HSPC Vital Sign Associated Precondition (preferred)
... hspc-extensionsdeltaFlag 0..1CodeableConceptDelta Flag
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsdeltaFlag
Binding: Abnormal Interpretation Numeric Nom (preferred)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*ObservationMeasurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: Component code SHALL not be same as observation code
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... hspc-extensionsbodyPosition 0..*CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsbodyPosition
Binding: HSPC Systolic Blood Pressure Measurement Body Position (preferred)
... hspc-extensionsassociatedPrecondition 0..*CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsassociatedPrecondition
Binding: HSPC Vital Sign Associated Precondition (preferred)
... hspc-extensionsdeltaFlag 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsdeltaFlag
Binding: Abnormal Interpretation Numeric Nom (preferred)
... hspc-extensionsfocalSubject ?!0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/hspc-extensionsfocalSubject
Binding: HSPC FocalSubject (preferred)
... identifier 0..*IdentifierUnique Id for this particular observation
... status ?! ∑1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 0..1CodeableConceptClassification of type of observation
Binding: Observation Category Codes (example)
... code ∑1..1CodeableConceptType of observation (code / type)
Binding: LOINC Codes (example)
Fixed Value: {"coding":[{"system":"http://loinc.org","code":"8462-4","display":"Diastolic blood pressure"}]}
... subject ∑0..1Reference(Patient | Group | Device | Location)Who and/or what this is about
... encounter 0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] ∑0..1dateTime, PeriodClinically relevant time/time-period for observation
... performer ∑0..*Reference(HSPC ProviderPractitioner | HSPCOrganization | HSPC-Patient | RelatedPerson)Who is responsible for the observation
... value[x] ∑1..1Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, PeriodActual result
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Abnormal Interpretation Numeric Nom (preferred)
... comments 0..1stringComments about result
... bodySite 0..1CodeableConceptObserved body part
Binding: HSPC Systolic Blood Pressure Measurement Body Location Precoodinated (preferred)
... method 0..1CodeableConceptHow it was done
Binding: HSPC Blood Pressure Measurement Method/Device Value Set (preferred)
... related ∑0..*BackboneElementResource related to this observation
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required)
.... target 1..1Reference(Observation | QuestionnaireResponse)Resource that is related to this one
... component ∑0..*BackboneElementComponent results
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... code ∑ I1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example)
.... value[x] ∑0..1Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, PeriodActual component result
.... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible)
.... referenceRange 0..*See Observation.referenceRangeProvides guide for interpretation of component result

doco Documentation for this format

XML Template

JSON Template

todo

 

Other representations of profile: Schematron

H.??.2 Terminology Bindings

PathNameConformanceValueSet
Observation.language?extrequiredhttp://tools.ietf.org/html/bcp47
Observation.extension
[UriType[http://hl7.org/fhir/StructureDefinition/hspc-extensionsbodyPosition]]		HSPC Systolic Blood Pressure Measurement Body PositionpreferredHSPC Systolic Blood Pressure Measurement Body Position
Observation.extension
[UriType[http://hl7.org/fhir/StructureDefinition/hspc-extensionsassociatedPrecondition]]		HSPC Vital Sign Associated PreconditionpreferredHSPC Vital Sign Associated Precondition
Observation.extension
[UriType[http://hl7.org/fhir/StructureDefinition/hspc-extensionsdeltaFlag]]		Abnormal Interpretation Numeric NompreferredAbnormal Interpretation Numeric Nom
Observation.modifierExtension
[UriType[http://hl7.org/fhir/StructureDefinition/hspc-extensionsfocalSubject]]		HSPC FocalSubjectpreferredHSPC FocalSubject
Observation.statusObservationStatusrequiredObservationStatus
Observation.categoryObservation Category CodesexampleObservation Category Codes
Observation.codeLOINC CodesexampleLOINC Codes
Observation.interpretationAbnormal Interpretation Numeric NompreferredAbnormal Interpretation Numeric Nom
Observation.bodySiteHSPC Systolic Blood Pressure Measurement Body Location PrecoodinatedpreferredHSPC Systolic Blood Pressure Measurement Body Location Precoodinated
Observation.methodHSPC Blood Pressure Measurement Method/Device Value SetpreferredHSPC Blood Pressure Measurement Method/Device Value Set
Observation.referenceRange.meaningObservation Reference Range Meaning CodesexampleObservation Reference Range Meaning Codes
Observation.related.typeObservationRelationshipTyperequiredObservationRelationshipType
Observation.component.codeLOINC CodesexampleLOINC Codes
Observation.component.dataAbsentReasonObservation Value Absent ReasonextensibleObservation Value Absent Reason

H.??.3 Constraints

IdPathDetailsRequirements
obs-6ObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
XPath: not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))
obs-7ObservationComponent code SHALL not be same as observation code
XPath: not(exists(f:component/f:code)) or count(for $coding in f:code/f:coding return parent::*/f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value and f:system/@value=$coding/f:system/@value])=0
.